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.
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.
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.