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Updated: Jul 14, 2026

Treatment Model for Young Patients with Psychogenic Erectile Dysfunction and Resultant Infertility

Treatment Model for Young Patients with Psychogenic Erectile Dysfunction and Resultant Infertility

Published on: May 30, 2025

Determinants of ejaculatory dysfunction in a community-based longitudinal study.

Melanie Gan¹, Marij Smit, Gert R Dohle

¹Department of Urology, Erasmus MC, Rotterdam, The Netherlands.

BJU International

|June 1, 2007

Summary

Ejaculatory dysfunction (EJD) affects over a third of men over time, with age, social issues, and erectile dysfunction being key factors. Painful ejaculation is particularly bothersome, and age is the primary predictor of EJD.

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Treatment of Ejaculatory Duct Obstruction by Seminal Vesiculoscopy Assisted Flow Modification

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Published on: December 8, 2023

Area of Science:

Urology
Men's Health
Sexual Medicine

Background:

Ejaculatory dysfunction (EJD) is a common concern affecting male sexual health.
Understanding the incidence and contributing factors of EJD is crucial for effective management.

Purpose of the Study:

To analyze the incidence and bother associated with ejaculatory dysfunction (EJD) in men aged 50-78.
To identify factors that predispose men to developing incident EJD.

Main Methods:

A longitudinal study recruited 1661 men aged 50-78, excluding those with specific urological conditions.
Participants completed questionnaires assessing urological symptoms, sexual function (including EJD), and quality of life at baseline and three follow-ups over 6.5 years.
Objective variables of EJD included ability to ejaculate, ejaculatory volume, and painful ejaculation.

Main Results:

At baseline, 40.4% of men had EJD. The cumulative incidence reached 33.1% after 6.5 years.
Painful ejaculation bothered 40.6% of affected men, while reduced ejaculatory volume bothered 18.3%.
Multivariate analysis identified age, social impairment, and erectile dysfunction as significant predictors of EJD. Age and previous transurethral resection of the prostate (TURP) predicted reduced ejaculatory volume or anejaculation.

Conclusions:

Ejaculatory dysfunction (EJD) has a significant cumulative incidence and can be bothersome, particularly painful ejaculation.
Age, social impairment, and erectile dysfunction are key determinants of EJD.
Age and TURP are predisposing factors for reduced ejaculatory volume and anejaculation, with age being the most significant predictor.