Delayed Ejaculation: Symptoms, Causes & Treatment

Delayed ejaculation (also known as delayed orgasm) happens when it takes a while to ejaculate during sexual intercourse, and you need lots of stimulation to achieve sexual climax. In some cases, you may not even ejaculate.

Delayed orgasm was once called a male orgasmic disorder. Anejaculation is the inability to ejaculate, and Anorgasmia cannot reach a peak (orgasm).

Orgasm has no pre-defined time. In normal condition it can last from 3 to 10 minutes. But in case of Delayed orgasm it can last up to 30 minutes. you might find it frustrating to perform the sexual activity if you are suffering from it, which could be true whether you have a partner.

Nevertheless, there are various treatment options and other home remedies for delayed ejaculation that doctors can prescribe after diagnosing your condition.

Symptoms Of Delayed Ejaculation

Delayed ejaculation is when a man requires more sexual stimulation than for at least 30 minutes to have an urge to orgasm and ejaculate. Anejaculation – inability to ejaculate is a different possibility.

No time frame can indicate delayed orgasm. Suppose you experience distress or frustration or have to stop the sexual activity because of fatigue, physical irritation, erection loss, or a demand from your partner. In that case, you may be experiencing delayed ejaculation.

Sometimes, it is not easy for men to have orgasms with their partners during sexual intercourse but a man can still ejaculate while masturbating. This condition is result of excessive masturbation habit and creates issues in relationship.

Absence of simulation of orgasm is also linked to anorgasmia. due to this condition ejaculation may delay for longer time and create a unsatisfactory sexual encounter.

Based on the symptoms, delayed ejaculation are:

• Lifelong or acquired. The problem begins at sexual maturity in case of lifelong delayed ejaculation. However, acquired delayed ejaculation can occur following normal sexual functioning.
•  Situational or generalized Generalized delayed ejaculation is not limited to specific sex partners or types of stimulation. Situational delayed ejaculation is only possible in certain situations. These categories help in categorizing your underlying cause and accordingly enable doctors to prescribe the correct treatment option.

Rarely DE can signify that you have a more severe health problem like heart disease and diabetes.

Causes of Delayed Ejaculation

Certain prescribed medicine, any chronic health conditions, or a surgery can be the cause. Moreover, it could also be due to substance misuse, mental health concerns, depression, anxiety, or stress, and it could be due to both psychological and physical issues.

There are psychological reasons for ejaculation getting delayed:

• Stress, poor communication, and other issues can cause relationship problems.
• Performance anxiety
• Anxiety, Depression, and other mental health conditions
• Poor body image
• Taboos that are cultural or religious
• There are differences between sex with a partner or fantasies and reality

Some medications and other substances can delay ejaculation. Such reason for delaying in the ejaculation can include:

• Antidepressants
• High blood pressure medications
• Diuretics
• Anti-seizure medications
• Antipsychotic medication
• Alcohol — especially excessive alcohol consumption (or alcoholism).

Physical causes leading to delay in ejaculation are as follows:

• Injuries to the pelvic nerves controlling orgasm
• Some infections, like urinary tract infections, can be fatal.
• Any birth defects that affect the male reproductive system.
• Transurethral resection
• Neurological diseases such as stroke, diabetic neuropathy, and nerve damage to the spinal cord are all possible.
• Hormone-related conditions such as hypothyroidism or hypogonadism.
• Retrograde ejaculation

A minor medical problem can be the reason for delayed ejaculation, which could lead to anxiety during a sexual encounter.

Prevention Of Delayed Ejaculation

There is no way to effectively avoiding the delay in ejaculation due to nerve injury or aging. However, you can prevent complications due to excessive drinking or drug usage.

If you believe your relationship troubles  are caused by your delayed orgasm problems, consider having a sensible discussion with them.

Further, strengthening your relationship may help avoid the occurrence or worsening of delayed ejaculation.

Risk factors

So, many things can increase your chance of experiencing delaying  in ejaculation.

• Men getting older
• Multiple sclerosis and diabetes
• Depression and anxiety are psychological conditions.
• Some medical treatments, like prostate surgery.
• Medication, especially high-blood pressure medications certain antidepressants, or diuretics
• No or improper communication can cause relationship problems and even worsen the situation of delayed ejaculation.
• Alcohol abuse, especially if you are a long-term heavy drinker.

Complications Due To Delayed Ejaculation

Delay in ejaculation may cause complications such as:

• You and your partner will experience diminished sexual pleasure
• Anxiety or stress about sexual performance
• Unsatisfactory sexual life can cause marital or relationship problems.
• Male infertility is when a man cannot get pregnant with his partner.

Delayed Ejaculation Treatment

The cause of delayed ejaculation depends on the root cause. Further, treatment may include taking medication, changing your current medications, psychological counseling, or dealing with alcoholism or illegal drug abuse.

Medications

You might need to reduce the dosage or switch medications if you have a problem with delayed ejaculation. Sometimes, medication can help.

No drugs are approved for treatment of delayed-ejaculation. Most medications that are used to treat delayed-ejaculation are also used for other conditions.

Some medications for delayed ejaculation treatment include:

• Amantadine is a Parkinson’s drug.
• Buspirone is an anti-anxiety medication.
• Cyproheptadine is an allergy medication.

Also, low testosterone can lead to DE. So, testosterone supplements may help you fix this problem.

Psychological counseling (psychotherapy).

Psychotherapy can address underlying mental health issues that lead to delayed ejaculation—for example, depression and anxiety. Psychotherapy can also be used to treat psychological issues that may affect your ability to ejaculate.

Counseling can be done with or without your partner.

Further, some men can find that they benefit for psychological counseling with a sex therapist. Moreover, your specific needs will decide what sort of counseling will bring the best outcomes.

Further, you may be able to help your partner if your delayed ejaculation is due to a lifestyle issue, such as alcohol abuse or infidelity.

Natural Remedies for Delayed Ejaculation Treatment Can Include:

• Talk to your partner. Performance anxiety can often cause delayed orgasm problems in men. Discussing sex issues with your partner can reduce anxiety and make sex more fun and relaxing.
• Seek treatment if you suffer from an alcohol- or substance abuse disorder. Heavy alcohol consumption or drugs usage may be the reason for ejaculation delaying. Hence, consider seeking treatment if you suffer from an alcohol- or drug-use disorder.
• Have a healthy lifestyle. Maintain a good diet, avoid sugary or high-carb diets, and include more vegetables, fruits, and healthy fats in your diet.
• Kegel exercise can benefit. These exercises can help you strengthen your pelvic floor and improve muscle control. To find the right muscles, you can start to pee, stop, and begin again.

Bottom Line

It can be frustrating to deal with delaying in ejaculation , especially if it limits your ability to have sex with your partner.

However, it is generally manageable, and there are many options to help you orgasm more easily during sex.

So, if you are experiencing difficulties in ejaculating or have weak ejaculation, consult your doctor. To discuss your symptoms and learn about possible treatment options, you can also speak to a reputable and trusted healthcare provider online like Ohman.

Ohman offers online private online consultations with reputable doctors across India. The specialists can identify any underlying issues and recommend the best treatment to give you quick results for any of your underlying health issues.

Also, you can easily order medications through the Ohman’s online store and receive best medicines for premature ejaculation and erectile dysfunction on time with discrete packaging.

Frequently Asked Questions

• Can Viagra treat delayed ejaculation?
  Ans – Sildenafil (Viagra), used to treat erectile dysfunction (ED), helps men with ED last longer in sexual situations, and it has not been used to treat delayed ejaculation. One new study suggests that tadalafil (Cialis(r),) an alternative ED drug may increase ejaculation.
• Is delayed ejaculation common?
  Ans – About 1 to 4 percent of men suffer from delayed ejaculation. Both the man and his partner can be affected by it, and it can cause anxiety about your general health, low sexual desire, and sexual dissatisfaction.
• Is there any way to help my partner with delaying ejaculation?
  Ans – Talk with partner if you can help in this condition. Further, go for couples counseling or sex therapy with your partner. Try to forget about the idea that one of you is wrong. Further, understand what is concerning your partner and help them solving any relationship issues.
• How long is considered delayed ejaculation?
  Ans – Delaying in ejaculation is when a man requires more sexual stimulation than for at least 30 minutes to have an urge to orgasm and ejaculate.

Reference – https://pubmed.ncbi.nlm.nih.gov/26439762/