Delayed Ejaculation

Delayed ejaculation, difficulty ejaculating despite erection and arousal, affects 1-4% of men. It can be primary (never ejaculated during sex) or secondary (previously ejaculated but now struggles). Usually happens during sex, rarely during masturbation.

Delayed ejaculation can lead to difficulty in ejaculating during intercourse or masturbation, causing frustration for both partners. Men may experience pleasurable orgasms without ejaculation, known as ‘dry orgasm.’

Causes

A physician, often a urologist, can diagnose delayed ejaculation through medical history and physical examination.

• Medication side-effects: Antidepressants, antianxiety drugs, and blood pressure can slow ejaculation.
  • Alcohol or illicit drug use.
  • Neurological damage: Stroke, spinal cord injury, or multiple sclerosis can cause ejaculation issues.
  • Psychological causes: Sexual performance anxiety, depression, relationship issues can delay ejaculation.
  • Fast-paced masturbation may hinder climax.

Treatment

• Suspected medication may cause delayed ejaculation.
  • Alternative prescriptions can be found with doctor’s guidance.
  • Essential prescriptions cannot be removed or replaced.
  • Limiting drinking and illicit drug use can help.
  • Psychological causes are often the primary cause of delayed ejaculation.
  • Counseling and sex therapy with licensed professionals is the primary treatment.

Psychological therapy aims to alleviate sexual anxieties so men can comfortably climax during intercourse. Retrograde ejaculation redirects semen to the bladder in males.