Delayed ejaculation

Delayed ejaculation (DE) is a general medical situation. Also called “impaired ejaculation,” this situation occurs when it takes a prolonged period of sexual stimulation for a man to ejaculate. In some cases, ejaculation cannot be achieved at all. Most men experience DE from time to time, but for others it may be a lifelong problem.

While this situation does not pose any serious medical risks, it can be a source of stress and may generate problems in your sex life and personal relationships. However, treatments are available.

What are the symptoms of delayed ejaculation?

Delayed ejaculation happen when a man needs more than 30 minutes of sexual stimulation to reach orgasm and ejaculate. Ejaculation is when semen is discharged from the penis. Some men can only ejaculate with manual or oral stimulation. Some cannot ejaculate at all.

A lifelong problem with DE is very different from a problem that develops later in life. Some men have a general problem in which DE occurs in all sexual situations. For other men, it only occurs with certain partners or in certain circumstances. This is known as “situational delayed ejaculation.”

In rare cases, DE is a sign of a worsening health problem such as heart disease or diabetes.

What causes delayed ejaculation?

There are many potential reason of DE, including psychological concerns, chronic health situation, and reactions to medications.

Psychological causes of DE can occur due to a traumatic experience. Cultural or religious taboos can give sex a negative connotation. Anxiety and depression can both suppress sexual desire, which may result in DE as well.

Relationship stress, poor communication, and anger can make DE worse. Disappointment in sexual realities with a partner compared to sexual fantasies can also result in DE. Often, men with this problem can ejaculate during masturbation but not during stimulation with a partner.