The disturbance has been present since the individual became sexually active., , The distinguishing feature of delayed ejaculation is a marked delay in or inability to achieve ejaculation., , The presenting complaint usually involves partnered sexual activity., , Some men may report avoiding sexual activity because of a repetitive pattern of difficulty ejaculating., , Prevalence is unclear because of the lack of a precise definition of this syndrome., , Complaints of ejaculatory delay vary across countries and cultures., , Delayed ejaculation is often associated with considerable psychological distress in one or both partners., , Ejaculation occurs in the genitals, whereas orgasm is believed to be primarily subjective., , Ejaculation and orgasm usually occur together but not always., .

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