- Cite this article as:
- Perelman, M.A. Curr sex health rep (2004) 1: 95. doi:10.1007/s11930-004-0023-2
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Retarded ejaculation (RE) was considered a rare and difficult-to-treat sexual dysfunction. Recently, some urologists and sex therapists are reporting an increasing incidence of RE in clinical settings. The etiology of RE is frequently multidimensional, resulting from the man’s biologic set point for ejaculatory latency being affected by multiple organic and psychogenic factors, in varying combinations during his life. This article highlights the role of high-frequency, idiosyncratic masturbatory style, in addition to fantasy/partner disparity, in predisposing and maintaining RE. Successful evaluation and treatment of RE can be enhanced through an integrated understanding of these masturbation-related factors with sex therapy techniques and procedures. In addition, the development of new pharmaceuticals is needed to increase the ease and speed of ejaculatory latency. These pharmaceuticals could be combined with sex therapy to optimize function and satisfaction.