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He Medical Clinic

Ejaculation Disorder Treatment in Malaysia

Too fast, too slow, or not at all? If you’re facing ejaculation problems, you’re not alone. He Medical Clinic can help. An estimated 1 in 3 men has faced premature ejaculation, while up to 4% of men experience delayed ejaculation.

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The Two Main Types of Male Ejaculatory Disorders

Premature Ejaculation

Premature ejaculation (PE) is when a person ejaculates sooner than he 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 at some point in their lives.

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 you unable to delay ejaculation during intercourse all or nearly all the time?
  • Experience emotional distress and are frustrated by 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 may 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 persists.

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

Delayed Ejaculation

The two types of male ejaculatory delay are primary and secondary delayed ejaculations. This is also known as retarded ejaculation.

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

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

Physical factors include:

  • Side effects from medications, in particular anti-depressants

  • Alcohol and illicit drug use

  • Nerve damage or mechanical pelvic injury

  • Hormonal deficiencies, 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 partners involved in sex therapy to evaluate sex beliefs and how thresholds of stimulation can be reached, assessing all medication taken, whether prescribed or over-the-counter, and perhaps also replacing testosterone if deemed necessary.

The 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 an assessment of:

  • Medication History
  • Relationship
  • Masturbation Habits
  • Hormonal Imbalance

Treatment for ejaculation disorder

For those who are undergoing treatment for erectile dysfunction, medications 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 stop producing breast milk) has been used to treat ejaculatory delay.

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.

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FAQs on Ejaculation Disorder

Men with premature ejaculations have ejaculations that are persistently occurring to rapidly within a minute or so of penetration. This leads to significant distress or frustration for either you or your partner, compromising sexual intimacy.

The period between penetration and ejaculation (also known as the latency period) is just a few minutes.

The problem must be persistent, either since the beginning of sexual experience or newly developed.

The problem has been causing emotional distress or sexual dissatisfaction among either you or your partner.

Yes, it is estimated that 1 in 3 men have premature ejaculation at some point in their lives.

Yes, with either interventions such as behavioural therapy, pelvic floor exercise, decreasing sensitivity, oral medications, or a combination of them.

There is a spectrum of delayed ejaculation (DE) disorders ranging from increased latency (time from penetration to ejaculation) to absent ejaculation, retrograde ejaculation, and anorgasmia. While there are no firm criteria for the diagnosis of DE, men with latencies lasting more than 25–30 minutes are considered to have DE.

DE can be a temporary or lifelong problem. Similarly to premature ejaculation (PE), DE is also divided into lifelong vs. acquired DE. With lifelong DE, the problem is present from the time of sexual maturity. Acquired DE is preceded by a period of normal sexual functioning.

DE can result from medications, certain chronic health conditions, and surgeries. It can even be caused by substance abuse or a mental issue, such as anxiety or depression. In many cases, it is a combination of many factors leading to DE.