Ejaculation is the spurting out of semen from the penis, often called coming. It is usually a very pleasurable event, and because it feels good, and is the fertile part of manhood, when it goes wrong it is has a very bad effect. It can undermine a man's sense of identity and manhood and cause *Fear of Sex>Fear of Sex in Men*, depression, and stop him making relationships. It is important to get help, as most problems with ejaculation can be improved, and sometimes may be the first sign of a medical illness.

There are 6 main ejaculation problems that men can have.

1. Premature Ejaculation, which is the most common of the ejaculation problems. This means a man cannot control how fast he comes. He can come before touching the penis, or at the moment of penetration or very soon after.
2. Retarded Ejaculation, when it can be very slow to come, and in some cirumstances, impossible.
3. Retrograde Ejaculation, when the semen goes into the bladder. This is usually caused by medication or illness. The main sign is that no semen comes from the penis with orgasm, and the first urine passed after orgasm is cloudy. See a doctor if this happens to you, as the cause is usually medical.
4. Dry Orgasm, when the man feels orgasm but there is no semen. Some men strive to achieve this, but others find it a problem. See a doctor first.
5. Ejaculation with no feeling of orgasm. This can be caused by medication or illness, so see a doctor first.
6. Pain on ejaculation. This can have a medical or psychological cause, so see a doctor first.

The section on Anorgasmia provides another viewpoint on Retarded Ejaculation.