Evaluation of Delayed Ejaculation

Abstract

The evaluation of delayed ejaculation (DE) is aided by a comprehensive understanding of the various factors that impinge on ejaculatory response. In this chapter, we first review the sexual response cycle, and then provide foundational knowledge about the definition and prevalence of DE, along with characteristics that describe and differentiate men with DE from other men. Emphasizing the need to take a holistic (biopsychosocial) approach, we discuss biologic, psychologic, and relationship risk factors. A final section provides step-by-step guidance through the process of evaluation for men suspected of having DE.