Description

Delayed ejaculation is a condition in which a long period is required for sexual arousal to climax and release semen from the penis, called the point of ejaculate. Some people with delayed ejaculation can not ejaculate at all.

Delayed ejaculation can be brief or lifelong problem. The possible causes of delayed ejaculation include certain ongoing health conditions, surgeries and medications. Treatment for delayed ejaculation depends on the cause.

Delayed ejaculation may occur from time to time. Delayed ejaculation is a problem only if it is continuous, and the causes of stress or worries for you and your partner.

Symptoms

There is No time that means a diagnosis of delayed ejaculation. Some people with delayed ejaculation, you need several minutes of sexual stimulation to have an orgasm and ejaculation. Others might not be able to ejaculate at all, the so-called anejaculation.

In the delay of the ejaculation, the delay causes discomfort. Also delayed ejaculation can mean stop sex, due to fatigue, physical irritation, loss of erection, or because the partner wants to stop.

Often, there are problems to achieve orgasm during intercourse or other sexual activity with a partner. Some people can ejaculate only when masturbating. But others may not be able to ejaculate by masturbation.

Delayed ejaculation is divided into the following types based on the symptoms:

  • Of all the life in front of the acquiree. With the ongoing delay in ejaculation, the problem is present from the time of sexual maturity. Acquired delayed ejaculation that occurs after a typical time period of sexual functioning.
  • Generalized to deal with the situation. Generalized delayed ejaculation is not limited to certain sexual partners or certain types of excitation. Situational delayed ejaculation occurs only under certain conditions.

When to see a doctor

Your primary health care professional is a good place to start when you have delayed ejaculation. Consult your health care professional if you:

  • Delayed ejaculation is a problem for you or your partner.
  • You have another health problem that could be related to delayed ejaculation. Or you take medicines that may cause the delay of ejaculation.
  • If you have other symptoms along with the delayed ejaculation, which may or may not seem related.

Causes

Some medications, certain ongoing health conditions and surgeries can cause a delay in ejaculation. Other causes include substance misuse or mental health, such as depression, anxiety or stress. Often, it is due to a mixture of psychological and physical concerns.

Psychological causes of delayed ejaculation include:

  • Depression, anxiety, or other mental health disorders.
  • Relationship problems due to stress, does not communicate well or other concerns.
  • The anxiety on performance.
  • Poor body image.
  • Cultural or religious taboos.
  • The differences between the reality of the sexual intercourse with a partner and sexual fantasies.

Drugs and other substances that can cause delayed ejaculation include:

  • Some antidepressants or antipsychotics.
  • Certain medicines for blood pressure.
  • Certain water pills, called diuretics.
  • Some of the antipsychotic medications.
  • Some anti-seizure medications.
  • Too much alcohol.

The physical causes of delayed ejaculation include:

  • Certain birth defects that affect the reproductive system.
  • Injury to the pelvic nerves that control the orgasm.
  • Certain infections, such as a urinary tract infection.
  • Prostate surgery, such as transurethral resection of the prostate or prostate removal.
  • Neurological diseases, such as diabetic neuropathy, stroke or nerve damage to the spinal cord.
  • Hormone-related conditions, such as low level of the hormone of the thyroid, called hypothyroidism, or low level of testosterone, called hypogonadism.
  • A condition in which the semen goes backwards into the bladder rather than out of the penis, called retrograde ejaculation.

Risk factors

The following factors may increase the risk of delayed ejaculation:

  • Advanced age. With aging, the ejaculation takes longer.
  • Psychological conditions, such as depression or anxiety.
  • Medical conditions, such as diabetes or multiple sclerosis.
  • Certain medical treatments, such as surgery of the prostate.
  • Medications, such as certain antidepressants, blood pressure medications, or water pills, called diuretics.
  • Relationship problems, such as not being able to talk to your partner.
  • The excessive use of alcohol, especially of long-term excessive consumption of alcohol.

Complications

Complications of delayed ejaculation may include:

  • Less sexual pleasure for you and your partner.
  • The stress or the anxiety about having sex.
  • Marital or relationship problems due to a poor sex life.
  • Not being able to get your partner pregnant, called infertility.

Diagnosis

A physical exam and medical history may be all that is needed to suggest a treatment for delayed ejaculation. But there could be a problem that cause delayed ejaculation that needs treatment. Then you might need more tests, or you may need to see a specialist.

In addition to a physical examination of the penis and the testicles, you may have:

  • Blood tests. A blood sample is sent to a lab, you can check for heart disease, diabetes, hormone levels, and other health conditions.
  • The urine test called urinalysis. Urine tests to look for signs of diabetes, infections and other health conditions.

Treatment

Delayed ejaculation treatment depends on the cause. The treatment may include taking medicine or make changes to the medicines that you take. This could mean that the psychological counseling or addressing of alcohol or use of illicit drugs.

Drugs

If you are taking a medication that may cause a delay in ejaculation, reduce the dose or change the medication could solve the problem. Sometimes the addition of a medication that could help.

There are No drugs that are approved for the treatment of delayed ejaculation. Medications used to treat delayed ejaculation is mainly used to treat other conditions. They include:

  • Amantadine, which is used for Parkinson's disease.
  • Buspirone used for anxiety.
  • Cyproheptadine, for allergies.

Psychological counseling

The concierge can help deal with mental health problems linked to delayed ejaculation, such as depression or anxiety.

You can see a psychologist or a mental health counselor on your own or with your partner. It could also help you to see a mental health counselor who specializes in talk therapy for sexual problems, called to a sex therapist.

Coping and support

Continuous delayed ejaculation can cause mental and emotional stress for you and your partner. If you have delayed ejaculation, only sometimes, try not to assume that you have a life problem or to wait for it to happen again the next time you have sex.

Also, if you have delayed ejaculation, soothing your sexual partner. Your partner may think your not being able to reach climax is a sign of lack of sexual interest.

Talk openly with your partner about your condition. Often the treatment is more successful if the couples work together as a team. It is possible that you want to see a counselor with your partner. This can help address the concerns of the two may have about the delay in ejaculation.

Preparing for your appointment

If you have been having trouble having an orgasm, talk with your primary health care provider. Your health care professional may refer you to a specialist. This could be a specialist in the male genital problems, which is called a urologist, a specialist in hormone systems, called an endocrinologist, or a mental health specialist, called a psychiatrist, psychologist, or social worker.

Here's some information to help you prepare for your appointment.

What you can do

Take your partner along, if possible. Your partner might be able to give information that helps in the diagnosis and treatment of the problem.

Make a list of:

  • Your symptoms, including any that may seem unrelated to the delayed ejaculation, and when they began.
  • Key personal information, including any major stresses or recent life changes or diseases.
  • All the drugs, vitamins, herbal remedies and supplements that you are taking, including dosage.
  • Questions to ask your health care professional.

Questions to ask your doctor

Delay ejaculation, some basic questions to ask include:

  • What is the most likely cause of my delayed ejaculation?
  • What tests do I need?
  • Is this problem will go away?
  • What treatments are there? What do you suggest for me?
  • I have other health conditions. How can I best manage these conditions?
  • Where can I find more information about my condition?

What to expect from your doctor

Your health care professional may ask:

  • Do you have trouble ejaculating only now and then, or is it a problem?
  • You are able to ejaculate during sexual intercourse? Or you are able to ejaculate only when your partner directly affects your penis, or when you masturbate?
  • If you are able to ejaculate, how much time it takes after the onset of sexual activity?
  • Changes in sexual desire or any other type of sexual problems?
  • There are problems with your sexual partner?
  • Have you had any other sexual problems, such as difficulty achieving or maintaining an erection, called erectile dysfunction?
  • Do you drink alcohol or use illicit drugs? If so, how much?
Symptoms and treatment of Delayed ejaculation.