Symptoms

If ejaculation is delayed in all situations, in all sexual activities and with all partners, the disorder is "generalized." In contrast, the disorder is "situational" if the delayed ejaculation is limited to certain situations or with certain partners. Situational delayed ejaculation may therefore give rise to different clinical presentations: A man is unable to ejaculate intravaginally but can do so by masturbation, a man is able to ejaculate during sex with a man but not with a woman, a man is able to ejaculate with one woman but not another, a man is able to ejaculate with the same woman on one occasion but not the next, or a man can only ejaculate when the sexual act is accompanied by specific stimulation.

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