Delayed Ejaculation: Symptoms, Causes, Treatments And Prevention
Delayed ejaculation — sometimes called impaired ejaculation — is a condition in which it takes an extended period of s*xual stimulation for a man to reach s*xual climax and release semen from the man-hood (release). Some men with delayed ejaculation are unable to release at all.
Delayed ejaculation can be temporary or a lifelong problem. Possible causes of delayed ejaculation include certain chronic health conditions, surgeries and medications. Treatment for delayed ejaculation depends on the underlying cause.
Some men with delayed ejaculation need 30 minutes or more of s*xual stimulation to have an climax and release, or they may not be able to release at all (anejaculation). In the most common form of delayed ejaculation, a man can’t reach climax during s*xual intercourse — but can release with oral or manual stimulation of the man-hood. Some men can release only when self servicing.
Delayed climax is divided into the following types based on symptoms:
Lifelong vs. acquired. With lifelong delayed ejaculation, the problem is present from the time a male reaches s*xual maturity. Acquired delayed ejaculation occurs after a period of normal s*xual functioning.
Generalized vs. situational. Generalized delayed ejaculation isn’t limited to certain s*x partners or certain kinds of stimulation. Situational delayed ejaculation occurs only under certain circumstances.
These categories help in diagnosing an underlying cause, and determining what might be the most effective treatment.
Physical causes of delayed ejaculation include:
Certain birth defects affecting the male reproductive system
Injury to the pelvic nerves that control climax
Prostate surgery, such as transurethral resection of the prostate (TURP) or prostate removal
Prostate infection or urinary tract infection
Neurological diseases, such as diabetic neuropathy, stroke or nerve damage to the spinal cord
Hormone-related conditions, such as low thyroid hormone (hypothyroidism) or low testosterone
Psychological causes of delayed ejaculation include:
Depression, anxiety or other mental health conditions
Relationship problems due to stress, poor communication or other concerns
Anxiety about performance
Cultural or religious taboos
Differences between the reality of s*x with a partner and s*xual fantasies
Medications and other substances that can cause delayed ejaculation include:
Most types of antidepressants
Certain high blood pressure medications
Some antipsychotic medications
Alcohol — particularly drinking too much (alcohol abuse or alcoholism)
To find the best treatment for you, the doctor will first need to determine whether your delayed ejaculation is due to an underlying medical condition, a psychological issue or another concern. Delayed ejaculation treatment depends on the underlying cause but may include taking a medication or making changes to medications you currently take, undergoing psychological counseling, or addressing alcohol abuse or illegal drug use.
Because it can happen for a number of physical and psychological reasons, no one strategy can prevent delayed ejaculation. But taking these steps may help:
Spend more time with your partner to increase intimacy.
Limit or avoid the use of alcohol.
Don’t use illegal drugs, such as marijuana.
Stop using tobacco.
Take steps to reduce or better manage stress.
Get enough sleep.
Get help for anxiety or depression.
Make sure you’re getting the treatment you need for any chronic health problems.