Featuring Dr. Stacy Elliott, MD

Video Title: Sexual Dysfunction Related to Ejaculation and Orgasm Duration: 2 minutes, 30 seconds

Often, men have confusion about the terms ejaculation and orgasm.

Ejaculation is just a term for the process of getting sperm that arise in the testes. They mix with fluid inside the body and it is ejaculated out as semen or ejaculation. Orgasm, on the other hand, is a term meaning what the man experiences at the time of ejaculation.

Sometimes ejaculation and orgasm don’t occur at the same time. Men can have dissatisfactions with either their ejaculation or their orgasmic response.

They might have dissatisfaction that at ejaculation they’re worried about the color of the semen, or they’re worried about the texture, or they’re worried about the force of ejaculation. These are not sexual dysfunctions but rather concerns or dissatisfactions around ejaculation.

Other men have concerns about their orgasmic quality. In other words, it may be very low or faint, or they are worried that it‘s painful at the time that they have an orgasm. These can be interpreted more as a medical problem or something that you should see your family physician about.

A more of a functional concern is that men are concerned whether or not they’re ejaculating too quickly or that it’s taking too long. The former is called premature rapid ejaculation and the latter is called delayed ejaculation and both of these we consider sexual dysfunctions.

Lastly, some men don’t have an ejaculate. In other words, they reach orgasm but nothing comes out. This is not harmful except if you want to try to have a baby and then there are certain procedures that can help you with this. What happens at that point is sometimes the ejaculate goes backwards into the bladder which is called retrograde ejaculation.

Other times, there isn’t an ejaculate to go backwards into the bladder. For example, if you’ve had your prostate and seminal vesicles removed there is no ejaculate but you will still be able to have orgasm.

If you have concerns around either ejaculation or orgasm or any fertility concerns, consult your doctor.

Presenter: Dr. Stacy Elliott, Psychiatrist, Vancouver, BC

Local Practitioners: Psychiatrist