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Delayed Ejaculation and Associated Complaints: Relationship to Ejaculation Times and Serum Testosterone Levels
Abraham Morgentaler1, Paula Polzer2, Stanley Althof3
1Men's Health Boston, Chestnut Hill, MA, USA.
The Journal of Sexual Medicine
|August 16, 2017
Summary
Men with delayed ejaculation (DE) experience longer ejaculation times, but these times are not linked to serum testosterone levels. Routine testosterone testing is not recommended for men with DE.
Area of Science:
- Sexual medicine
- Andrology
- Urology
Background:
- Delayed ejaculation (DE) is defined by prolonged time to ejaculation, but its relationship with testosterone levels in a large cohort is not well-established.
- This study investigates ejaculation latency and its correlation with serum testosterone in men with and without self-reported DE.
Purpose of the Study:
- To assess estimated intravaginal ejaculatory latency time (IELT) and masturbatory ejaculation latency time (MELT) in men reporting DE.
- To examine the association between IELT, MELT, and serum testosterone levels.
- To determine correlations with demographic and sexual parameters.
Main Methods:
- Observational study of 988 men screened for a clinical trial on ejaculatory dysfunction (EjD).
- Self-estimated IELT and MELT were collected via questionnaire.
- Comparison of ejaculation times between men with and without DE; association with serum testosterone was measured.
Main Results:
- Men with DE reported significantly longer median IELTs (20.0 min) and MELTs (15.0 min) compared to men without DE (15.0 min and 8.0 min, respectively).
- Ejaculation times (IELT and MELT) showed no association with serum testosterone levels.
- Younger age and less severe erectile dysfunction correlated with longer ejaculation times.
Conclusions:
- Longer ejaculation times in men with DE are not associated with serum testosterone levels.
- Routine androgen evaluation is not indicated for men with DE based on these findings.
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