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Ejaculation Problems

Ejaculating Too Quickly, Too Slowly, or Not at All?

Concerns involving ejaculation are extremely common among men. Studies show that 1 in 3 men may ejaculate sooner than desired, while about 4% find it difficult to ejaculate even with normal arousal. These conditions can impact confidence, sexual intimacy, and overall emotional well-being—yet most cases can be successfully treated.

Types of Ejaculation Disorders

Premature Ejaculation (PE)

Premature ejaculation happens when ejaculation occurs earlier than expected, either by the man or his partner. It may take place shortly after penetration or even before intercourse begins.

Although many men hesitate to discuss it, PE is one of the most treatable sexual disorders in men.


Possible Signs of PE

✔ Ejaculating within one minute of penetration
✔ Difficulty controlling ejaculation most of the time
✔ Feeling frustrated, stressed, or dissatisfied after intercourse


What Causes PE?

PE can be influenced by:

🔹 Physical factors — hormone imbalance, penile sensitivity, weak pelvic floor muscles
🔹 Psychological factors — anxiety, stress, relationship tension, low self-esteem


Categories of PE

🔸 Lifelong (Primary) – present since the first sexual experience
🔸 Acquired (Secondary) – develops later after a period of normal function

🔍 Occasionally ejaculating quickly due to stress or excitement is normal and may not require treatment unless it persists.

Delayed Ejaculation (DE)

Delayed ejaculation is the difficulty or inability to ejaculate despite adequate stimulation and normal arousal.


Types of Delayed Ejaculation

🔸 Primary DE – difficulty ejaculating since the first sexual encounter
🔸 Secondary DE – occurs after previously normal function


Possible Causes of DE

Physical causes:

  • Side effects of medications (especially antidepressants)
  • Alcohol or recreational drug use
  • Pelvic injury or nerve damage
  • Hormonal imbalance (including low testosterone)
     

Psychological causes:

  • Anxiety, depression, or other mood concerns
  • Relationship challenges
  • Performance anxiety
  • Cultural or religious beliefs affecting sexual comfort

Treatment Options for Ejaculation Disorders

What can we help?

Some men being treated for erectile dysfunction may also notice improved ejaculation control. This is because medications such as Viagra, Cialis, and Levitra can help achieve a stronger erection, which in turn supports better timing and performance during intercourse.


For men who need more specific support for premature ejaculation, doctors may prescribe dapoxetine or tramadol to help prolong ejaculation. In contrast, men experiencing delayed ejaculation may benefit from cabergoline, a medication that can help stimulate ejaculation in suitable cases.


When ejaculation problems are linked to low testosterone, restoring hormone levels can make a significant difference. In these situations, testosterone replacement therapy (TRT) may be recommended, either through injections or topical gel applications, depending on your needs.

Treatment Options at Mencare

💊 Medications

🧴 Topical Anaesthetic Agents

🧴 Topical Anaesthetic Agents

Certain prescription medications strengthen erections and improve control, allowing men to last longer during intercourse. Others work directly to increase the time to ejaculation.

🧴 Topical Anaesthetic Agents

🧴 Topical Anaesthetic Agents

🧴 Topical Anaesthetic Agents

These creams or sprays gently reduce penile sensitivity, helping delay ejaculation without reducing sexual pleasure when used correctly under medical guidance.

💺 EM Kegel Therapy

🧴 Topical Anaesthetic Agents

💺 EM Kegel Therapy

This therapy strengthens the pelvic floor muscles responsible for controlling ejaculation. A stronger pelvic floor provides better ability to hold, contract, and delay climax, with up to 11,000 muscle contractions in a 30-minute session.

💉 PRP (P-Shot®)

🧪 Testosterone Replacement Therapy (TRT)

💺 EM Kegel Therapy

PRP improves tissue health, sensitivity regulation, and erectile performance. For some men, this helps reduce hypersensitivity and supports better control over ejaculation.

🧪 Testosterone Replacement Therapy (TRT)

🧪 Testosterone Replacement Therapy (TRT)

🧪 Testosterone Replacement Therapy (TRT)

Low testosterone can cause weak erections, poor stamina, and difficulty regulating ejaculation. When testing confirms deficiency, TRT helps restore hormonal balance, leading to better erections and improved timing of ejaculation.

🧬 Stem Cell Therapy

🧪 Testosterone Replacement Therapy (TRT)

🧪 Testosterone Replacement Therapy (TRT)

Used only in selected cases, stem cells can help regenerate nerve and vascular tissue, improving sexual function and potentially enhancing ejaculation control over time.

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MenCare Clinic

No 3 (Ground Floor, Jalan Pelapik B U8/B, Bukit Jelutong, 40150 Shah Alam, Selangor, Malaysia

017-9760507

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