Harvard Men's Health Watch

On call: Inhibited ejaculation

Q. I've read your comprehensive discussion of erectile dysfunction, but one aspect is not mentioned: at age 74 (with a new wife, age 70), I can have erections, both with and without Levitra, but I have increasing difficulty achieving ejaculation. I assume this is related to ED and age, but wonder whether there is a solution. I don't drink or have diabetes. I do have high blood pressure, but it's controlled with Hyzaar and Plendil.

A. Erectile dysfunction is defined simply as difficulty in achieving and maintaining erections that are satisfactory for intercourse. Your problem is called inhibited ejaculation, a rather different issue.

Male sexuality is complex. Successive stages of desire, arousal, erection, ejaculation, orgasm, and relaxation are involved. And to be successful, a man's hormones, nerves, blood vessels, and mind must all be in sync.

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