Ejaculation problems

Also called Premature ejaculation, Delayed ejaculation, or Retrograde ejaculation

Ejaculation problems are common and include premature ejaculation (ejaculating sooner than wanted), delayed ejaculation (taking a long time or being unable to ejaculate), and retrograde ejaculation (semen going backwards into the bladder). They can be caused by psychological factors, medicines, or physical conditions.

Last updated Nov 9, 2026

What it is

Premature ejaculation is the most common and often improves with techniques, counselling or medicines.

Some medicines, prostate surgery, diabetes and nerve damage can cause delayed or retrograde ejaculation. Retrograde ejaculation is harmless but can affect fertility.

Common signs

  • Ejaculating within a short time of starting sex
  • Taking a long time or being unable to ejaculate
  • Little or no semen at orgasm, and cloudy urine afterwards

How it is usually diagnosed

  • A conversation with a GP about symptoms and medicines
  • Examination
  • Urine test after orgasm for retrograde ejaculation
  • Blood tests in some cases

Records worth keeping

Keeping these together makes each appointment easier, especially when you see a new doctor:

  • A list of medicines
  • Test results
  • Notes from urology or sexual health clinics

Questions to ask your doctor

  • Could any of my medicines be causing this?
  • What treatments or techniques can help?
  • Will it affect fertility?

When to get help right away

Call 112 or go to the nearest emergency department if you have:

  • There are no emergency signs specific to ejaculation problems

This page is general information. It is not a diagnosis and does not replace a doctor who knows your history. Medfold keeps your records organised; it does not interpret them.

Sources