What is Inhibited Ejaculation or Retarded Ejaculation?

Inhibited ejaculation or retarded ejaculation, also known as impaired ejaculation is referred to the condition wherein the time period for sexual stimulation in men is highly extended and it takes a long time to release semen. In many cases it is seen that men suffering from inhibited ejaculation or retarded ejaculation may find it difficult to ejaculate or not able to ejaculate at all. Inhibited ejaculation or retarded ejaculation can either be temporary or permanent depending on the condition. There are a lot of reasons of inhibited ejaculation or retarded ejaculation like surgeries, chronic health problems and medicines. Its treatment entirely depends on the causes of retarded ejaculation and its complexity.

Inhibited ejaculation or retarded ejaculation is common in men occasionally and can cause a lot of stress on the people as well as their partners. The ejaculation can take place anytime and can evolve as a critical issue.

What is Inhibited Ejaculation or Retarded Ejaculation?

Initially it was referred as “ejaculatory incompetence” but the doctors found it very odd and that is why it was then preferred to call it as 'retarded' or 'delayed' ejaculation. There are some other names too which are used for it.

  • Ejaculatory over control.
  • Situational retarded ejaculation.
  • Ejaculatory dysfunction.
  • Inhibited orgasm.
  • Anejaculation.

Causes of Inhibited Ejaculation or Retarded Ejaculation

There are a number of causes of inhibited ejaculation or retarded ejaculation like the medications, surgeries or even chronic health problems. Even stress, depression and anxiety may also lead to this problem. Thus you can say that this kind of problem may result from physical as well as psychological changes both.

Some of the physical causes of impaired ejaculation are:

  • Different kinds of infection like the urinary tract infection (UTI) can cause inhibited ejaculation or retarded ejaculation.
  • Prostate surgery is yet another cause like transurethral resection or removal of prostrate.
  • Pelvic nerves injury which is responsible to control the orgasm.
  • Defects in the male reproductive system too can cause inhibited ejaculation or retarded ejaculation.
  • Neurological diseases include nerve damage, stroke and diabetic neuropathy.
  • Retrograde ejaculation wherein the semen goes back into the bladder rather than getting ejaculated.
  • Hormone-related problems that include low thyroid hormone (hypothyroidism) and low testosterone (hypogonadism)

Other psychological causes of inhibited ejaculation or retarded ejaculation are:

  • Performance anxiety can cause inhibited ejaculation or retarded ejaculation.
  • Religious taboos.
  • Mental health problems like stress, anxiety and depression causes inhibited ejaculation or retarded ejaculation.
  • Problems in your relationship.
  • Negative body image.
  • Poor coordination between your sexual fantasies and real life sex can also be a reason for inhibited ejaculation or retarded ejaculation.

There are many medicines as well which can result in inhibited ejaculation or retarded ejaculation:

  • Some diuretics.
  • Antidepressants.
  • Anti-seizure medications.
  • Regular alcohol consumption can cause inhibited ejaculation or retarded ejaculation.
  • Antipsychotic medications may cause inhibited ejaculation or retarded ejaculation.
  • Blood pressure medicines.

Sometimes the anxiety about the ejaculation can be one of the biggest reasons of inhibited ejaculation or retarded ejaculation and if care is not taken it can complicate the problem further.

Signs and Symptoms of Inhibited Ejaculation or Retarded Ejaculation

The symptoms of inhibited ejaculation or retarded ejaculation are obvious. The patient is unable to ejaculate or there is high delay in ejaculation. There is no time limit for the delayed ejaculation and varies from person to person. The delay in ejaculation can be due to stress, no erection, tiredness and many more.

This in turn may affect their sexual activity as they may not be able to ejaculate. In some cases men only ejaculate when masturbating. The inhibited ejaculation or retarded ejaculation is of different types depending on the signs and symptoms:

  • Lifelong Vs. Acquired Inhibited Ejaculation or Retarded Ejaculation: If it is the lifelong inhibited ejaculation or retarded ejaculation then it may not be treated and begins as soon as the men acquire sexual maturity. On the other hand acquired one is due to the problem in sexual functioning.
  • Generalized Vs. Situational Inhibited Ejaculation or Retarded Ejaculation: In case of the generalized delayed ejaculation, there are no limitations of the symptoms and in situational ejaculation the conditions are limited.

The type of inhibited ejaculation or retarded ejaculation symptoms told by the patient are quite helpful in understanding the problem, diagnosing it in a better way and offering the best possible treatment.

Approaching a Doctor for Inhibited Ejaculation or Retarded Ejaculation

If you are suffering from inhibited ejaculation or retarded ejaculation, the first thing which you need to do is visit the doctor and seeks their advice:

  • It is the reason of great concern for you and the partner.
  • Sometimes other health problems may lead to ejaculation so the doctor can check the same.
  • There might be few symptoms that can lead to inhibited ejaculation or retarded ejaculation but you are not aware of them.

So it is essential to answer the questions of the doctor and provide them as much information you can. This will help in easy diagnosis and correct treatment for inhibited ejaculation or retarded ejaculation. Here are a few questions that your doctor may ask.

  • From when are you suffering from this problem? Is it regular or occurs on a time gap?
  • When does the ejaculation start or how much time it takes to reach the stimulation phase?
  • Do you take alcohol or any kind of drugs?
  • Have you been suffering from any kind of sexual problem before?
  • What kind of other problems related to sexual activity are you facing?
  • What are the different conditions when you are able to ejaculate or whether you are unable to ejaculate?
  • Have you gone through any surgeries recently either for enlarged prostrate or pelvic area?
  • Are you suffering from any kind of chronic disease and if yes then which medicines are you taking?

Risk Factors for Inhibited Ejaculation or Retarded Ejaculation

There are many other problems that can enhance the risk of inhibited ejaculation or retarded ejaculation. These are:

  • Psychological conditions can increase the risk of inhibited ejaculation or retarded ejaculation.
  • Use of alcohol is yet another risk factor for inhibited ejaculation or retarded ejaculation.
  • You might be going through relationship problems.
  • Age factor because in case of older age ejaculation takes place in a longer time.
  • Diabetes or any other health condition.
  • Antidepressants or blood pressure medications can too have a negative impact.
  • Medical treatments are too the risk factors of inhibited ejaculation or retarded ejaculation.

Complications in Inhibited Ejaculation or Retarded Ejaculation

There might be a number of complications related to the inhibited ejaculation or retarded ejaculation. It can result in low self esteem. As per the studies made at the Boston University School of Medicine it is found that inhibited ejaculation or retarded ejaculation results in negativity and most people get frustrated and may find themselves as failure in everything they do. Other complications of inhibited ejaculation or retarded ejaculation may be.

  • Low libido.
  • Male infertility can be a complication of inhibited ejaculation or retarded ejaculation.
  • Stress and depression.
  • Less sexual pleasure.
  • Performance anxiety is another complication of inhibited ejaculation or retarded ejaculation.

Sometimes there may be conflicts and arguments between the partners thereby bridging the gap between the two. Also it can cause relationship problems thereby leading to misunderstandings. This can also result in mental and physical problems that might cause a lot of stress. Treatment is definitely the only solution or you can even go for counseling. Talk to your partner and resolve the issues.

Tests to Diagnose Inhibited Ejaculation or Retarded Ejaculation

Physical examination is the first thing which needs to be done along with providing the information about your medical history to the doctor. Depending on the symptoms and the cause of inhibited ejaculation or retarded ejaculation, the treatment is suggested by the doctor. You might also need to undergo a few tests.

  • Your doctor may examine the penis as well as the testicles to check the sensation in your genital organs.
  • Urine test is also done for inhibited ejaculation or retarded ejaculation to check for diabetes, infection or other health problems.
  • Blood test is done to check if you are suffering from heart problem or not, check for low testosterone levels too.

Also Read:

Written, Edited or Reviewed By:

, MD, FFARCSI

Last Modified On: July 22, 2016

Pain Assist Inc.

Pramod Kerkar
  Note: Information provided is not a substitute for physician, hospital or any form of medical care. Examination and Investigation is necessary for correct diagnosis.

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