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Delayed Ejaculation

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Synonyms

Deficient ejaculation; Ejaculatory incompetence; Impaired ejaculation; Inadequate ejaculation; Inhibited ejaculation; Overcontrolled ejaculation; Retarded ejaculation; Unsatisfactory sensation of ejaculation (including painful ejaculation, ejaculatory anhedonia,). In addition, the labels inhibited male orgasm, impaired orgasm, and male orgasmic disorder have also been used

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...

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References

  • Abdel-Hamid, I. A., & Ali, O. I. (2018). Delayed ejaculation: Pathophysiology, diagnosis, and treatment. World Journal of Men’s Health, 36(1), 22–40.

    Article  Google Scholar 

  • 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.2016.05.05

    Google Scholar 

  • Althof, S. E., & McMahon, C. G. (2016). Contemporary management of disorders of male orgasm and ejaculation. Urology, 93, 9–21.

    Article  Google Scholar 

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: Author.

    Book  Google Scholar 

  • 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 

  • 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/10.1080/14681994.2017.1365121

    Article  Google Scholar 

  • 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.

    Chapter  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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 

  • Corona, G., Jannini, E. A., Vignozzi, L., Rastrelli, G., & Maggi, M. (2012). The hormonal control of ejaculation. Nature Reviews Urology, 9(9), 508–519.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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 

  • Masters, W. H., & Johnson, V. E. (1970). Human sexual inadequacy. Boston, MA: Little, Brown &.

    Google Scholar 

  • 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 

  • 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/

  • 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 

  • 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

  • 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.

    Article  Google Scholar 

  • 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.x

    Article  PubMed  Google Scholar 

  • 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

  • Perelman, M. A. (2003). Sex coaching for physicians: Combination treatment for patient and partner. International Journal of Impotence Research, 15(Suppl 5), S67–S74.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.x

    Article  Google Scholar 

  • 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 

  • 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 

  • 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.

  • 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.

    Article  Google Scholar 

  • Perelman, M. A. (2018b). Why the sexual tipping point® is a “variable switch model”. Current Sexual Health Reports, 6(2), 1–6.

    Google Scholar 

  • 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 

  • 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.

    Chapter  Google Scholar 

  • Perelman, M. A., & Rowland, D. L. (2006). Retarded ejaculation. World Journal of Urology, 24(6), 645–652.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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 

  • 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 

  • 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.

    Article  Google Scholar 

  • Sank, L. I. (1998). Traumatic masturbatory syndrome. Journal of Sex and Marital Therapy, 24(1), 37–42.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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 

  • 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.

    Article  Google Scholar 

  • Waldinger, M. D. (2016). Post orgasmic illness syndrome (POIS). Translational Andrology and Urology, 5(4), 602–606.

    Article  Google Scholar 

  • 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.x

    Article  PubMed  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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

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Correspondence to Michael A. Perelman .

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Perelman, M.A. (2021). Delayed Ejaculation. In: Lykins, A.D. (eds) Encyclopedia of Sexuality and Gender. Springer, Cham. https://doi.org/10.1007/978-3-319-59531-3_47-1

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  • DOI: https://doi.org/10.1007/978-3-319-59531-3_47-1

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  • Print ISBN: 978-3-319-59531-3

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