Understanding Inhibited Ejaculation
Inhibited ejaculation — also called anejaculation — refers to a persistent inability to reach orgasm and ejaculate during sexual activity, despite being sufficiently aroused. Unlike delayed ejaculation, inhibited ejaculation means ejaculation does not occur at all during partnered sex.
You are not alone : Inhibited ejaculation is a recognised, treatable condition — not a sign of poor attraction or lack of desire.
Types of Inhibited Ejaculation
1. Primary (Lifelong)
Present since first sexual experiences. Often rooted in deep psychological patterns around sexuality, shame, or control.
2. Secondary (Acquired)
Develops after a period of normal function, triggered by medication changes, relationship difficulties, or trauma.
3. Situational
Ejaculation is possible in some situations but not others — typically strongly psychological and responds very well to therapy.
How Psychosexual Therapy Helps
Therapy addresses psychological barriers using cognitive work, relaxation, sensate focus, and graduated exercises — gently creating the internal conditions for natural ejaculation to occur.
Your First Session
A detailed, confidential conversation about your experience — when it started, how it affects you, and contributing factors. Together you develop a personalized treatment plan.
Individual & Couple Therapy
Whether the priority is individual self-exploration or rebuilding intimacy as a couple, therapy is compassionate, non-judgmental, and tailored to your unique circumstances.
What You Can Expect from Treatment
- Identify root causes : understand the specific factors maintaining the difficulty
- Reduce shame and anxiety : build a healthier relationship with your sexuality
- Develop new patterns : shift away from inhibiting thought patterns and behaviors
- Improve intimacy : feel more relaxed and present during sexual encounters
What our clients say
Our Therapists
All our psychosexual therapists are registered members of COSRT (College of Sexual and Relationship Therapists). Our therapists hold postgraduate qualifications in psychosexual and relationship therapy and many hold additional BACP or UKCP memberships. They provide a warm, confidential, non-judgmental space where you can explore your concerns and work towards meaningful, lasting change.
Confidentiality guaranteed: All sessions — in person or online — are conducted in strict confidence in accordance with COSRT's professional code of ethics.
Frequently Asked Questions
1. What is inhibited ejaculation?
Inhibited ejaculation — also called anejaculation — is when a man is persistently unable to reach orgasm and ejaculate during sexual activity, even with prolonged arousal and stimulation.
2. Is it the same as delayed ejaculation?
No. With delayed ejaculation, ejaculation eventually occurs but takes longer. With inhibited ejaculation, it does not occur at all during partnered sex.
3. What causes inhibited ejaculation?
Deep anxiety about intimacy or loss of control, sexual shame, idiosyncratic masturbatory patterns, medication side effects (particularly SSRIs), and hormonal imbalances.
4. Can psychosexual therapy treat inhibited ejaculation?
Yes. When psychological factors are involved — which is very commonly the case — therapy is highly effective.
5. How many sessions will I need?
Inhibited ejaculation with long-standing psychological roots may require more sessions. Your therapist will review progress regularly.
Fees
Session Fees
Individual Sessions: £90 per session (50 minutes)
Couple Sessions: £130 per session (50 minutes)
Session Frequency
Most clients attend weekly or fortnightly sessions. You and your therapist will agree a frequency that suits your needs.
Both in-person and online appointments are available.