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Too fast, too slow, or not at all? An estimated 1 in 3 men has faced premature ejaculation, while up to 4% of men experience delayed ejaculation.

ejaculation disorder

Premature Ejaculation

In simple words, premature ejaculation (PE) is when a person ejaculates sooner than he or his partner expects, during sexual intercourse. Although some might feel embarrassed talking about it or seeking help, PE is actually a relatively common and very treatable condition. It is estimated that almost 1 out of every 3 men will experience this problem in some time of their life.

As long as it does not happen persistently, it is not alarming. However, you might be diagnosed with PE if you:-

  • Always or nearly always ejaculate within one minute of penetration

  • Are unable to delay ejaculation during intercourse all or nearly all the time

  • Experience emotional distress, and are frustrated from the outcome of the intercourse.

Many factors come into play when talking about PE- factors that can mainly be divided into psychological and biological factors. The good news is that there are many treatment methods for PE, such as medications, topical anaesthetics, counselling and behavioural techniques that dan delay ejaculation.


The hallmark of PE is the inability to delay ejaculation for more than one minute after penetration. However, the problem might occur in all sexual situations, even during masturbation.

PE can further be classified into:

  • Lifelong (Primary) PE:

Lifelong PE that has happened all the time and even since your first sexual encounter.

  • Acquired (Secondary) PE:

Acquired PE develops some time throughout your life and persisted.

Many people might feel that they have symptoms of PE, however, the symptoms do not qualify or meet the diagnostic criteria for PE. Instead, they might have natural variable Premature ejaculation, which is a period of rapid ejaculation as well as period of normal ejaculation.

Delayed Ejaculation

The two types of delayed ejaculations are Primary and Secondary delayed ejaculation.

Similary to PE, primary delayed ejaculation happens to men who have always had difficulty ejaculating.

Secondary delayed ejaculation, on the other hand, happens to who have previously no issues with intercourse but have newly developed this. The causes to this can be divided into physical and psychological factors.

Physical factors include:

  • Side effects from medications, in particular anti-depressants

  • Alcohol and ilicit drug use

  • Nerve damage or mechanical pelvic injury

  • Hormonal defeciencies such as low testosterone

Psychological factors include:

  • Mood disorders

  • Relationship problems

  • Performance anxiety

  • Existing culture or religious taboos regarding sexual intercourse

How then do we treat it?


Of course it involves treating the underlying cause. This may involve changing masturbation habits, getting partner involved in sex therapy to evaluate sex beliefs and how threshold of stimulation can be reached, assessment of all medication taken whether prescribed or over the counter pills and perhaps also replacement of testosterone if deemed necessary.

Point is if you find the situation with delayed ejaculation stressful, don’t keep it to yourself, don’t continue to engage in intercourse that distresses you, come in together with your partner so the issue can be identified and addressed early.

Don’t Keep Your Ejaculation Problems To Yourself

If you’re struggling with ejaculation issues, don’t keep it to yourself and don’t continue to engage in intercourse that distresses you. Talk to us together with your partner so that the issue can be identified and addressed early.

Whether you’re suffering from premature or delayed ejaculation, the journey to recovery begins with treating the underlying cause, which may include assessment of:

Medication History


Masturbation Habits

Hormonal Imbalance


For those who are undergoing treatment for erectile dysfunction, medication like Cialis, Viagra and Levitra can actually alleviate some of the problems with premature ejaculation.

Otherwise, dapoxetine and tramadol can be used to target premature ejaculation, while cabergoline (the same drug to help mothers to stop producing breast milk) has been used to treat delayed ejaculation.

If your ejaculation disorders are caused by a shortage of testosterone, you may benefit from testosterone replacement therapy, which can take place in the form of injections or gels.

shockwave therapy
stem cell
  • How many sessions will I need?
    Different individuals will need a different number of sessions. Individuals with more severe ED may require more sessions. We typically go by 6 sessions or 12 sessions as followed by protocol. You may opt for twice or three times of ESWT sessions per week.
  • How often should you repeat ESWT?
    It is advisable to repeat the ESWT 1-3times per year as maintenance.
  • Are there any side effects from this therapy?
    There is literally NO side effects from ESWT, further proving to be a effective and safe choice of therapy for ED.
  • What should I prepare prior to ESWT?
    Patients need not worry about any prior preperation for ESWT! No prior fasting required, only to be present for the doctor to perform the therapy on.
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