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Male Ejaculatory Conditions

Written by Courteney

Posted on June 1, 2016 at 5:14 pm

Male ejaculatory problems include (but are not limited to) premature ejaculation, retrograde ejaculation and azoosospermia. Being that sexual dysfunction is generally a touchy topic, underreporting makes the prevalence of some of these conditions hard to gage, but approximately 31% of males self-report sexual dysfunction issues such as ejaculatory problems.

Premature Ejaculation

Premature ejaculation is a very common sexual complaint whereby the male ejaculates much quicker than he or his partner would prefer. Most men have heard of (or experienced) premature ejaculation at some point in their lives. It can be a chronic condition (primary), or a temporarily acquired condition (secondary). Many men who experience premature ejaculation only occasionally do not need to take action or worry about the disorder. However, if you always ejaculate in under a minute of penetration, can’t delay ejaculation or experience significant psychological stress because of the issue, you should seek treatment. The cause of the problem may be physical, but is most often psychological. Common treatment options include counseling, behavioral therapy, the “Pause-squeeze technique”, or medications such as analgesics.

Retrograde Ejaculation

Retrograde ejaculation (RJ) is a subtype of male sexual dysfunction marked by ejaculate routinely taking a wrong turn and entering the bladder, mixing with urine instead of exiting the penis during orgasm. It is not a health concern unless the male is trying to impregnate a spouse, as complete retrograde ejaculation usually renders the male infertile. Some causes of RJ include reproductive surgery, certain medications and some health conditions like Diabetes. To test for RJ, your doctor will have you ejaculate then provide a subsequent urine specimen, testing it for the presence of sperm. Some males with RJ do not undergo treatment, and others respond well to such medications as ephedrine, imipramine or chlorpheniramine to help the bladder muscles contract, keeping sperm out of the bladder and on the right course.


Not to be confused with aspermia, azoospermia is an infertility issue which means a complete absence of sperm cells in the ejaculate. Men with azoospermia either have a blockage which prevents sperm from reaching the ejaculate, or the body has a problem producing sperm to begin with. There are many medical causes for azoospermia, including such conditions as: diabetes mellitus, congenital adrenal hyperplasia, undescended testicles, serious illness such as kidney failure or cancer, or sickle cell anemia, just to name a few. Some non-condition causes are certain medications such as cancer treatments or testosterone supplements. Treatment for azoospermia is a little more complicated than the previously mentioned conditions. If it is obstructed azoospermia, doctors may work to find and fix an obstruction if possible, it if it due to an inability to produce sperm, there are some assisted fertility treatments available. These would be best discussed with a fertility specialist.

These are not the only ejaculatory disorders, some others include delayed orgasm and aspermia. If you identify with either of the disorders we described, make an appointment to speak with your doctor about it further or sign up to DocChat today for a video consultation with one of our highly qualified physicians. Thanks for visiting!




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