anonymous on September 12, 2011




I’m glad you asked this question because delayed or absent ejaculation is a common concern among men with spinal cord injury (SCI), other neurological disorders, and/or on some antidepressants.

First, I would encourage you to speak about your delayed ejaculation with a urologist who specializes in SCI. Why? Because other medical issue – besides your injury – could be contributing to the slow or delayed ejaculations you describe. For example, medications or other conditions like diabetes could be slowing your ejaculation. A doctor can help you narrow down the possible causes and recommend an appropriate remedy.

That said, another common cause of lost erections or delayed ejaculation in men with SCI isretrograde ejaculationthis occurs when semen enters the bladder during orgasm, instead of releasing through the penis.While retrograde ejaculation isn’t a danger to your health, I would suggest that you ask your urologist about it to find out if that’s the issue…and, if so, what can be done about it in your specific circumstances.

To answer your question, a toy may or may not help with slow or delayed ejaculation…but toys and other devices do exist and they may be worth a try (e.g., vibrators, sleeves, prostate stimulators, or cock rings with a vibrating bullet that can be positioned at the base of your penis above your testes or between your testes and your anus). A sleeve, in particular, has both ends open so you can position it to provide maximum stimulation exactly where you want it. You can purchase most of these options in online stores…however, FDA-approved devices like the Ferticare vibrator are sold only with a prescription.

If you have a sexual partner, you can also experiment with different positions that allow full contact and stimulation of the base of your penis.

Thanks again for writing, and I wish you good luck in achieving the most satisfying sexual experiences.

Related info:

Mitchell Tepper, PhD, MPH


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