ABSTRACT
Delayed ejaculation (DE), along with premature ejaculation and retrograde ejaculation, is categorized as an ejaculatory disorder in the DSM-5. Delayed ejaculation is the least understood of male sexual difficulties and relies most on clinical and anecdotal observations for treatment. Virtually no empirical studies for treatment are available. Of the ejaculatory disorders, DE is distinguished as being clinically complex with disagreements about how to refer to it, understand it, and effectively treat it. This chapter reviews the etiology, prevalence, and prior and current treatments for DE. The physiology of ejaculation is discussed. The Intersystem Approach respects the biological, psychological, and social elements for the person and couple. Discussion of sensorimotor techniques, mindfulness, griefwork, interpersonal dynamics and sociocultural factors are significant in treatment. Methods of adaptation and accommodation within the Intersystem framework are addressed.
