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Abnormal Ejaculation C2937350

Published: July 22, 2026Updated: August 20, 2026

This refers to problems with the ejaculatory process in males, which can affect fertility and sexual health. Treatment options depend on identifying the specific underlying cause.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 20, 2026Editorial policy

Key facts at a glance

ICD-10
N94.9
ICD-11
GA00.0
Body system
reproductive
Severity
mild
Chronic
true

Signs and symptoms

Common signs and symptoms that may indicate this condition.

Warning signs - seek immediate care

!

Blood in semen

Presence of blood (hematospermia) in the ejaculate, appearing as pink, red, or brown discoloration of semen.

Seek immediate medical attention as blood in semen requires prompt evaluation to rule out serious conditions.

Premature ejaculation

(reproductive)

Ejaculation that occurs sooner than desired, either before or shortly after vaginal penetration, causing distress or relationship difficulties.

Frequency: 70-80% of patients

Delayed ejaculation

(reproductive)

Significant difficulty or inability to achieve ejaculation despite adequate sexual stimulation, extending the sexual act excessively.

Frequency: 10-15% of patients

Painful ejaculation

(reproductive)

Burning sensation, discomfort, or pain in the penis, testicles, or perineal area during or immediately after ejaculation.

Frequency: 10-20% of patients

Reduced semen volume

(reproductive)

Noticeable decrease in the amount of semen ejaculated, often appearing thinner or less voluminous than usual.

Frequency: 15-25% of patients

Retrograde ejaculation

(reproductive)

Semen enters the bladder instead of exiting through the penis during orgasm, often causing cloudy urine after ejaculation.

Frequency: 2-5% of patients

Ejaculatory dysfunction

(reproductive)

General difficulty with the ejaculation process, including problems with timing, force, or completeness of ejaculation.

Frequency: 30-50% of patients

Testicular discomfort

(reproductive)

Dull ache, heaviness, or mild pain in one or both testicles that may worsen with sitting or sexual activity.

Frequency: 15-20% of patients

Urinary urgency

(genitourinary)

Sudden, compelling need to urinate that is difficult to delay, often occurring alongside ejaculatory abnormalities.

Frequency: 20-30% of patients

Diagnosis and tests

How this condition is diagnosed and what test results mean.

Initial screening tests

1

Standard diagnostic workup

Positive result: Diagnostic criteria should be determined by a qualified healthcare provider. [Content pending medical review.]

Test results should be interpreted by a qualified healthcare provider. [Content pending medical review.]

Treatment options

Evidence-based approaches to managing this condition.

First-line treatments

1

Dietary counseling and physical activity plan

Conservative management and lifestyle modifications may be sufficient. Monitor symptoms.

lifestyle
2

Sexual Health Counseling

Specialized psychological intervention addressing performance anxiety, relationship dynamics, and psychological factors contributing to ejaculation abnormalities through evidence-based therapy.

psychological
3

Urological Evaluation

Comprehensive examination including hormone testing, prostate assessment, and functional evaluation to identify any underlying physical causes of the abnormality.

monitoring

Additional treatment options

Pharmacological Treatment

Targeted medication therapy addressing neurochemical or hormonal components when indicated by diagnostic findings, typically working on serotonergic or alpha-adrenergic pathways.

medication

Pelvic Floor Rehabilitation

Targeted exercises and biofeedback to strengthen or relax pelvic floor muscles as appropriate, improving voluntary control over ejaculatory function.

physical_therapy

Behavioral Modification

Techniques including the start-stop method, squeeze technique, and timing adjustments to improve control through practiced behavioral interventions.

lifestyle

When to seek medical help

Recognize when you need immediate medical attention.

Schedule an appointment soon

Symptoms associated with this condition. Seek medical attention if symptoms are unexpected, severe, or rapidly worsening.- Contact your healthcare provider if symptoms persist or worsen. Seek emergency care for sudden severe symptoms.

Frequently asked questions

Common questions about this topic.

Q

What is Abnormal Ejaculation C2937350?

Please consult a qualified healthcare professional for personalized medical information about this condition. [Content pending medical review.]

general

Sources and references

Authoritative medical sources used to create this content.

1

Althof SE, McMahon CG, Waldinger MD, et al. An Update of the International Society of Sexual Medicine's Guidelines for the Diagnosis and Treatment of Premature Ejaculation. J Sex Med. 2014;11(6):1392-1422.

guideline2014View source →
2

European Association of Urology. Guidelines on Male Sexual Dysfunction: Erectile Dysfunction and Premature Ejaculation. 2022.

guideline2022View source →
3

Jannini EA, Giulini F, Ciocca G, et al. ejaculatory dysfunction: A historical perspective on current classification. Sex Med Rev. 2019;7(4):590-598.

review2019View source →
4

American Urological Association. Management of Premature Ejaculation: AUA Guideline. 2018.

position_statement2018View source →
5

McMahon CG, Althof SE, Waldinger MD, et al. An evidence-based definition of lifelong premature ejaculation: A report from the International Society for Sexual Medicine Ad Hoc Committee for the Definition of Premature Ejaculation. J Sex Med. 2008;5(7):1590-1606.

clinical_trial2008View source →
6

Cuzin B, Roudot-Thoraval F, Amar F, et al. Dapoxetine in the treatment of premature ejaculation: A meta-analysis of randomized double-blind controlled trials. Basic Clin Androl. 2016;26:10.

meta_analysis2016View source →
7

Rowland D, McMahon CG, Abdo C, et al. Disorders of orgasm and ejaculation in men. J Sex Med. 2010;7(4 Pt 2):1668-1686.

review2010View source →
8

Kandeel FR, Kousouloglou V, Swerdloff RS. Disorders of ejaculation. In: Porst H, Buvat J, eds. Standard Practice in Sexual Medicine. Blackwell Publishing; 2006:241-269.

textbook2006
9

International Society for Sexual Medicine. ISSM Guidelines for the Diagnosis and Treatment of Premature Ejaculation. 2014.

consensus2014View source →

Medication Comparisons

Compare medications used to treat Abnormal Ejaculation C2937350. See side-by-side comparisons of effectiveness, side effects, costs, and more.

View Medication Comparisons

This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 20, 2026. · Read our editorial policy