Weill Cornell Medicine Urology
Weill Cornell Medicine Urology
Ejaculatory Dysfunction

Ejaculatory Dysfunction

Header Text: 

Ejaculation involves coordinated muscular and neurological events that involve deposition of semen in the urethral (emission) and propulsion of the fluid from the urethral meatus (ejection).

Body: 

Emission is accomplished by contraction of the vas deferens, seminal vesicles, and ejaculatory ducts. This process is under adrenaline control. Ejection results from the rhythmic contractions of the muscles around the urethra, which causes the forcible ejection of the ejaculate. Within the spinal cord lies the ejaculation center which is the area involved in the coordination of signals from the brain and penis that eventually lead to ejaculation.

In normal men there exists a linear sexual response cycle: desire, arousal, plateau, orgasm, and resolution.

Body Column 2: 

Orgasm can be subdivided into climax and ejaculation. During the resolution phase it is normal for men to experience a refractory period; during the refractory period it is not possible to stimulate the penis back into the erect state. The refractory period is typically very brief in young men but becomes progressively longer with age.

There are four main ejaculatory disorders that are seen in clinical practice: (i) premature ejaculation, (ii) retrograde ejaculation, (iii) delayed ejaculation (orgasm), and (iv) anorgasmia.

Ejaculatory Dysfunction - Risks & Causes

Summary: 

Many psychological and physical conditions may contribute to ejaculatory dysfunction.

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Ejaculatory Dysfunction - Symptoms & Evaluation

Summary: 

A comprehensive medical and sexual history is the most important aspect in the diagnosis of men with ejaculatory dysfunction. A focused genital exam is also indicated in most circumstances.

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Ejaculatory Dysfunction - Treatment Options

Summary: 

Psychotherapy and pharmacologic treatment may yield positive results in some cases of ejaculatory dysfunction.

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Physicians & Faculty

Dr. Peter N. Schlegel, MD, FACS | Cornell Urology

Peter N. Schlegel

M.D., F.A.C.S.

212.746.5491
212.746.5491
Aetna-Weill Cornell POS, Medicaid, Medicare, Rockefeller University-CoreSource
The LeFrak Center for Robotic Surgery
Dr. Marc Goldstein, M.D., F.A.C.S. | Weill Cornell Medicine

Marc Goldstein

M.D., F.A.C.S.

212.746.5470
212.746.5470
Aetna-Weill Cornell POS, Medicaid, Medicare, Rockefeller University-CoreSource
Brady Urologic Health Center
Dr.  Darius Paduch, M.D., Ph.D.

Darius A. Paduch

M.D., Ph.D.

212.746.5309
212.746.5309
AETNA-HMO, AETNA-PPO, Aetna-Weill Cornell POS, EBCBS PPO/EPO, Medicaid, Rockefeller University-CoreSource
The LeFrak Center for Robotic Surgery
Dr. James A. Kashanian, M.D.

James A. Kashanian

M.D.

212.746.5309
212.746.5309
AETNA [Medicare], AETNA-HMO, AETNA-PPO, Aetna-Weill Cornell POS, Affinity Access, Affinity Essential, Affinity Health Plan, Blue Priority Network, CIGNA, EBCBS HMO, EBCBS Mediblue, EBCBS Pathway X, EBCBS Pathway X Enhanced, EBCBS PPO/EPO, Emblem Select Care, Empire BCBS HealthPlus, Empire BCBS HealthPlus (CHP), Fidelis Care, GHI, Health First, Health Insurance Plan of NY (HIP), Health Insurance Plan of NY (HIP) [Medicaid], Health Insurance Plan of NY (HIP) [Medicare], Medicaid, Medicare, Oxford Freedom, Oxford Health Plans [Liberty], Oxford Health Plans [Medicare], Oxford Health Plans [Metro/Core/Charter], Rockefeller University-CoreSource, UHC Community Plan - Essential Plan, UHC Community Plan - Medicaid Plan, UHC Compass, UHC Compass-HMO, UHC Medicare, United Empire Plan, United Healthcare Commercial, VNSNY CHOICE Medicare, VNSNY CHOICE SelectHealth
The LeFrak Center for Robotic Surgery

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