A Dedicated and Proactive Approach to Men's Sexual Health Care

Delayed Ejaculation

What is Delayed Ejaculation?

Delayed ejaculation (DE) is a condition where it takes an extended period of sexual stimulation for men to reach sexual climax and ejaculate. Some men with DE are unable to ejaculate at all.

Delayed ejaculation can be temporary or a lifelong problem. Possible causes of DE include certain chronic health conditions, surgeries and medications, and treatment for it depends on the underlying cause.

It’s normal for men to have delayed ejaculation from time to time and it is only a problem if it’s ongoing or causes stress for you or your partner. A physical exam and medical history are needed to be able to recommend treatment for delayed ejaculation, and the RevibeMD clinic in Regina or Saskatoon is a good place to start.

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

Lifelong vs. acquired DE
With lifelong delayed ejaculation, the problem is present from the time of sexual maturity and is very different from a problem that develops later in life. Acquired delayed ejaculation occurs after a period of normal sexual functioning.

Generalized vs. situational DE
Generalized delayed ejaculation isn’t limited to certain sex partners or certain kinds of stimulation. A generalized problem in which DE occurs in all sexual situations. Situational delayed ejaculation occurs only under certain circumstances or with certain partners.

Dr. Mulla will consider these categories to help in diagnosing an underlying cause and determining what might be the most effective treatment.

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Symptoms of Delayed Climax

Some men with delayed ejaculation need 30 minutes or more of sexual stimulation to have an orgasm and ejaculate. Some men can only ejaculate with manual or oral stimulation. Other men might not be able to ejaculate at all (anejaculation).

But, there’s no specific time that indicates a diagnosis of DE. Instead, you are probably experiencing it if the delay is causing distress or frustration, or if you have to stop sexual activity due to fatigue, physical irritation, loss of erection or a request from your partner.

Often, men might have difficulty reaching orgasm during sexual intercourse or other sexual activities with a partner. Some men can ejaculate only when masturbating.

Treatment is important because delayed ejaculation can cause:

A better erection can help make the overall treatment for delayed ejaculation more effective.

Delayed Ejaculation Causes

DE can result from medications, certain chronic health conditions and surgeries.

Or it might be caused by substance misuse or a mental health concern, such as depression, anxiety or stress. 

In many cases, it is due to a combination of physical and psychological concerns.

Multiple effective treatment options are available.

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Medications and Substances Causing DE

  • Some antidepressants.
  • Certain high blood pressure medications.
  • Certain diuretics.
  • Some antipsychotic medications.
  • Some anti-seizure medications.
  • Alcohol — particularly drinking too much (excessive alcohol use or alcoholism), especially if you’re a long-term heavy drinker.

Biological Causes

  • Certain birth defects impact the male reproductive system.
  • Injury to the pelvic nerves that control 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 thyroid hormone level (hypothyroidism) or low testosterone level (hypogonadism).
  • Retrograde ejaculation, a condition in which the semen goes backward into the bladder rather than out of the penis.
  • Older age — as men age, it’s normal for ejaculation to take longer.
  • Medical conditions, such as diabetes or multiple sclerosis.

Psychological Causes

  • Depression, anxiety or other mental health conditions.
  • Relationship problems due to stress, poor communication with your partner or other concerns.
  • Anxiety about performance.
  • Poor body image.
  • Cultural or religious taboos.
  • Differences between the reality of sex with a partner and sexual fantasies.

Delayed Ejaculation Treatment in Saskatchewan

DE treatment options include:

Additional Therapies

If you’re taking medication that might be causing delayed ejaculation, reducing the dose of a medication or switching medications might fix the problem. Sometimes, adding medication might help. There aren’t any drugs that have been specifically approved for the treatment of delayed ejaculation.
Penile vacuum therapy and penile traction techniques may provide some benefit to treatment. We may employ the Restorex Traction Device and/or a vacuum erection device (VED).

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