This study describes the experience of inhibited ejaculation in five men using qualitative methods. All the men shared some common features that emerged as four major themes. These were Sexual Development, Relationships, Fantasy versus Reality and Perception of the Problem/Situation. The participants described low self-esteem and lack of confidence in adolescence. They described a history of unhappy relationships and relationships outside of marriage. Sex in long-term relationships had become mechanical and they were unable to express their sexual needs. Masturbation appeared to be their preferred method of sexual satisfaction. The study concludes that an integrative approach to therapy is most suited for men living with inhibited ejaculation.