Delayed Ejaculation

What is Delayed Ejaculation?

Delayed ejaculation is a medical condition in which a man is unable to ejaculate or has persistent difficulty ejaculating. Most men ejaculate after several minutes of thrusting during sexual intercourse however, men with delayed ejaculation may take 30 minutes or longer to ejaculate. Delayed ejaculation may not be perceived as a problem until it leads to relationship problems, diminished sexual pleasure or concern about sexual performance.
Delayed ejaculation may be categorized as lifelong (occurring since sexual maturity) or acquired (occurring after a period of normal sexual functioning).  It is further categorized as generalized or situational. This is important to identify as it will help in determining which treatment options are most effective.

Delayed Ejaculation Causes

Delayed ejaculation can be caused by chronic medical problems, certain medications or surgery. It may also have psychological causes. In some instances it is a combination of both physical and psychological causes.
Physical causes include nervous system disease (like stroke), injury to your back or spine, endocrine disease (like diabetes), prostate disease or surgery and heart surgery.  Certain types of medication may also cause delayed ejaculation.  These medications can include antidepressants, antipsychotics and antihypertensives.  Delayed ejaculation may also occur with excessive alcohol use or recreational drug use.
Psychological causes of delayed ejaculation include relationship problems, anxiety, depression, other mental health problems, fatigue, performance anxiety, conditioning caused by a history of unusual masturbating and cultural or religious issues.  
Other risk factors for delayed ejaculation include older age and erectile dysfunction.    

Delayed Ejaculation Treatment Options

There are a variety of treatment options for men suffering from delayed ejaculation, including medications and counseling, depending on the cause of the problem. The first step is to schedule an appointment to meet with one of our delayed ejaculation specialists. Your initial visit will consist of a thorough history and physical exam including extensive bloodwork to help identify a cause of your delayed ejaculation. Treatment may consist of medication to help increase dopamine levels, testosterone levels or improve erections.