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Also known ‘delayed ejaculation’ it is defined when a male is unable to ejaculate, either during intercourse, or with manual stimulation in the presence of a partner.
Estimates of the incidence of retarded ejaculation range from 1% to 4% of men. Most men ejaculate within 2 to 4 minutes after onset of active thrusting in intercourse.Men with retarded ejaculation may be entirely unable to ejaculate in some circumstances (for example, during intercourse), or may only be able to ejaculate with great effort and after prolonged intercourse (for example 30 to 45 minutes) The primary care physician has a vital role in documenting and preventing sexual abuse among the mentally retarded populations in our community. Since the current national trend is to integrate citizens with mental retardation into the community away from institutionalized care, it is essential that all physicians have a basic understanding of the unique medical and legal ramifications of their clinical diagnoses. As the Chetan Clinic is currently revising laws concerning rights of sexual consent among the mentally retarded, it is essential that determinations of mental competency follow national standards in order to delineate clearly any instance of sexual abuse. Chetan Clinical documentation of sexual abuse and sexually transmitted disease is an important part of a routine examination since many such individuals are indeed sexually active. Legal codes adjudicating sexual abuse cases of the mentally retarded often offer scant protection and vague terminology. Thus, Dr.Chetan's documentation and physicians competency rulings form a solid foundation for future work toward legal recourse for the abused.
