Many men suffer from problems with ejaculation, and premature ejaculation is considered one of the most common sexual problems in the world. Other ejaculation problems include:

  • Retrograde ejaculation,
  • Anejaculation,
  • Delayed ejaculation.

If you feel that you have one of these conditions or would like an evaluation, you can call and schedule an appointment with one of our expert urologists.

Premature Ejaculation

There are several definitions of this, but a fairly standard one is ejaculation within on to two minutes of beginning intercourse, which causes bother/distress to the man. Men often have a predisposition to this that may be worse because of other health issues, anxiety, and sexual habits. It is often associated with erectile dysfunction (ED).

Treatment

Treatments are varied but include a variety of medications, coupled with sex or couples therapy.

Retrograde Ejaculation

In this case, ejaculation occurs but, instead of coming out the end of the penis, the ejaculate goes backwards (retrograde) into the bladder and comes out later in the urine. The man often notices very little or no fluid come out his penis during ejaculation. This often occurs in the setting of medications (especially those used for enlarged prostate or BPH), surgery (especially on the prostate for enlarged prostate or BPH), or neurologic disease (spinal cord injury or diabetes).

Treatment

This is difficult to treat, particularly if it is due to surgery, but there are medications that may be successful. It is important to remember that retrograde ejaculation is not dangerous, but may have to be treated if it causes infertility.

Anejaculation & Delayed Ejaculation

In these cases ejaculation takes an abnormally long time or does not occur at all, even if the patient has the sensation of orgasm. There are many variations of this, including men who neither have orgasm or ejaculation, men who have orgasm without ejaculation, or even men who have ejaculation without orgasm. These problems are very different, for example a man may be able to ejaculate during masturbation but not during intercourse.

Causes

This may occur because of:

  • Aging
  • Hormonal abnormalities
  • Psychological issues
  • Medications (especially SSRIs, which are often used for depression and other conditions)
  • Neurologic diseases (spinal cord injury, diabetes, multiple sclerosis), or
  • Surgery (radical prostatectomy for prostate cancer and retroperitoneal lymph node dissection for testicle cancer).

Treatment

Treatments are varied depending on the situation and the cause. Sometimes, stopping medications may resolve the problem. Sex/couples therapy, devices such as high-speed vibrators and certain medications are helpful.

William O. Brant, M.D., FECSM, FACS

William O. Brant, M.D., FACS, is a board-certified urologist. He attended Dartmouth College and the University of Washington, Seattle and then obtained his medical degree at the University of California, San Diego, followed by residency at the University of Colorado. Dr. Brant pursued a fellowship in sexual medi... Read More

Specialties:

Erectile Dysfunction, General Urology, Male Incontinence, Men's Health, Trauma and Reconstructive Urology, Urology, Vasectomy

Locations:

South Jordan Health Center (801) 213-4500
University Hospital
Urology
(801) 213-2704
Utah Center for Reproductive Medicine

James M. Hotaling, M.D., M.S., FECSM

Dr. Hotaling has significant training in both the clinical aspects of male fertility and genetic epidemiology and he is currently the only fellowship trained male infertility/andrology expert in Utah. He completed a 6 year residency in urology at the University of Washington, elected to pursue a year of sub-sp... Read More

Jeremy B. Myers, M.D.

Dr. Myers completed specialty training with Dr. Jack McAninch at University of California, San Fransisco. His fellowship was in trauma and urologic reconstructive surgery. In his practice, Dr. Myers treats a variety of conditions. These include conditions like urethral strictures, ureteral scarring from previ... Read More

Specialties:

Bladder Augmentation, Complications of Spinal Cord Injury, Complications of Urologic Surgery, Female Incontinence, General Urology, Mesh Erosion, Neurogenic Bladder, Pelvic Fractures and Urethral Injury, Radiation Injuries, Trauma and Reconstructive Urology, Ureteral Stricture, Urethral Stricture, Urinary Diversion, Urinary Strictures and Fistula, Urology, Vesicovaginal Fistula

Locations:

University Hospital
Urology
(801) 213-2702

Kathryn M. Trueheart, PA-C, MPAS

Kathryn (Kate) Trueheart, PA-C, grew up in Rochester, New York and attended Boston University where she completed an undergraduate degree in East Asian studies. From there she went to Berkeley, California, where she attended Meiji College of Oriental Medicine, earned a master of science in Oriental medicine and ... Read More

Specialties:

Erectile Dysfunction, General Urology, Men's Health, Physician Assistant, Trauma and Reconstructive Urology, Urology

Locations:

Redstone Health Center (435) 658-9200
South Jordan Health Center (801) 213-4500
University Hospital
3rd Floor, Room 3A100
50 N Medical Drive
Salt Lake City, UT 84132
Map
Appointments
(801) 213-2700
Redstone Health Center 1743 W Redstone Center Dr. #115
Park City, UT 84098
Map
(435) 658-9262
South Jordan Health Center 5126 W. Daybreak Parkway
South Jordan, UT 84095
Map
(801) 213-4500