Ejaculatory Disorders

At Montefiore Einstein Urology, you can access exceptional care for ejaculatory disorders. As a global leader in urology, we are an academic-based, national and international referral site for the most complex and high-risk cases. For more than a century, we have been at the forefront of innovation, research and clinical care for genitourinary (GU) conditions.

Ranked in the top 1% of all hospitals in the nation for urology according to U.S. News & World Report, Montefiore Einstein continues to make advances in the diagnosis and treatment of GU conditions. Our multidisciplinary team of world-renowned specialists is passionate about uncovering the latest diagnostic approaches and treatments that can improve outcomes.

At Montefiore Einstein Urology, you can expect compassionate, personalized, research-driven treatment plans that meet the highest standards for quality and safety. In addition, we offer patients a full range of support services, from nutritional guidance to rehabilitative therapies.

When you need ejaculatory disorder care, turn to our dedicated multidisciplinary team for a personalized treatment plan.

• Anejaculation: the inability to ejaculate during masturbation or sexual intercourse. Anejaculation can be situational or total. Situational anejaculation is often related to stress or other psychological factors, while total anejaculation can result from side effects of certain prescription medications and co-existing hormonal or physical conditions.
• Delayed ejaculation: when ejaculation cannot occur after a sufficient amount of sexual stimulation. Some men who suffer from delayed ejaculation can ejaculate during masturbation but not during sexual intercourse. Symptoms can be lifelong or acquired, universal or limited to specific situations. Certain conditions including high blood pressure or the use of certain prescription medications can contribute to delayed ejaculation.
• Painful ejaculation (dysorgasmia): pain or discomfort during or after ejaculation, caused by inflammation, infection, urinary obstructions and in rare cases, prostate cancer. Patients experiencing painful ejaculations should seek medical attention to determine its underlying cause.
• Premature ejaculation (PE): occurs when a man ejaculates earlier than intended during sexual intercourse. PE is among the most common sexual conditions. According to the National Institutes of Health, approximately one in three men aged 18 to 29 experience premature ejaculation.
• Retrograde ejaculation: occurs when semen enters the bladder instead of passing through the penis during climax. Retrograde ejaculation can lead to male infertility.

Ejaculatory disorders can be the result of a variety of psychological and biological causes. Physical factors including hormonal imbalances, prostate conditions, and side effects of prescription medication may contribute to ejaculatory disorders. Psychological factors including stress and anxiety may also be a contributing factor.

To diagnose ejaculatory disorders, your healthcare provider will conduct a physical exam and discuss your sexual history. A genital exam is also indicated in most cases. Blood tests, to evaluate testosterone levels, may also be ordered.

Our team works across departments to develop an expert, comprehensive ejaculatory disorder treatment plan tailored to each patient’s individual condition. Treatment depends on the type and severity of the ejaculatory disorder and may include behavioral therapy, hormone therapy and certain minimally invasive surgical procedures to restore healthy sexual function.