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Ejaculation Disorders & Infertility

Ejaculation problem

The ejaculation problem is one of the most frequent sexual problems in men. The wide range of ejaculation problems includes premature ejaculation, delayed ejaculation, retrograde ejaculation, and anejaculation.

Premature Ejaculation:

It is the most common ejaculation problem which impacts nearly 5-40% of sexually active men. Premature ejaculation refers to the condition where the male ejaculates too early during sexual intercourse. It is also known as rapid ejaculation or early ejaculation. Though the exact reason behind premature ejaculation is still unclear, however, the possible reason behind premature ejaculation is:

  • Psychological in nature – Relationship problems, anxiety, sexual abuse, depression, etc.
  • Biological – Abnormal hormone levels, Hereditary, Infection of the prostate or urethra.

Delayed Ejaculation

Delayed ejaculation refers to a condition where ejaculation takes a longer time. This condition may arise due to medications, certain chronic health conditions, surgeries, and psychological causes.

Retrograde Ejaculation

When semen enters the bladder instead of releasing through the penis during orgasm, the process is called retrograde ejaculation. Certain medical conditions or an anatomical defect may cause Retrograde Ejaculation, including diabetes, after a prostate/urethral surgery, certain medications, etc.


It refers to the complete absence of ejaculation. Anejaculation occurs due to medications, nervous system-related factors (such as spinal cord injury, multiple sclerosis, Parkinson’s disease, etc.), problems in the bladder, neck, and urethral, etc.

Can ejaculation problems cause infertility?

Ejaculation problems are a significant cause of infertility in young males. Sometimes premature ejaculation can cause difficulty in achieving successful pregnancy as ejaculation may not occur intravaginally. Semen quality is also reduced in premature ejaculation, which may lead to infertility. Men with retrograde ejaculation and anejaculation may experience infertility during their reproductive period.

How are ejaculation problems diagnosed?

Semen analysis plays a crucial role in the diagnosis of male infertility. Ejaculate volume is the primary parameter of semen analysis. Ejaculation problems impact the semen quality of infertile men, which results in lower ejaculate volumes. Hence, routine investigation of ejaculate volume is necessary to identify and manage the low semen volume of ejaculation problems related to infertility.

Physical examination, post ejaculate, and blood tests also help to diagnose ejaculation problems. Besides that, diagnostic imaging of prostate and seminal vesicles can also carry out as part of the diagnosis.

How to fix ejaculation problems?

Identifying the ejaculation problems can help to resolve the problems related to infertility. A wide range of treatment strategies, including medications, behavior therapy, reproductive therapy, etc., can be used to manage ejaculation problems.

Types of treatment related to this article

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What are the causes of Male Infertility?


  1. Q. What is a healthy sperm count, and how does it affect male fertility?

    According to WHO, the average sperm count falls between 15 million to over 200 million sperm per milliliter of semen. Suppose your sperm count is less than 15 million sperm per milliliter or less than 39 million sperm per ejaculate. In that case, it is classified as a low sperm count. A low sperm count can lead to male Infertility, making it difficult for couples to conceive naturally.

  2. Q) Is it possible that the husband can be the reason for the wife's inability to conceive?

    Almost 40% of all cases of a couple’s infertility are related to the male factor. Low sperm count, poor sperm motility, abnormal sperm morphology, STDs, and other reproductive health issues are the leading causes of male infertility. However, we advise both partners to undergo fertility assessment to determine the cause of a couple’s infertility, helping an IVF specialist prepare an accurate and effective treatment plan.

  3. Q) My 31 years old husband is suffering from low sperm count (3 million/ml) and poor motility - 20%. I have undergone some tests and my reports were normal. Last month my husband underwent semen analysis and the results were the same as mentioned above.

    In this case scenario, your husband needs to get checked by an andrologist / male infertility specialist. The doctor will examine and do a hormonal analysis. Going for an IVF in this situation is recommended for better results.

  4. Q. What lifestyle factors can impact sperm count, such as diet or drinking alcohol?

    Lifestyle factors such as poor diet, smoking, excessive alcohol consumption, drug use, and exposure to environmental toxins, working in scorching environments can negatively impact sperm count and quality.

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