Weill Cornell Medicine Urology
Weill Cornell Medicine Urology
Ejaculatory Dysfunction - Symptoms & Evaluation

Ejaculatory Dysfunction - Symptoms & Evaluation

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. Testosterone is often the most commonly performed blood test in the evaluation of ejaculatory dysfunction.

Premature ejaculation (PE), also known as rapid ejaculation, lacks a definition that is agreed upon by all practitioners, but essentially is the condition whereby a patient ejaculates with minimal sexual stimulation and before he wishes it to occur.

Premature ejaculation is currently defined by the International Society of Sexual Medicine as a lifelong history of ejaculation occurring within less than one minute of penetration (lifelong PE), or a clinically significant and bothersome reduction in latency time, often to about three minutes or less (acquired PE). Patients will also have reduced or absent ejaculatory control. Premature ejaculation often causes negative personal consequences, such as distress, bother, frustration, and/or the avoidance of sexual intimacy.

Patients with retrograde ejaculation will have a normal sensation of orgasm and climax but will have little to no anterograde (forward) propulsion of semen. This is often referred to as a dry orgasm. This process is diagnosed by the finding of seminal fluid and/or sperm within a urine specimen obtained immediately after orgasm.

Delayed ejaculation or anorgasmia involves the inability of the patient to achieve orgasm (ejaculation) in a timely manner, and in severe cases, involves failure to achieve orgasm on any occasion. As men age, there is an increase in the time it takes to achieve ejaculation. However, in some men, this increase may lead to the inability to ejaculate within a 30-minute time period from the initiation of sexual stimulation.

Would you like an appointment?

Please call our office at 646-962-9600 to schedule an appointment via phone. Our phone staff are available to help you Monday-Friday, from 9AM-5PM (EST).

If you'd like to learn more about each of our providers that specialize in Ejaculatory Dysfunction, please review the Physicians & Faculty profiles listed at the bottom of this page.

Find a Physician FIND A PHYSICIAN

Physicians & Faculty

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, Federal Medicare, NY State Medicaid, Rockefeller University-CoreSource
Brady Urologic Health Center
Dr. James A. Kashanian, M.D.

James A. Kashanian

M.D.

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

Treatment Locations Treatment Locations

© 2016 Weill Cornell Medicine All rights reserved.