Delayed Ejaculation
Prevalence
Prevalence is unclear because of the lack of a precise definition of this syndrome.
It is the least common male sexual complaint.
Only 75% of men report always ejaculating during sexual activity, and less than 1% of men will complain of problems with reaching ejaculation that last more than 6 months.
Risk Factors
Genetic and physiological
Age-related loss of the fast-conducting peripheral sensory nerves and age-related decreased sex steroid secretion may be associated with the increase in delayed ejaculation in men older than 50 years.
Symptoms
Either of the following symptoms must be experienced on almost all or all occasions (approximately 75%-100%) of partnered sexual activity (in identified situational contexts or, if generalized, in all contexts), and without the individual desiring delay:
Marked delay in ejaculation.
Marked infrequency or absence of ejaculation.
The symptoms have persisted for a minimum duration of approximately 6 months.
The symptoms cause clinically significant distress in the individual.
The sexual dysfunction is not better explained by a nonsexual mental disorder or as a consequence of severe relationship distress or other significant stressors and is not attributable to the effects of a substance/medication or another medical condition.