[Ejaculatory disorders except premature ejaculation, orgasmic disorders]

Introduction: Disorders of ejaculation and orgasm apart from premature ejaculation are pretty uncommon.

Methods: Medical literature was reviewed and combined with expert opinion of the authors.

Results: The semiology of these disorders is essential: aspermia, hypospermia, retrograde ejaculation, delayed or absent ejaculation with or without orgasm. Whether this is a lifelong or acquired condition, it is essential to assess the side-effects of medications i.e. psychotropic drugs, including antidepressant, neuroleptics, tramadol, alphablockers: tamsulosin and silodosin must always be surveyed.

Conclusion: The management is often difficult, especially with a parenthood perspective. The management of lifelong disorders must rely on psychosexual therapies.