Also called impaired ejaculation, this condition occurs when it takes a prolonged period of sexual stimulation for a man to ejaculate. Accordingly, the most common clinical situation in sex therapy with men who have difficulty ejaculating is that they cant ejaculate during intercourse. One important reason men with high orgasm thresholds have difficulty ejaculating during intercourse is that they hurry to penetrate before theyre really ready. Retrograde ejaculation is the least common of the ejaculation problems. It causes semen to back into the bladder during orgasm instead of exiting by way of the penis. Plenty of guys 50 and older experience difficulty with orgasm and ejaculation, says dr. Sex therapy is a form of counselling that uses a combination of psychotherapy and structured changes in your sex life. This can help to increase your feeling of enjoyment during sex, and help make ejaculation easier. Some clinical commissioning groups (ccgs) provide a sex therapy service on the nhs. delayed ejaculation is a sexual disorder that can be distressing for a man and his partner and may disrupt a relationship. There are many reasons why delayed ejaculation occurs, including tissue. the psychological definition of delayed ejaculation refers to the inability to have an ejaculation during sexual intercourse. Interestingly enough, ejaculatory issues are rarely defined as a dysfunction if they occur only during masturbation. As a result, an important diagnostic question for sex therapists is the context in which the problem.