Encyclopedia of Sexuality and Gender

Living Edition
| Editors: Amy D. Lykins

Delayed Ejaculation

Living reference work entry
DOI: https://doi.org/10.1007/978-3-319-59531-3_47-1
  • 9 Downloads

Synonyms

Introduction

Delayed ejaculation (DE) is a less common and often misunderstood male sexual dysfunction. While this entry focuses on delayed ejaculation (DE), there is a full spectrum of “male ejaculation/orgasm disorders,” ranging from premature ejaculation (PE) through various diminished ejaculatory disorders (DEDs) (Perelman, McMahon, & Barada, 2004). These other DEDs encompass dimensions of reduced ejaculatory volume, force, subjective sensation, direction, as well as the very rare post-orgasmic illness syndrome (Perelman, 2018a, 2020; Waldinger, 2016). Some of the historical terms used for DE are viewed...

This is a preview of subscription content, log in to check access.

References

  1. Abdel-Hamid, I. A., & Ali, O. I. (2018). Delayed ejaculation: Pathophysiology, diagnosis, and treatment. World Journal of Men’s Health, 36(1), 22–40.CrossRefGoogle Scholar
  2. Abdel-Hamid, I. A., Elsaied, M. A., & Mostafa, T. (2016). The drug treatment of delayed ejaculation. Translational Andrology and Urology, 5(4), 576–591. http://doi.org/10.21037/tau.2016.05.05Google Scholar
  3. Althof, S. E., & McMahon, C. G. (2016). Contemporary management of disorders of male orgasm and ejaculation. Urology, 93, 9–21.CrossRefGoogle Scholar
  4. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: Author.CrossRefGoogle Scholar
  5. Apfelbaum, B. (1989). Retarded ejaculation: A much-misunderstood syndrome. In S. R. Leiblum & R. C. Rosen (Eds.), Principles and practice of sex therapy (pp. 168–202). New York, NY: Guilford Press.Google Scholar
  6. Blair, L. (2017). How difficult is it to treat delayed ejaculation within a short-term psychosexual model? A case study comparison. Sexual and Relationship Therapy, 12(1), 1–12.  https://doi.org/10.1080/14681994.2017.1365121CrossRefGoogle Scholar
  7. Butcher, M. J., & Serefoglu, E. C. (2017). Treatment of delayed ejaculation. In W. W. Ishak (Ed.), The textbook of clinical sexual medicine (pp. 255–269). Cham, Switzerland: Springer International.CrossRefGoogle Scholar
  8. Carro-Juáreza, M., & Rodrı́guez-Manzo, G. (2003). Yohimbine reverses the exhaustion of the coital reflex in spinal male rats. Behavioural Brain Research, 141(1), 43–50.CrossRefGoogle Scholar
  9. Clayton, A. H., Warnock, J. K., Kornstein, S. G., Pinkerton, R., Sheldon-Keller, A., & McGarvey, E. L. (2004). A placebo-controlled trial of bupropion SR as an antidote for selective serotonin reuptake inhibitor-induced sexual dysfunction. Journal of Clinical Psychiatry, 65(1), 62–67.CrossRefGoogle Scholar
  10. Corona, G., Jannini, E. A., Lotti, F., Boddi, V., De Vita, G., Forti, G., … Maggi, M. (2011). Premature and delayed ejaculation: Two ends of a single continuum influenced by hormonal milieu. International Journal of Andrology, 34(1), 41–48.Google Scholar
  11. Corona, G., Jannini, E. A., Vignozzi, L., Rastrelli, G., & Maggi, M. (2012). The hormonal control of ejaculation. Nature Reviews Urology, 9(9), 508–519.CrossRefGoogle Scholar
  12. Jern, P., Gunst, A., Sandqvist, F., Sandnabba, N. K., & Santtila, P. (2011). Using ecological momentary assessment to investigate associations between ejaculatory latency and control in partnered and non-partnered sexual activities. Journal of Sex Research, 48(4), 316–324.CrossRefGoogle Scholar
  13. Laumann, E. O., Paik, A., & Rosen, R. C. (1999). Sexual dysfunction in the United States: Prevalence and predictors. Journal of the American Medical Association, 281(6), 537–544.CrossRefGoogle Scholar
  14. Lindau, S. T., Tang, H., Gomero, A., Vable, A., Huang, E. S., Drum, M. L., … Chin, M. H. (2010). Sexuality among middle-aged and older adults with diagnosed and undiagnosed diabetes. Diabetes Care, 33(10), 2202–2210.Google Scholar
  15. Masters, W. H., & Johnson, V. E. (1970). Human sexual inadequacy. Boston, MA: Little, Brown &.Google Scholar
  16. McCabe, M. P., Sharlip, I. D., Atalla, E., Balon, R., Fisher, A. D., Laumann, E., … Segraves, R. T. (2016). Definitions of sexual dysfunctions in women and men: A Consensus Statement from the Fourth International Consultation on Sexual Medicine 2015. The Journal of Sexual Medicine, 13(2), 135–143.Google Scholar
  17. McMahon, C. G., Rowland, D. L., Abdo, C. H. N., Chen, J., Jannini, E. A., & Waldinger, M. D. (2009). Disorders of orgasm and ejaculation in men. In I. S. F. S. Medicine (Ed.), Sexual medicine, sexual dysfunctions in men and women: Report of the 3rd ICSM International Consultation on Sexual Medicine (pp. 823–890). Paris, France. Retrieved from http://www.issm.info/images/book/Committee%2017/
  18. Morgentaler, A., Polzer, P., Althof, S., Bolyakov, A., Donatucci, C., Ni, X., … Basaria, S. (2017). Delayed ejaculation and associated complaints: Relationship to ejaculation times and serum testosterone levels. The Journal of Sexual Medicine, 14(9), 1116–1124.Google Scholar
  19. Nelson, C. J., Ahmed, A., Valenzuela, R., Parker, M., & Mulhall, J. P. (2007). Assessment of Penile Vibratory Stimulation as a Management Strategy in Men with Secondary Retarded Orgasm. Urology, 69(3), 552–555.  https://doi.org/10.1016/j.urology.2006.02.048
  20. Nurnberg, H. G., Hensley, P. L., Heiman, J. R., Croft, H. A., Debattista, C., & Paine, S. (2008). Sildenafil treatment of women with antidepressant-associated sexual dysfunction: A randomized controlled trial. Journal of the American Medical Association, 300(4), 395–404.CrossRefGoogle Scholar
  21. Patrick, D. L., Althof, S. E., Pryor, J. L., Rosen, R., Rowland, D. L., Ho, K. F., et al. (2005). Premature ejaculation: An observational study of men and their partners. The Journal of Sexual Medicine, 2(3), 358–367.  https://doi.org/10.1111/j.1743-6109.2005.20353.xCrossRefPubMedGoogle Scholar
  22. Patrick, D. L., Rowland, D., & Rothman, M. (2007). Interrelationships Among Measures of Premature Ejaculation: The Central Role of Perceived Control. J Sex Med 4(3), 780–788.  https://doi.org/10.1111/j.1743-6109.2007.00464.x
  23. Perelman, M. A. (2003). Sex coaching for physicians: Combination treatment for patient and partner. International Journal of Impotence Research, 15(Suppl 5), S67–S74.CrossRefGoogle Scholar
  24. Perelman, M. A. (2005). 1254: Idiosyncratic masturbation patterns: A key unexplored variable in the treatment of retarded ejaculation by the practicing urologist. Journal of Urology, 173(4), 340.CrossRefGoogle Scholar
  25. Perelman, M. A. (2009). The sexual tipping point: A mind/body model for sexual medicine. The Journal of Sexual Medicine, 6(3), 227–632.  https://doi.org/10.1111/j.1743-6109.2008.01177.xCrossRefGoogle Scholar
  26. Perelman, M. A. (2014). Delayed ejaculation. In Y. M. Binik & K. S. Hall (Eds.), Principles and practice of sexual therapy (5th ed.). New York, NY: Guilford Press.Google Scholar
  27. Perelman, M. A. (2016a). Psychosexual therapy for delayed ejaculation based on the Sexual Tipping Point model. Translational Andrology and Urology, 5(4), 563–575. https://doi.org/10.21037/tau.2016.07.05.Google Scholar
  28. Perelman, M. A. (2016b). Reexamining the definitions of PE and DE. Journal of Sex and Marital Therapy, 1–12.  https://doi.org/10.1080/0092623X.2016.1230161. Taylor & Francis Group.
  29. Perelman, M. A. (2018a). Sex coaching for non-sexologist physicians: How to use the sexual tipping point model. The Journal of Sexual Medicine, 15(12), 1667–1672.CrossRefGoogle Scholar
  30. Perelman, M. A. (2018b). Why the sexual tipping point® is a “variable switch model”. Current Sexual Health Reports, 6(2), 1–6.Google Scholar
  31. Perelman, M. A. (2020). Delayed ejaculation. In Y. M. Binik & K. S. Hall (Eds.), Principles and practice of sex therapy (6th ed.). New York, NY: Guilford Publications.Google Scholar
  32. Perelman, M. A., McMahon, C., & Barada, J. (2004). Evaluation and treatment of the ejaculatory disorders. In T. Lue (Ed.), Atlas of male sexual dysfunction (pp. 127–157). Philadelphia, PA: Current Medicine.CrossRefGoogle Scholar
  33. Perelman, M. A., & Rowland, D. L. (2006). Retarded ejaculation. World Journal of Urology, 24(6), 645–652.CrossRefGoogle Scholar
  34. Rosen, R. C., Catania, J., Pollack, L., Althof, S. E., O’Leary, M., & Seftel, A. D. (2004). Male sexual health questionnaire (MSHQ). Urology, 64(4), 777–782.CrossRefGoogle Scholar
  35. Rowland, D. L., & Motofei, I. G. (2007). The aetiology of premature ejaculation and the mind-body problem: implications for practice. Int J Clin Pract, 61(1), 77–82.Google Scholar
  36. Rullo, J., Faubion, S. S., Hartzell, R., Goldstein, S., Cohen, D., Frohmader, K., … Goldstein, I. (2018). Biopsychosocial management of female sexual dysfunction: A pilot study of patient perceptions from 2 multi-disciplinary clinics. Sexual Medicine, 6(3), 217–223.Google Scholar
  37. Sadowski, D. J., Butcher, M. J., & Köhler, T. S. (2016). A review of pathophysiology and management options for delayed ejaculation. Sexual Medicine Reviews, 4(2), 167–176.CrossRefGoogle Scholar
  38. Sank, L. I. (1998). Traumatic masturbatory syndrome. Journal of Sex and Marital Therapy, 24(1), 37–42.CrossRefGoogle Scholar
  39. Segraves, R. T. (2010). Considerations for a better definition of male orgasmic disorder in DSM V. The Journal of Sexual Medicine, 7(2, Pt. 1), 690–695.CrossRefGoogle Scholar
  40. Serefoglu, E. C., McMahon, C. G., Waldinger, M. D., Althof, S. E., Shindel, A., Adaikan, G., … Torres, L. O. (2014). An evidence-based unified definition of lifelong and acquired premature ejaculation: Report of the Second International Society for Sexual Medicine Ad Hoc Committee for the Definition of Premature Ejaculation. Sexual Medicine, 2, 1423–1441.Google Scholar
  41. Sullivan, J. F., Stember, D. S., Deveci, S., Akin-Olugbade, Y., & Mulhall, J. P. (2013). Ejaculation profiles of men following radiation therapy for prostate cancer. The Journal of Sexual Medicine, 10(5), 1410–1416.CrossRefGoogle Scholar
  42. Waldinger, M. D. (2016). Post orgasmic illness syndrome (POIS). Translational Andrology and Urology, 5(4), 602–606.CrossRefGoogle Scholar
  43. Waldinger, M. D., McIntosh, J., & Schweitzer, D. H. (2009). A five-nation survey to assess the distribution of the intravaginal ejaculatory latency time among the general male population. The Journal of Sexual Medicine, 6(10), 2888–2895.  https://doi.org/10.1111/j.1743-6109.2009.01392.xCrossRefPubMedGoogle Scholar
  44. Waldinger, M. D., Quinn, P., Dilleen, M., Mundayat, R., Schweitzer, D. H., & Boolell, M. (2005). A multinational population survey of intravaginal ejaculation latency time. The Journal of Sexual Medicine, 4, 492–497.CrossRefGoogle Scholar
  45. World Health Organization. (2019, May 25). International statistical classification of diseases and related health problems (11th rev.). Retrieved from https://www.who.int/news-room/detail/25-05-2019-world-health-assembly-update

Authors and Affiliations

  1. 1.Departments of Psychiatry, Reproductive Medicine and UrologyWeill Cornell Medicine/New York PresbyterianNew YorkUSA
  2. 2.MAP Education and Research FoundationNew YorkUSA