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Understanding Delayed Ejaculation: Symptoms, Causes, and Treatments

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Written by- Julian Carter
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Ever wondered why it takes so long to ejaculate? One of the reasons may be Delayed Ejaculation, a common sexual disorder.

Delayed Ejaculation (DE) in men refers to the difficulty or inability to reach an orgasm and ejaculate semen. 

Some men who experience Delayed Ejaculation are entirely unable to ejaculate.

DE can be a temporary or lifelong problem. It might develop at any time during their lifetime.

You may identify the problem when you need sexual stimulation for a long time to orgasm and ejaculate.

Numerous physical and psychological causes can contribute to the issue. 

In most cases, Delayed Ejaculation disappears on its own. 

However, you might need to treat it if it lasts a long time or starts worrying you.

This article focuses on the causes, symptoms, and course of treatment for Delayed Ejaculation.

What is Delayed Ejaculation (DE)

Delayed Ejaculation (DE) is a condition when ejaculation takes longer than desired or does not happen at all. 

Delayed Ejaculation is a common sexual disorder. 1-4% of males experience this condition.

Most men occasionally experience DE; however, it may be a persistent problem for some. 

DE does not pose any particularly dangerous health risks.

However, It might be stressful and interfere with your sex life and personal connections. 

Symptoms of Delayed Ejaculation

A typical common symptom of Delayed Ejaculation is taking  30 minutes or more to orgasm and ejaculate. 

“Anejaculation”, or the inability to ejaculate at all, may occur in some males.

However, there is no particular period at which a diagnosis of Delayed Ejaculation may be made.

A 2016 study mentions that at least one of the following two symptoms should exist to diagnose DE.

  • There should be a significant delay in ejaculation, or
  • There should be infrequency or absence of ejaculation 75-100% of the time for at least six months.

However, not everyone who is diagnosed with DE has to have these specific symptoms.

Stopping sex because of exhaustion, physical annoyance, a partner’s request, or loss of erection can also help diagnose this condition. 

Causes of Delayed Ejaculation

Delayed Ejaculation can have a physical or psychological cause. The two may also overlap one another. 

If a person has always had trouble achieving an orgasm, it may be a lifelong issue.

The physical causes of DE include: 

  • Side effects of certain medications include antidepressants (like Selective Serotonin Reuptake Inhibitors SSRIs), blood pressure medicines, pain killers, etc
  • A typical ejaculatory dysfunction can result from nerve damage, which includes stroke, spinal cord injury, surgery, and severe Diabetes
  • Excessive use of alcohol 
  • Prostate issues like inflammation of the prostate gland could be a factor

The psychological causes of Delayed Ejaculation include: 

  • Depression, Anxiety, or other mental health issues. 
  • Performance Anxiety
  • Relationship issues brought on by stress, inadequate communication, or other issues

A slight physical issue that delays ejaculation can make some men anxious about ejaculating during a sexual encounter. 

The anxiousness that follows could make Delayed Ejaculation worse.

Men with this issue frequently ejaculate while masturbating but not when being stimulated by a partner.

Specialists observed that most males who experienced Delayed Ejaculation said they had no trouble getting aroused or ejaculating during masturbation.

Recommended Reading
If you’re worried about your sexual health, Read this article to learn what causes Delayed Ejaculation in detail.

Treatments

Man seeking treatment for delayed ejaculationSource: pixelshot
Man seeking treatment for delayed ejaculation

There is no specific Delayed Ejaculation treatment due to a lack of  FDA-approved medications.

The cause of Delayed Ejaculation determines the course of treatment. For instance, if SSRIs are the problem, a doctor can recommend switching medications.

When the cause of DE is psychological, counseling can be used as Delayed Ejaculation treatment.

In cases where DE results from physical causes, you may need medications or exercise.

Let’s go into more detail about Delayed Ejaculation treatments: 

Counseling (psychotherapy)

Psychotherapy can help by addressing underlying mental health issues, like Depression or Anxiety, causing Delayed Ejaculation. 

It’s also employed to treat mental conditions that directly impact your capacity to ejaculate.

Talking to a sex therapist may help resolve your sex problems as they specialize in sex therapy.

The type of counseling that’s best for you will depend on your particular concerns. 

Talking to a psychiatrist may be more suitable for some people with DE conditions. They can help you resolve those issues and get back in the game.

Medications

When taken off-label, some medications may aid with Delayed Ejaculation symptoms, although the FDA has authorized none to treat the condition yet.

Off-label use of the following medications may help treat DE.

  • Cyproheptadine (Periactin), an allergy medication
  • Amantadine (Symmetrel), a drug used to treat Parkinson’s disease
  • Buspirone (Buspar), an antianxiety medication
  • Cabergoline (Dostinex), a dopaminergic medication
  • Oxytocin (Pitocin), a type of hormone
Warning:
Cyproheptadine and Cabergoline are off-label medicines for Delayed Ejaculation. Consult a doctor before taking them to avoid potential side effects.

Exercise

Therapy or medication may seem excessive to individuals who only infrequently struggle with this issue.

Exercise is typically recommended by doctors along with other therapies for Delayed Ejaculation.

According to ClevelandClinic, kegel or pelvic floor exercises may help treat DE. You need to find and target the right pelvic floor muscles.

Conclusion

Delayed Ejaculation is a common sexual disorder. 

A variety of physical and psychological factors may cause DE. Delayed Ejaculation treatment is based on the underlying cause of the issue.

Generally, treatment may involve certain medications or therapy, depending on the cause. Doctors may suggest them along with exercises for Delayed Ejaculation.

Seek medical help if you have difficulty having an orgasm or ejaculation.

Frequently Asked Questions

What are the common causes of Delayed Ejaculation?

The common causes of Delayed Ejaculation include psychological factors, such as stress or performance anxiety, certain medications, hormonal imbalances, nerve damage, and relationship issues.

What Delayed Ejaculation feels like?

A typical symptom of Delayed Ejaculation is that you may take 30 minutes or more to orgasm and ejaculate. 
In other cases, you may feel physically tired or feel pain after some time and may have to stop in between.

What can a Urologist do for Delayed Ejaculation?

A Urologist can diagnose the underlying cause of Delayed Ejaculation through medical history, physical examination, and tests. They can then provide treatment options, including medication adjustments, therapy, or addressing anatomical or physiological issues.

Will Viagra help with Delayed Ejaculation?

Viagra is an Erectile Dysfunction medicine. It can help you achieve and maintain erections more easily. But it cannot impact the time of your orgasm and ejaculation. Therefore it may not help with Delayed Ejaculation.

Can medication help in treating Delayed Ejaculation?

Certain medications, such as Selective Serotonin Reuptake Inhibitors (SSRIs) or Alpha-blockers, can manage delayed ejaculation by adjusting neurotransmitter levels or blocking specific receptors.

Citations:
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