When a man finds extremely difficult or impossible to ejaculate on time (sometimes no ejaculation) or attain orgasm. There is typically little or no difficulty in archiving or maintaining an erection.

This difficulty must be experienced on almost all or all occasions without the individual desiring delay causing significant distress to the individual and/or to his sexual partner.

This could be –

  1. Lifelong: The disturbance has been present since the individual became sexually active.
  2. Acquired: The disturbance began after a period of relatively normal sexual function.
  3. Generalized: Happens almost in all situations, stimulations and partners.
  4. Situational: Only occurs in some specific situations, stimulations and partners.

Following factors should always be considered in such cases: –

  1. partner factors (e.g. partner’s sexual problems, partner’s)
  2. relationship factors (e.g. poor communication with partner)
  3. individual factors (e.g. poor body image; history of sexual or emotional abuse), psychiatric comorbidities (e.g. depression, anxiety) or stressors (e.g. job or financial stress)
  4. cultural/religious factors (e.g. attitudes toward sexual practices)
  5. medical factors (other chronic diseases or their treatment)