Lifelong:  The disturbance has been present since the individual became sexually active.
Acquired:  The disturbance began after a period of relatively normal sexual function.
Specify whether:
Generalized:  Not limited to certain types of stimulation, situations, or partners.
Situational: Only occurs with certain types of stimulation, situations, or partners.
Specify current severity:
Mild:  Evidence of mild distress over the symptoms in Criterion A.
Moderate: Evidence of moderate distress ov er the symptoms in Criterion A.
Severe:  Evidence of severe or extreme distress over the symptoms in Criterion A.
Diagnostic Features
The distinguishing feature of delayed ejaculation is a marked delay in or inability to
achieve ejaculation (Cri terion A). The man reports difficulty or inability to ejaculate de-
spite the presence of adequate sexual stimul ation and the desire to ejaculate. The present-
ing complaint usually involves partnered sexual  activity. In most cases, the diagnosis will
be made by self-report of the individual. The defini tion of “delay” does not have precise
boundaries, as there is noconsensus as to what  constitutes a reasonable time to reach or-
gasm or what is unacceptably long fo r most men and their sexual partners.
Associated Features Supporting Diagnosis
The man and his partner may report prolonged thrusting to achieve or gasm to the point of
exhaustion or genital discomfo rt and then ceasing efforts. Some men may report avoiding