The treatment of delayed ejaculation primarily depends on the underlying cause.
Treatment may involve lifestyle modifications, medications, and counseling.
- Lifestyle modifications: Alcohol and certain other substance of abuse can cause problems with ejaculation. You may take a professional’s help to quit taking alcohol or illicit drug use. Taking a healthy diet, adequate sleep, and being open with your partner about your sexual concerns may also help.
- Medications: Your doctor may prescribe alternatives for or change dosages of medications that may potentially cause delayed ejaculation. You must not alter their dosages or stop taking them unless advised by your doctor. Medications, such as testosterone therapy or prolactin-lowering drugs, may be administered in cases where hormonal imbalances are the cause. Other medications may be administered depending on the underlying reasons for delayed ejaculation.
- Devices: If nerve injuries are the cause of delayed ejaculation, devices, such as vacuum pumps or vibrators, may help. They are placed at the tip of or along the penis and stimulate the nerves to achieve ejaculation.
- Psychological therapy: A sexual therapist may counsel you and your partner to explore the reasons that may be causing delayed ejaculation. This may help derive an appropriate management plan for your condition. Therapists may help improve communication and emotional and sexual bonding between you and your partner.
- Surgery: Surgery may be required in certain cases. These include men with some blockage in the genitourinary tract or prolactin hormone-secreting tumors.
Delayed ejaculation needs to be assessed by a doctor. You must especially consult a doctor if:
- You have never ejaculated through any form of physical stimulation (including masturbation, intercourse, and wet dreams).
- The delayed ejaculation is causing stress, anxiety, or problems in your relationship.
- You are on any medications or have a disease that is known to cause sexual dysfunction.
What is delayed ejaculation?
Ejaculation means the release of semen from the penis due to sexual arousal. Delayed ejaculation is a condition in which ejaculation takes too long to occur or does not occur at all.
- The time taken to achieve ejaculation varies, but, normally, it is achieved within a few minutes of physical stimulation.
- In delayed ejaculation, the time to achieve ejaculation may be over 30 minutes.
It may cause varying problems due to the inability to achieve orgasm. Although delayed ejaculation may be a normal occasional occurrence, it becomes a problem when it is persistent or worsening.
Delayed ejaculation may cause considerable frustration in men and their partners. The affected man may not achieve ejaculation through vaginal sex and need to masturbate to achieve orgasm. Many men, however, may not achieve orgasm from any form of stimulation.
What causes delayed ejaculation?
The cause of delayed ejaculation may include:
- Psychological factors, such as performance anxiety, the feeling of guilt, lack of attraction toward the partner, or other relationship issues
- Religious or cultural factors that consider sex as a sin or taboo
- Certain medications (such as some blood pressure medications, antidepressants, and antiseizure medications)
- Nerve damage due to injury or diseases, such as diabetes and prostate hypertrophy
- Blockage in the genitourinary tract due to stones or adhesions
- Genitourinary infections
- Hormonal imbalances (such as low thyroid hormone or testosterone levels or high prolactin levels)
- Excess alcohol intake
- Side effects of certain surgeries in the pelvis (such as prostate removal surgery)
QUESTION
Testosterone is a chemical found only in men. See AnswerHealth Solutions From Our Sponsors
Medically Reviewed on 1/26/2022
References
Image Source: iStock Images
Medline Plus. Delayed ejaculation. https://medlineplus.gov/ency/article/001954.htm
UCLA Health. Delayed Ejaculation. https://www.uclahealth.org/urology/mens-clinic/delayed-ejaculation
Medline Plus. Delayed ejaculation. https://medlineplus.gov/ency/article/001954.htm
UCLA Health. Delayed Ejaculation. https://www.uclahealth.org/urology/mens-clinic/delayed-ejaculation
Complete List
Top How Do You Stop Delayed Ejaculation Related Articles
Can You Get Rid of a Spermatocele Naturally?
You cannot get rid of a spermatocele naturally despite the claims of diets, herbal remedies and lifestyle modifications. However, most spermatoceles are benign and do not require treatment.
Erectile Dysfunction (ED, Impotence)
Erectile dysfunction (ED, impotence) is the failure to achieve or maintain an erection. There are many potential underlying causes of erectile dysfunction, including stress and emotional problems, brain dysfunction, problems with blood supply to the penis, and structural problems with the penis.
How Do You Fix Ejaculation Problems?
It's common for ejaculation problems to occur as you age. Ejaculation problems usually don’t pose health concerns, but they can be embarrassing to experience. Learn how to fix ejaculation problems and talk to your doctor.How Do You Fix Retrograde Ejaculation?
While retrograde ejaculation is not a life-threatening condition it can cause male infertility. Learn about causes and treatment.
Impotence Quiz
Did you know that certain medical condition may be responsible for ED? Some causes of impotence are medically treatable and reversible. Learn more about what can be done about erectile dysfunction with the Impotence Quiz.
Is Sperm Good for Depression?
Studies report that various chemicals in semen may help reduce depression in some women when absorbed in the body.
Penile Implants
enile implants can help you get an erection if you suffer from erectile dysfunction (ED). Penile implants may either be malleable or inflatable. Potential risks of surgery include bleeding, infection, scar tissue formation, and mechanical failure. Check out the center below for more medical references on ED, including multimedia (slideshows, images, and quizzes), related diseases, treatment, diagnosis, medications, and prevention or wellness.
Penis Picture
The penis is the male sex organ, reaching its full size during puberty. See a picture of the Penis and learn more about the health topic.
Penis Pump
Vacuum constriction devices, or penis pumps, may be useful in the treatment of erectile dysfunction (impotence). A penis pump is an acrylic cylinder with a pump that can be attached to the end of the penis. The pump then creates a vacuum to help the penis become erect, while a constriction ring maintains the erection.
Prostatitis (Inflammation of the Prostate Gland)
Prostatitis is an inflammation of the prostate gland. Signs and symptoms of prostatitis include painful or difficulty urinating; fever; chills; body aches; blood in the urine; pain in the rectum, groin, abdomen, or low back; and painful ejaculation or sexual dysfunction. Causes of prostatitis include STDs, bacteria from urinary tract infections, or E. coli. Treatment for prostatitis depends on if it is a bacterial infection or chronic inflammation of the prostate gland.
What Are the Best Three Exercises for Erectile Dysfunction?
What Are the Best Three Exercises for Erectile Dysfunction? Learn whether exercises can help and what other treatments can help to relieve your symptoms.
Types of Penis Disorders
Penis disorders may affect men’s sexual life, fertility and overall well-being. Some are minor and don’t cause many issues. However, some may lead to serious emergencies. There are many different types of penis disorders.
What Causes Weak Erection?
Medically, a weak erection is also referred to as erectile dysfunction. The erection of the penis depends on many factors, such as the person’s age, overall health, hormone levels, nerves, blood flow, mental status, and emotions. A weak erection results when these factors get affected.What Is the Fastest Way To Cure Erectile Dysfunction?
Learn about the symptoms of erectile dysfunction, treatment options, and the quickest way to help you resolve the condition. It is more likely that you'll develop erectile dysfunction as you get older, but aging itself does not cause erectile dysfunction. Many factors can cause erectile dysfunction, including those that affect your endocrine, vascular, and nervous systems. What is erectile dysfunction, and what are the signs and symptoms? Learn about the risks and causes of erectile dysfunction and what treatments are available for erectile dysfunction.
Why Do I Have Discharge From My Penis?
Penis discharge that is not due to sexual arousal is considered abnormal and may be caused by various conditions such as urinary tract infections (UTIs), STDs, and more. Learn more about causes, types, and treatments.