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What are the Causes of Delayed Ejaculation in Men?

Julian Carter
Published

LAST UPDATED:

Causes of Delayed Ejaculation can also be psychological

Delayed Ejaculation (DE), also known as Impaired Ejaculation, is a common medical condition that affects men.

DE refers to when a man takes a prolonged period of sexual stimulation to ejaculate. In some cases, individuals may fail to ejaculate at all.

If DE becomes persistent, it may cause distress or interfere with sexual satisfaction. 

It is worth noting that Delayed Ejaculation is a manageable condition, and many individuals can experience improvements.

Treating Delayed Ejaculation typically involves identifying and addressing the underlying causes. 

Let us explore the causes of Delayed Ejaculation and treatment options.

What causes Delayed Ejaculation

Delayed Ejaculation is a condition that can be a lifelong problem or obtained over time due to several circumstances.

Many factors can cause DE, like physical, psychological, and lifestyle.

Let us discuss the causes of Delayed Ejaculation in detail.

Psychological causes

Psychological causes can create emotional barriers, affecting the normal ejaculatory response.

According to a study, psychosocial stress can increase the prolactin hormone in your body.

A high level of prolactin in the body can also block ejaculation, resulting in DE.

Increased prolactin levels can also cause reduced sex drive, low testosterone levels, Erectile Dysfunction, etc.

Psychological factors contributing to DE include Anxiety, stress, relationship issues, performance anxiety, or certain conditioned responses.

Physical causes

Physical causes of DE may include certain medications, hormonal imbalances, neurological disorders, anatomical abnormalities, or previous surgeries. 

Certain blood pressure medicines might cause Delayed Ejaculation. 

They may affect the ejaculatory response and potentially increase the time required to reach orgasm and ejaculate. 

Hormonal disbalance is also known as one of the causes of Delayed Ejaculation and is often caused due to Fatigue and sleep disorders. 

Previous surgeries, particularly those involving the genitourinary system, can contribute to Delayed Ejaculation. 

It’s important to note that physical causes can coexist with or interact with psychological factors.

Consult a doctor to understand the causes and treatment more clearly.

Glossary
Genitourinary system: The system includes the organs of the genital (reproductive) and urinary systems.

Lifestyle factors

In addition to psychological and physical factors, certain lifestyle factors can contribute to Delayed Ejaculation.

These factors include various aspects of an individual’s lifestyle choices and habits, which can influence sexual functioning.

A journal states that substance use and abuse may cause DE. 

Excessive consumption of alcohol can impair sexual performance and disrupt the normal physiological processes involved in achieving orgasm and ejaculation.

Excessive masturbation is another factor that may cause DE. 

Engaging in frequent masturbation with a particular grip or technique can condition the body to require similar stimulation during partnered sexual activities. 

Each person has unique preferences and requirements for achieving orgasm and ejaculation. If the stimulation provided falls short, it may result in Delayed Ejaculation.

A journal states that some men can attain an erection despite not receiving adequate sexual stimulation.

Over time, this can make it challenging to reach ejaculation without these specific conditions.

Warning:
An article states that watching excessive porn is directly related to the frequency of masturbation. Excessive masturbation leads to difficulty reaching orgasm.

Treatment options

There are various options available to manage Delayed Ejaculation and improve sexual functioning. 

The type of treatment depends on the causes, whether they are psychological, physical, or a combination of both. 

The treatment option includes home remedies, therapy, and medications.

Consult a doctor before choosing any treatment option.

Medications

If DE is related to an underlying medical condition or side effects, adjusting or changing medications can help reduce the problem.

There are no FDA-approved medicines to treat DE, but doctors can prescribe off-the-label medications.

Medications to treat DE are Cabergoline, Bupropion, and Amantadine.

Cabergoline is a common prescription medicine to manage high levels of prolactin hormone. 

While its primary purpose is to regulate prolactin levels, evidence suggests that Cabergoline may also improve ejaculatory function.

Bupropion, on the other hand, is an FDA-approved antidepressant medicine that can increase neurotransmission in individuals facing psychological issues. 

It may result in faster ejaculation by helping the underlying psychological causes of DE.

Consult a doctor to know the working and side effects of the medicine before taking them.

Quick Checkout:
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  • Duratia 30 mg
  • Poxet 30 mg
  • Therapy

    Therapy can help address performance anxiety, relationship issues, and psychological factors contributing to DE. 

    Through therapy, individuals can explore and resolve any underlying emotional or psychological concerns affecting their ability to ejaculate.

    One may also consider hormonal therapy if hormonal imbalances cause Delayed Ejaculation.

    Exercises

    men exercising togetherSource: Photology2000
    Exercise can improve erectile and ejaculatory function.

    Exercise can be valuable in managing Delayed Ejaculation (DE) and improving ejaculatory control. 

    These exercises primarily focus on enhancing awareness, increasing stimulation tolerance, and improving overall sexual functioning. 

    Pelvic floor exercises can help you in controlling your pelvic muscles. An improved control will help you regulate your ejaculations better. 

    Running and practicing daily activities may improve Testosterone levels up. Enhanced testosterone levels are beneficial in treating DE.

    Incorporating these exercises into one’s routine can help achieve more satisfying sexual experiences.

    Key Takeaways

    Delayed Ejaculation is a common condition in which a man takes a prolonged period of sexual stimulation to ejaculate.

    Distress and reduced sexual satisfaction can be causes of Delayed Ejaculation.

    Physical, psychological, and lifestyle factors are the causes of Delayed Ejaculation.

    Delayed Ejaculation is a manageable condition, and many individuals can experience improvements.

    There are various treatment options for DE, including home remedies, therapy, medications, and surgery.

    Consult a doctor to choose the best treatment option for yourself.

    Frequently Asked Questions

    How many minutes is considered Delayed Ejaculation?

    A healthy man takes 5-7 minutes for ejaculation. However, a person affected by DE may take 30 to 45 minutes for ejaculation.
    In some cases, individuals may fail to ejaculate at all.

    Can low testosterone cause Delayed Ejaculation?

    Yes, low Testosterone levels can cause Delayed Ejaculation. 

    Lower Testosterone levels may reduce sex drive in a man and cause depression. This might affect the ejaculation time of the individual.

    What medication causes Delayed Ejaculation?

    Some medications like antidepressants, antipsychotics, and blood pressure medicines may affect the ejaculatory response and potentially increase the time required to reach orgasm and ejaculate.

    Can marijuana cause Delayed Ejaculation?

    Yes, smoking marijuana (cannabis) can cause Delayed Ejaculation. Marijuana contains active compounds known as cannabinoids which can influence various physiological processes, including sexual function.
    Therefore, marijuana may cause Delayed Ejaculation.

    Are there any home remedies for Delayed Ejaculation?

    Exercise, meditation, supplements, and a healthy diet are some home remedies for Delayed Ejaculation.

    Citations:
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