Image result for Print Email Edit Ejaculatory Dysfunction Causes

Ejaculatory problems an uncommon cause of childlessness. The major problem lies in the fact that it can create a feeling of shame or embarrassment , as a result of which men are reluctant to seek medical help. This can cause a lot of frustration, as the wife gets older, and feels that she is being unfairly deprived of a chance of having a baby because of her husband's inability to perform.

The problems faced in ejaculation can be either delayed ejaculation; early or premature ejaculation; or the failure to ejaculate ( anejaculation). The problem has both emotional and physical aspects and the treatment must address both these aspects. Your history or background is very important for understanding the emotional aspect of your problem. You need to consider causes such as:

  • Stress
  • Emotional insecurity
  • Anxiety
  • Past psychological trauma
  • Relationships that are causing emotional stress

Delayed Ejaculation

In case of delayed ejaculation, you will experience the problem of inability to ejaculate during the sexual act, either because you get tired, or your wife starts complaining of pain because of the prolonged penile thrusting. Technically , this is not called infertility, but it is a cause for involuntary childlessness.

Early Ejaculation

Premature or early ejaculation problems are quite common and can be a very stressful condition. Early ejaculation means ejaculation that occurs before you desire it. In some men it is so severe that they cannot even consummate the marriage . They ejaculate and lose their erection before intravaginal penetration.


Some men find that they their erection is adequate, they cannot ejaculate at all. This is called anejaculation. You can read more about this at  /knowledge-center/articles/anejaculation

Medical Intervention Necessary 

Many men suffer from deep feelings of shame and embarrassment because of this problem . This prevents them from accessing medical help for their problem. The wife feels deprived, but because this is such a touchy issue, she does not dare to bring it up. Some couples foindly delude themselves that the problem will disappear on its own without treatment, but this rarely happens, and as the wife gets older, her fertility starts declining, which means that by the time they seek medical help, it may be too late.

Read- Ejaculatory Dysfunction – Psychological or Physical Causes

Different Treatments 

While the results of treating the underlying causes of the
ejaculatory dysfunction are poor, it's often easiest to just bypass the problem by bypassing the penis, and depositing the semen into the vagina using alternative options !

One treatment option is self-insemination. You can read more about this at www.drmalpani.com/selfinsemination.htm. You can buy the kit at www.drmalpani.com/knowledge-center/resources/tools/self-insemination-kit-india

If this fails, you can consider artificial insemination, or intrauterine insemination (  IUI) , where the doctor deposits your semen into the uterus after processing it. For older women, IVF is the best option.


Read More- Premature Ejaculation and Infertility


Ejaculatory dysfunction causes involuntary childlessness and a lot of distress. The fertility issue is often best addressed by using either self insemination or artificial insemination.

Authored by : Dr Aniruddha Malpani, MD and reviewed by Dr Anjali Malpani.

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