Towards a better delineation of ejaculatory disorders.

The inconsistent use of the term "retarded ejaculation" demonstrates the conceptual confusion in the literature on ejaculatory dysfunctions. Therefore, a classification system is proposed which comprises three major groups of ejaculatory disorders: unsatisfactory timing of ejaculation (premature and retarded ejaculation), absence of ejaculation (partial and complete ejaculatory inability), and ejaculation without pleasure (ejaculatory anhedonia and painful ejaculation). A more accurate descriptive delineation of ejaculatory disorders has considerable implications for treatment which in some dysfunctions, especially primary complete ejaculatory inability, still has limited possibilities.