Ejaculatory Dysfunction

Ejaculatory Dysfunction: When Things "Cum" Out All Wrong

Written by: Joshua Gonzalez

Key Takeaways

Ejaculatory dysfunction includes five main types: premature, delayed, retrograde, anejaculation, and painful ejaculation.

Premature ejaculation is the most common and can happen during any type of sexual activity.

Delayed or absent ejaculation may result from psychological issues, nerve damage, or medications—especially in older men.

Retrograde ejaculation occurs when semen goes into the bladder instead of out, often due to surgeries or certain medications.

Painful ejaculation could signal an underlying issue like infection or prostatitis, so don’t ignore it—talk to a doctor.

Ejaculation is supposed to be the fireworks finale of sexual activity. But when things don’t go as planned, that grand finale can feel more like a dud. Enter ejaculatory dysfunction: the umbrella term for when your body doesn’t get the memo on how to end the show. It comes in all shapes and misfires: too soon, too late, not at all, painful, or even in reverse. Yeah, ejaculation problems can get weird.

Before you start spiraling, know this: ejaculatory disorders are incredibly common. You’re not broken, and you’re definitely not alone. Let’s break it all down so you can understand what’s up (or not) and what to do about it.

What Counts as Ejaculatory Dysfunction?

It might feel like your sexual performance should rival an adult film star, but let’s reality-check that fantasy. Thanks to unrealistic expectations set by media and exaggerated locker room stories, many folks have no clue what "normal" really means when it comes to ejaculation timing.

In a large study of men and their partners, the median time to ejaculation was just 7.3 minutes. That’s right—less than 10 minutes is average. So if you’re beating yourself up for not lasting 30 minutes, take a breath. You’re probably just fine.

Still, when ejaculation consistently feels off—whether it’s too early, too delayed, painful, or missing altogether—you might be dealing with a form of male sexual dysfunction known as ejaculatory dysfunction.

Whether you

Premature Ejaculation: The Early Bird Special

Let’s talk about the most common ejaculatory disorder out there: premature ejaculation (PE). It affects up to 30% of men and doesn’t discriminate by age or orientation. Whether you’re into women, men, or somewhere fluid in between, PE can crash the party.

Clinically, PE is defined as ejaculation that happens within one minute of penetration or sexual activity—including oral, anal, or even solo play—and causes distress, frustration, or avoidance of intimacy. It's not just about speed; it's about impact.

There are two types:

  • Congenital PE : You’ve always had it. Even your early solo sessions ended too soon.

  • Acquired PE : You used to have typical timing, but something shifted. Stress? Hormones? Trauma? It can show up later in life.

Is There a Cure for Premature Ejaculation?

There’s no official FDA-approved treatment (annoying, we know), but don’t panic. There are plenty of options:

  1. Topical sprays or condoms : These reduce sensitivity, giving you more control. Check out Popstar Delay Spray for a solid option that won't kill the mood.

  2. SSRIs (antidepressants) : Some slow your roll by increasing serotonin.

  3. Tramadol : A prescription pain med with a surprise side effect: delayed ejaculation.

  4. Botox : Still experimental, but studies are underway.

  5. Pelvic floor therapy and sex therapy : Great for control and confidence.

Bottom line? You’ve got options.

Delayed Ejaculation: The Never-Ending Story

Now for the other extreme: delayed ejaculation (DE). This is when it takes a really long time to climax or you can’t get there at all, even with all the right stimulation.

It affects fewer people than PE (under 5%) but becomes more common with age. DE is typically defined as not being able to ejaculate after 25 to 30 minutes of sexual activity.

Causes of Delayed Ejaculation:

  • Psychological: Depression, anxiety, relationship stress, sexual trauma

  • Physical: Medication side effects, diabetes, neurological disorders, alcohol, or drug use

Like PE, there’s no FDA-approved treatment for DE, but some options include:

If you suspect DE, it's worth talking to a pro. You don’t have to suffer through marathon sessions that don’t end in a payoff.

Retrograde Ejaculation: The Backward Exit

Here’s one that surprises a lot of people. Retrograde ejaculation (RE) happens when semen goes into your bladder instead of out the front door. The result? A dry or very light orgasm, and sometimes cloudy urine after sex.

It’s not harmful or painful, but it can be disconcerting—especially if you’re trying to conceive.

What causes retrograde ejaculation?

  • Prostate surgery

  • Certain medications (often for high blood pressure or enlarged prostates)

  • Diabetes

  • Nerve damage

There are limited treatments, but some stimulant medications and urethral bulking agents like collagen have been tried. Just know that RE isn’t dangerous, even if it feels a bit sci-fi.

Anejaculation: When Nothing Comes Out

Anejaculation is the total inability to ejaculate. It’s rare (affecting about 0.2% of men), but it does happen.

Causes can include:

  • Psychological factors

  • Nerve damage

  • Spinal cord injury

  • Certain medications or surgeries

Interestingly, men with anejaculation can still experience orgasm. Yep, climax without the cum. It can feel strange or incomplete, but it's not necessarily painful. If you're trying to have a baby, though, it can be a serious issue.

Painful Ejaculation: When the Finale Hurts

Ejaculation is supposed to feel amazing. But for some, it feels like a punch to the groin. Painful ejaculation is a major mood killer and often leads to avoidance of sex or masturbation.

It can happen anywhere: penis, testicles, rectum, lower abdomen, or groin. Sometimes there’s blood in the semen, too.

Common causes include:

  • Infections or inflammation

  • Tight pelvic floor muscles

  • Trauma or nerve damage

  • Prostate or urethral issues

The good news? It’s usually treatable. Antibiotics, physical therapy, anti-inflammatories, and sometimes surgery can help. But don’t ignore it. Pain is your body’s red flag. Listen to it.

Who Should You Talk To?

Whether your issue is early, late, missing, or painful, you don’t need to white-knuckle your way through it. A urologist or sexual health professional can help. These aren’t rare conditions. You’re not weird. And you deserve satisfying, pain-free, fulfilling sex.

If you're dealing with semen retention issues, sudden changes in ejaculation timing, or anything that just feels off, talk to a provider. And if you want to support your sexual wellness overall, consider lifestyle upgrades—or science-backed products like Popstar Volume + Taste Supplement to support healthy ejaculate production.

Conclusion: Time to Talk About It

Look, your sex life deserves more than just silent suffering and late-night Googling. Ejaculatory dysfunctions might be awkward to talk about, but they’re very treatable and very human. Whether you're coming too quickly, not at all, or feeling pain when you do, help is out there. And so are tools, therapies, and products that support you through it all.

So the next time your finale falls flat, remember: your body isn't broken. It might just be asking for a little help.

Frequently Asked Questions

What causes ejaculatory dysfunction?

Ejaculatory dysfunction causes include hormonal imbalances, psychological issues, nerve damage, medication side effects, and lifestyle factors like alcohol or drug use.

Is there treatment for ejaculatory dysfunction?

Yes. Ejaculatory dysfunction treatment options range from therapy and medication to physical interventions like pelvic floor therapy or even surgery.

Can stress affect ejaculation?

Absolutely. Stress and anxiety are major contributors to both premature and delayed ejaculation.

Is painful ejaculation serious?

While not always serious, it should never be ignored. It could indicate infection, inflammation, or other health concerns.

Do these issues affect fertility?

Some, like retrograde ejaculation and anejaculation, can interfere with fertility. Others may affect sexual satisfaction but not sperm function.

Dr. Brian Steixner

Dr. Brian Steixner

Dr. Brian Steixner is a board-certified urologist and an expert in men’s sexual medicine. He completed his General Surgery and Urology training at The University of Pennsylvania and The Children’s Hospital of Philadelphia, one of the busiest and most comprehensive programs in the nation. During his career, Brian has treated thousands of men with sexual health issues including male factor infertility.

Dr. Joshua Gonzalez

Dr. Joshua Gonzalez

Dr. Joshua Gonzalez is a board-certified urologist who is fellowship-trained in Sexual Medicine and specializes in the management of male and female sexual dysfunctions. He completed his medical education at Columbia University and his urological residency at the Mount Sinai Medical Center. Throughout his career, Dr. Gonzalez has focused on advocating for sexual health and providing improved healthcare to the LGBTQ+ community.

Frequently Asked Questions

Dr. Gonzalez Answers

Popstar Labs cofounder Dr. Joshua Gonzalez is a board-certified urologist and Sexual Medicine expert, here to answer your questions

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POPSTAR is a men’s sexual health and wellness brand dedicated to improving confidence, pleasure, and effectiveness in the bedroom. Founded and developed by two doctors specializing in sexual medicine, our products help you have the healthiest, confident, and powerful orgasms imaginable.

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POPSTAR is developing a full array of products that help address real sexual health concerns including semen health, premature ejaculation, erectile dysfunction, and sexual confidence — A place where people could find education and solutions from real doctors and with real data. We are here to support you in one goal – leading a healthy and fulfilling sex life and finding your ultimate orgasm.

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