Delayed ejaculation is a condition that is characterized by a man’s inability to ejaculate or achieve orgasm in a timely manner during sexual intercourse. It is also known as inhibited ejaculation, retarded ejaculation, or male orgasmic disorder.

Men may take an extended period before they can orgasm, or they may not reach orgasm at all, even after a prolonged sexual encounter. This condition does not pose a health threat, but it may affect a man’s sexual performance, his self-esteem, and his relationship with his sexual partner.

What Causes Delayed Ejaculation?

Delayed ejaculation can be caused by both psychological and physical factors. Some of the most common causes of delayed ejaculation include:.

Psychological factors: Certain psychological factors can interfere with a man’s ability to ejaculate during sex. These factors may include anxiety, stress, depression, relationship problems, unresolved sexual conflicts, or a history of sexual trauma or abuse.
Medications: Certain medications can cause delayed ejaculation as a side effect. These medications include antidepressants, antipsychotics, blood pressure medications, and opioids.
Nerve damage: Damage to the nerves that control ejaculation can lead to delayed ejaculation. This damage can be caused by conditions such as multiple sclerosis, Parkinson’s disease, or spinal cord injuries.
Hormonal imbalances: Hormonal imbalances can affect a man’s ability to ejaculate. Low levels of testosterone, for example, can lead to delayed ejaculation.
Prostate problems: Prostate problems such as prostatitis or an enlarged prostate can interfere with ejaculation.
Surgery: Surgery that affects the pelvic area, such as prostate surgery or bladder surgery, can also lead to delayed ejaculation.

Diagnosis of Delayed Ejaculation

Delayed ejaculation diagnosis involves a physical examination of a man’s genitals and a review of his medical history. The doctor may also ask questions concerning the symptoms and try to understand how long they have persisted.

Medical tests may also be performed to rule out medical conditions like nerve damage, prostate problems or hormonal imbalances.

Treatments for Delayed Ejaculation in Men

The treatment options for delayed ejaculation depend on the underlying cause. Some of the possible treatment options include:.

Psychotherapy: If psychological factors are causing delayed ejaculation, counseling or therapy may be helpful. There are many therapeutic approaches that can help an individual overcome psychological barriers to reaching orgasm.
Medications: Changing medications or dosages that cause DE may be helpful. Sometimes doctors recommend antidepressants that delay orgasm for those with premature ejaculation, so changing the medication may help men with DE.
Surgery: If prostate problems or other physical issues are responsible for delayed ejaculation, surgery may be necessary.
Sex therapy: Some people may benefit from sex therapy. This type of treatment involves working with a therapist to improve sexual communication, reduce anxiety, and improve intimacy.
Use of sex toys: Using sex toys or introducing new sexual positions may be helpful in stimulating the penis and increasing the chances of reaching ejaculation.