Ejaculation problems - Symptoms 

Symptoms of ejaculation problems 

Premature ejaculation

The main symptom of premature ejaculation is the inability to control and delay ejaculation for as long as both partners would like.

While there is no definition of how long intercourse should take, in the majority of premature ejaculation cases the man ejaculated before entering his partner’s vagina or within a minute of entering.

Occasional episodes of premature ejaculation are common and not a cause for concern. But if you are finding that half of your attempts to have intercourse result in premature ejaculation then it might help to get treatment. Read more about treating ejaculation problems.

Types of premature ejaculation

There are two main types of premature ejaculation:

  • where a man has had a problem with premature ejaculation since becoming sexually active (primary premature ejaculation)
  • where premature ejaculation develops in a man who has previously ejaculated normally  (secondary premature ejaculation)

Primary premature ejaculation is less common, affecting around 1 in 50 men in England. In most cases of lifelong premature ejaculation:

  • there is an inability to delay ejaculation during sex every time or most times
  • the condition causes feelings of shame or frustration and impacts on quality of life, leading to a man avoiding sexual intimacy

Retarded ejaculation

Retarded ejaculation is classed as either experiencing a significant delay before ejaculation is possible, or being unable to ejaculate at all.

There is no set definition to describe ‘how long is too long’, but a persistent (and unwanted) delay of ejaculation that lasts for 30 to 60 minutes may suggest retarded ejaculation.

Alternatively, if you are unable to achieve ejaculation at least half the times you have sex, you may have retarded ejaculation.

As with premature ejaculation, retarded ejaculation can be either acquired or lifelong, with lifelong retarded ejaculation being less common and affecting an estimated one in every 1,000 men.

Retarded ejaculation can also be classified as:

  • global - where it occurs in all sexual situations
  • situational - where it only occurs in certain situations

For example, you may be able to ejaculate normally when masturbating, but not during sex. Situational retarded ejaculation usually suggests the condition is the result of psychological causes.

Retrograde ejaculation

Apart from the absence of semen, the main symptom of retrograde ejaculation is producing cloudy urine when your first go to the toilet after having sex. The urine appears cloudy due to the semen in it.

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Glossary

Discharge
Discharge is when a liquid such as pus oozes from a part of your body.
Anxiety
Anxiety is an unpleasant feeling when you feel worried, uneasy or distressed about something that may or may not be about to happen.
Pain
Pain is an unpleasant physical or emotional feeling that your body produces as a warning sign that it has been damaged.
Blood
Blood supplies oxygen to the body and removes carbon dioxide. It is pumped around the body by the heart.

Last reviewed: 02/04/2012

Next review due: 02/04/2014

Blood in your semen

Finding blood in your semen (hematospermia) can be alarming. However, in most cases it's not serious and will pass within a few days. The most likely cause is infection of your urethra (urethritis) and prostate (prostatitis).

See your GP if the symptoms persist,  or visit your local genito-urinary medicine (GUM) clinic because the causes may be more serious.

Other possible causes of blood in your semen include trauma, and sexually transmitted infections (STIs), such as gonorrhoea and chlamydia.

Prostate disease could also be a cause, particularly if you are over 40 years of age. In some cases, blood in the semen is a symptom of prostate cancer, although this is rare.

Male sexual arousal

The four stages of sexual arousal in men include excitement, plateau and orgasm. Find out more.