Delayed ejaculation in men is the difficulty or failure to reach an orgasm and ejaculate sperm. Physical or psychological causes can exist.

Delayed ejaculation is when a man takes more than 30 minutes of penetrative sex to ejaculate, despite having a normal erection.

Around1 in 4% of men have delayed ejaculation.

It can be upsetting for both the man and their partner, respectively. It can lead to anxiety about one’s overall health, a lack of libido, and sexual displeasure. Relationship issues include both parties’ fear of rejection and concern for couples who want to start a family.

Most men will have delayed ejaculation at a certain point in their lives, but it will be a lifelong issue for some.

Causes

Either psychological or biological factors can cause delayed ejaculation. There may be some overlap between the two as well. It can be a lifelong condition in which a man has always had trouble reaching orgasm. However, other factors cause delayed ejaculation, as well.

The following are some of the physical causes of delayed ejaculation:

• Medication side effects: Antidepressants, particularly selective serotonin reuptake inhibitors, anti-anxiety medications, blood pressure medication, pain relievers, and other medicines, may cause delayed ejaculation.
• The use of alcohol or certain recreational drugs can have an effect.
• Damage to the nerve system, such as a stroke, surgery, spinal cord injury, or severe diabetes, can lead to abnormal ejaculatory function.
• The sensitivity of the penis to sexual stimulation can decrease with age.

Among the psychological factors that may contribute to delayed ejaculation are:

• Early life history includes abuse, difficulties bonding, parental neglect, a negative sexual upbringing, unexpressed anger, and a refusal to enjoy pleasure.
• Religious conviction or fear  of injuring or defiling your partner through ejaculation
• Pregnancy anxiety
• issues of low self-esteem or performance anxiety – for instance, anxiety about body confidence that interferes with sexual excitement
• Aggressive masturbatory behavior may contribute to the development of delayed ejaculation.

Diagnosis

Delayed ejaculation is diagnosed when a man is concerned about a significant delay in ejaculation. It is when during sexual encounters for 6 months or greater.

A doctor will ask the patient about their symptoms and how frequently they occur to make a proper diagnosis. They will then rule out any other possible medical issues, such as infectious diseases or hormonal imbalances. This may entail the use of urine and blood tests.

Treatment

The cause determines the treatment for delayed ejaculation. For example, if SSRIs are causing problems, a physician may prescribe a different medication.

If excessive alcohol consumption or recreational drug use are contributing factors, significantly reducing these may be beneficial. If there are other medical conditions, such as a neurological problem, treating the primary condition may help to resolve the delayed ejaculation.

Primary causes of delayed ejaculation may be challenging to treat. You may need professional counselors, for instance, psychotherapists, psychologists, psychosexual counselors,  or sex therapists throughout your journey.

Conclusion

The treatment’s success is determined by the DE cause and the type of treatment.

Make an appointment with your doctor or urologist if you are concerned.