Sexual problems affecting men
Ejaculation problems, such as premature ejaculation, are a common cause of sexual problems in men.
There are three main types of ejaculation problems:
Ejaculation problems are complex and can be caused by a number of things, such as:
anxiety; such as a man being anxious that he will lose his erection (erectile dysfunction) causing him to ‘rush’ the intercourse
previous traumatic sexual experiences
some medical conditions or medicines – for example diabetes can cause delayed ejaculation
Some researchers think certain men are more prone to premature ejaculation because of their biological make-up, such as having an unusually sensitive penis.
Retrograde ejaculation is caused by damage to nerves or muscles that surround the neck of the bladder (the point where the urethra connects to the bladder). This damage can often occur as a complication of prostate or bladder surgery.
Premature ejaculation is the most common type of ejaculation problem. A number of surveys have found around 1 in 3 men reported being affected by premature ejaculation. The true figure is probably much higher as many men are reluctant to admit they have this problem.
While less common, retarded ejaculation is probably more of a problem than most people realise. One study found around 1 in 20 people had problems achieving an orgasm over the course of a month during the past year.
Although retrograde ejaculation is rare, it can be a common complication of some types of surgery, such as prostate surgery, or in men with certain health conditions that can damage the nerves, such as diabetes or multiple sclerosis.