Causes of delayed ejaculation

Causes, Symptoms & Diagnosis

There are many potential causes of DE, including psychological hang-ups, chronic health conditions, and reactions to medications.

Psychological causes for DE can occur due to a traumatic experience regarding sex. Cultural or religious taboos can give sex a negative connotation. Anxiety and depression can both suppress sexual desire, which may result in DE as well.

Relationship stress, poor communication, and anger can make DE worse. Disappointment in sexual realities with a partner compared to sexual fantasies can also result in DE. Often, men with this problem can ejaculate during masturbation, but not during stimulation with a partner.

Certain chemicals can affect the nerves involved in ejaculation. This can affect ejaculation with and without a partner. Medications such as antidepressants (Prozac), antipsychotics (Mellaril), high blood pressure medications (guanethidine), diuretics, and alcohol can all cause DE.

Surgeries or trauma may also cause temporary DE. Physical causes of DE may include:

  • certain prostate surgeries that cause nerve damage
  • neuropathy (nerve damage) or stroke
  • birth defects that impair the ejaculation process

What Are the Symptoms of Delayed Ejaculation?

Delayed ejaculation occurs when a man requires more than 30 minutes of sexual stimulation to orgasm and ejaculate. Ejaculation is when semen is discharged from the penis. Some men can only ejaculate with manual or oral stimulation. Some men cannot ejaculate at all.

A lifelong problem with DE is very different from an acquired problem later in life. Some men have a generalized problem in which DE occurs in all sexual situations. For other men, it may only occur with certain partners or in certain circumstances.

If you feel that this condition is a significant problem, you should see your doctor. In some cases, DE may be a sign of a worsening health problem, such as heart disease or diabetes.

How Is Delayed Ejaculation Diagnosed?

A physical examination and explanation of your symptoms are necessary to make an initial determination. If a chronic health problem is suspected, more testing may need to be done. This includes blood and urine tests for infections, hormonal imbalances, etc.

Testing the reactions of the penis to a vibrator may reveal if the problem is psychological or physical.

What Treatments Are Available for Delayed Ejaculation?

Treatment will depend on the suspected underlying cause.

Some drugs have been used to attempt to help with DE, but no drug has been specifically approved for this use. According to the Mayo Clinic, a drug to treat Parkinson’s disease (amantadine), an antianxiety drug (buspirone), and an allergy drug (cyproheptadine) have been tried (Mayo Clinic, 2012).

Here you go!

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The difficulty in ejaculating that you describe is known as delayed ejaculation. Men with delayed ejaculation may be unable to ejaculate or may only be able to ejaculate after prolonged — 30 minutes or longer — intercourse or manual stimulation. This can be a frustrating problem for both partners.
Medical causes of delayed ejaculation include:
* Trauma to the pelvic nerves, which control orgasms, such as from injury or pelvic surgery
* A side effect of certain medications, including some antidepressants
* Excessive alcohol use or illicit drug use
* Neurological diseases, such as stroke or nerve damage to the spinal cord
However, the most common causes of delayed ejaculation are psychological

Could be different causes

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Can he get himself to climax quickly by himself? If so, there's either a mental issue going on when he is having sex with a partner or it might be a physical stimulation issue, ie. vaginal intercourse is not enough to have him reach climax. Is sex still pleasurable for you if you don't reach orgasm? It's the same for guys too.
Also, delayed ejaculation is a commom side effect of some medications so that could be a possible cause as well.

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