What is Delayed Ejaculation?
Delayed ejaculation can be temporary or a lifelong problem.
Possible causes of DE include certain chronic health conditions, surgeries and medications, and treatment for it depends on the underlying cause.
It’s normal for men to have delayed ejaculation from time to time and it is only a problem if it’s ongoing or causes stress for you or your partner.
A physical exam and medical history are needed to be able to recommend treatment for delayed ejaculation, and Precision clinic is a good place to start.
Symptoms of Delayed Climax
Some men with delayed ejaculation need 30 minutes or more of sexual stimulation to have an orgasm and ejaculate. Some men can only ejaculate with manual or oral stimulation. Other men might not be able to ejaculate at all (anejaculation).
But, there’s no specific time that indicates a diagnosis of DE. Instead, you are probably experiencing it if the delay is causing distress or frustration, or if you have to stop sexual activity due to fatigue, physical irritation, loss of erection or a request from your partner.
Often, men might have difficulty reaching orgasm during sexual intercourse or other sexual activities with a partner. Some men can ejaculate only when masturbating.
Treatment is important because delayed ejaculation can cause:
- Diminished sexual pleasure for you and your partner.
- Stress or anxiety about sexual performance.
- Marital or relationship problems due to an unsatisfactory sex life.
- Inability to get your partner pregnant (male infertility).
Lifelong vs. acquired DE
Generalized vs. situational DE
Delayed Ejaculation Causes
Medications and Substances Causing DE
- Some antidepressants.
- Certain high blood pressure medications.
- Certain diuretics.
- Some antipsychotic medications.
- Some anti-seizure medications.
- Alcohol — particularly drinking too much (excessive alcohol use or alcoholism), especially if you’re a long-term heavy drinker.
- Certain birth defects impacting the male reproductive system.
- Injury to the pelvic nerves that control orgasm.
- Certain infections, such as a urinary tract infection.
- Prostate surgery, such as transurethral resection of the prostate or prostate removal.
- Neurological diseases, such as diabetic neuropathy, stroke or nerve damage to the spinal cord.
- Hormone-related conditions, such as low thyroid hormone level (hypothyroidism) or low testosterone level (hypogonadism).
- Retrograde ejaculation, a condition in which the semen goes backward into the bladder rather than out of the penis.
- Older age — as men age, it’s normal for ejaculation to take longer.
- Medical conditions, such as diabetes or multiple sclerosis.
- Depression, anxiety or other mental health conditions.
- Relationship problems due to stress, poor communication with your partner or other concerns.
- Anxiety about performance.
- Poor body image.
- Cultural or religious taboos.
- Differences between the reality of sex with a partner and sexual fantasies.