Encyclopedia of Couple and Family Therapy

Living Edition
| Editors: Jay Lebow, Anthony Chambers, Douglas C. Breunlin

Delayed Ejaculation in Couple and Family Therapy

  • Michael A. Perelman
Living reference work entry
DOI: https://doi.org/10.1007/978-3-319-15877-8_456-1

Name of the Concept

Delayed ejaculation in couple and family therapy



Delayed ejaculation (DE) is a type of diminished ejaculation disorder (DED), which includes all subtypes manifesting ejaculatory delay/absence (Perelman et al. 2004). Many clinicians may find DE difficult to treat and may not grasp the psychosocial distress it causes. Assessment requires a thorough sexual history including inquiry into masturbatory methods to ascertain the information needed for proper diagnosis and treatment. This entry describes a transdisciplinary approach to the etiology, diagnosis, and treatment of men with DE based on the Sexual Tipping Point® model (Perelman 2009, 2016).

DE remains an uncommon disorder, with prevalence rates in 1–4% of males (Rowland and Perelman 2006). Rates are increasing due to greater use of pharmacotherapy [5-alpha reductase inhibitors (5αRIs), serotonin reuptake inhibitors (SRIs),...


Sexual Fantasy Sexual Medicine Partner Experience Partner Attractiveness Delay Ejaculation 
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Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  1. 1.Department of Psychiatry, Reproductive Medicine & UrologyWeill Cornell Medicine/New York PresbyterianNew YorkUSA
  2. 2.MAP Education & Research FundNew YorkUSA

Section editors and affiliations

  • Farrah Hughes
    • 1
  • Allen Sabey
    • 2
  1. 1.Employee Assistance ProgramMcLeod HealthFlorenceUSA
  2. 2.The Family Institute at Northwestern UniversityEvanstonUSA