Medicine for delayed ejaculation

Delayed ejaculation Medical Information

Delayed ejaculation is a medical condition in which a male cannot ejaculate, either during intercourse or by manual stimulation with a partner. Ejaculation is when semen is released from the penis.

Causes of Delayed ejaculation

Most men ejaculate within a few minutes of starting to thrust during intercourse. Men with delayed ejaculation may be unable to ejaculate (for example, during intercourse), or may only be able to ejaculate with great effort after having intercourse for a long time (for example, 30 to 45 minutes).

Delayed ejaculation can have psychological or physical causes.

Common psychological causes include:

  • Religious background that makes the person view sex as sinful
  • Lack of attraction for a partner
  • Conditioning caused by a habit of unusual masturbation
  • Traumatic events (such as being discovered masturbating or having illicit sex, or learning one's partner is having an affair)

Some factors, such as anger toward the partner, may be involved.

Physical causes may include:

  • Blockage of the ducts that semen passes through
  • Nervous system diseases, such as a stroke or nerve damage to the spinal cord or back

Tests and Exams

Stimulating the penis with a vibrator or other device may determine whether you have a physical (often nervous system) problem. A nervous system (neurological) examination may reveal other nerve problems that are associated with delayed ejaculation.

Treatment of Delayed ejaculation

If you have never ejaculated through any form of stimulation (such as wet dreams, masturbation, or intercourse), see a urologist to determine if the problem has a physical cause.

If you are able to ejaculate in a reasonable period of time by some form of stimulation, see a therapist who specializes in ejaculation problems. Sex therapy usually includes both partners. The therapist will usually teach you about the sexual response, and how to communicate and guide your partner to provide the right stimulation.

Therapy often involves a series of "homework" assignments. In the privacy of your home, you and your partner engage in sexual activities that reduce performance pressure and focus on pleasure.

Typically, you will not have sexual intercourse for a certain period of time, while you gradually learn to enjoy ejaculation through other types of stimulation.

In cases where there is a problem with the relationship or a lack of sexual desire, you may need therapy to improve your relationship and emotional intimacy.

Sometimes hypnosis may be a helpful addition to therapy, especially if one partner is not willing to participate in therapy. Trying to self-treat this problem is often not successful.

If a medication is believed to be the cause of the problem, discuss other medication options with your health care provider. Never stop taking any medicine without first talking to your health care provider.

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Interesting, I wikied and it says that you

by texasjack

Aren't exactly right.
"Moreover, studies have suggested that paroxetine can in fact be used in the treatment of premature ejaculation. In particular, intravaginal ejaculation latency time (IELT) found to increase with a 6-13-fold, which was somewhat longer than those of a predessor.. the delay achieved by the treatment with other SSRIs (fluvoxamine, fluoxetine, sertraline and citalopram).[14][15][16] However, paroxetine taken acutely ("on demand") 3–10 hours before coitus resulted only in a "clinically irrelevant and sexually unsatisfactory" 1.5-fold delay of ejaculation and was inferior to clomipramine, which induced a fourfold delay.[16]"


by MCB6923

Premature ejaculation affects up to 20% of all males. (My experience is more like 75%, but whatever.)
There are several approaches to resolving this if it's an issue for you.
Behavioural Therapy. The 'stop–start' strategy (stopping coitus in situ and restarting after a delay) and its evolution to the 'squeeze' technique (the physical application of pressure at the base of the head of the penis) have been reported since the 1950s [Semans, 1956]. However, while short-term benefits have been reported (symptomatic benefit in 45–65%), the long-term results of treatment have not been conclusive (after 3 years of follow up, 75% of men showed no lasting improvement) [Hawton et al

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