Delayed Ejaculation28
A. Delayed or absent ejaculation occurring on 75% of sexual encounters for at least six months duration.29
B. The problem causes clinically significant distress or impairment.30
C. The sexual dysfunction is not better accounted for by another Axis I disorder (except another sexual dysfunction) and is not due exclusively to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition
28 Name change is proposed to be consistent with current terminology in the field. (Segraves R. Considerations for a better definition of male orgasmic disorder in DSM-5).
29 In order to define homogenous groups for clinical research, we need a more precise definition. (Segraves R. Considerations for a better definition of male orgasmic disorder in DSM-5).
30 The terms marked distress or interpersonal difficulty have been widely interpreted by various investigators and has led to inconsistent definitions of syndromes. The new recommended terminology is therefore: B. The problem causes clinically significant distress or impairment.
References
Segraves, R. T. (2010). Considerations for a Better Definition of Male Orgasmic Disorder in DSM V. Journal of Sexual Medicine, 7, 690–695
Over the last 6 months, have you experienced delay in or absence of ejaculation on at least 75% of occasions?
0. no
1. rarely
2. yes on 25% of occasions or less
3. yes on 50% of occasions or less
4. yes on 75% of occasions or less
5. yes on 100% of occasions or less
Male Orgasmic Disorder (formerly Inhibited Male Orgasm)
A. Persistent or recurrent delay in, or absence of, orgasm following a normal sexual excitement phase during sexual activity that the clinician, taking into account the person's age, judges to be adequate in focus, intensity, and duration.
B. The disturbance causes marked distress or interpersonal difficulty.
C. The orgasmic dysfunction is not better accounted for by another Axis I disorder (except another Sexual Dysfunction) and is not due exclusively to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition.