Delayed Ejaculation

Overview

Delayed ejaculation is a persistent difficulty or inability to reach ejaculation despite adequate stimulation and desire. It's less commonly discussed than premature ejaculation but can be equally distressing.

Symptoms

●Prolonged time needed to reach ejaculation

●Inability to ejaculate at all in some encounters

●Frustration or distress about the pattern

Causes

Causes include psychological factors, certain medications (particularly some antidepressants), nerve-related changes, and low testosterone.

Risk Factors

Certain medications — Especially SSRIs and some blood pressure medications.

Diabetes — Can affect nerve function involved in ejaculation.

Pelvic surgery or nerve injury — Can directly affect the nerves involved.

Psychological factors — Anxiety or relationship concerns can contribute.

Diagnosis

Diagnosis includes a detailed history, a review of current medications, and hormone testing where indicated.

Complications If Untreated

Beyond relationship strain, significant delayed ejaculation can make conception more difficult for couples trying to have children.

Treatment Options

Hormone Therapy

See Details →

Prevention Tips

Reviewing medications with a doctor and managing underlying conditions like diabetes can help prevent or improve the pattern.

Lifestyle Advice

Open communication with a partner and addressing underlying anxiety are often as important as any medical treatment.