Delayed Ejaculation

The man who takes more time to ejaculate, that man is not able to enjoy and starts getting frustrated. Ejaculation becomes necessary on time to complete the bodily function. In such a situation, the advice of an expert should be taken. You can consult with delayed ejaculation ayurvedic clinic to get rid of such a problem. We are one of the leading delayed ejaculation herbal treatment clinic in Delhi. Understanding this problem is very difficult for psychologists and sex therapists. It is not easy for a doctor to reduce the stiffness to a certain amount. That's why you have to be careful while choosing a doctor. Choosing the wrong doctor can create more problems for the male. Your partner may also have problems if the erection lasts for a long time. This problem can happen to any man, if this problem is not treated then it will go on with increasing age. There can be various reasons for the occurrence of this problem like bladder or prostate surgery, old age, mental condition, relationship issues and drugs. If a person has this problem only when he is in contact with a particular partner and ejaculates naturally with others, then it could be a psychological reason. During the consultation with the doctor, you may be asked about your sexual habits, erection patterns. The doctor may also ask you to do urine and hormones tests. The doctor can also ask you that in what time you want to ejaculate, it can be to know your state of mind.

What Is Delayed Ejaculation?

Delayed ejaculation refers to a consistent or recurrent delay, difficulty, or absence of ejaculation during sexual activity. It is only considered a disorder when it causes personal distress, relationship difficulties, or avoidance of sexual intimacy.

Types of Delayed Ejaculation

• Lifelong: The condition has been present since the onset of sexual activity.
• Acquired: The condition develops after a period of normal ejaculation.
• Generalized: Occurs across all situations and with all partners.
• Situational: Occurs only under specific circumstances or with certain partners.

Causes of Delayed Ejaculation

There are multiple physical and psychological causes behind delayed ejaculation. In many cases, a combination of both factors is at play.

1. Physical Causes

• Neurological Conditions: Multiple sclerosis, Parkinson’s disease, spinal cord injuries.
• Diabetes: Long-term uncontrolled diabetes can lead to nerve damage affecting ejaculation.
• Medications: Certain antidepressants (SSRIs), antipsychotics, and blood pressure medications can delay ejaculation.
• Prostate Surgery: Some surgical procedures, such as prostatectomy, can interfere with the ejaculatory pathway.
• Hormonal Imbalance: Low testosterone or thyroid dysfunction can influence sexual function.

2. Psychological Causes

• Performance Anxiety: Fear of sexual failure can interfere with orgasm.
• Depression or Stress: These can inhibit sexual arousal and response.
• Religious or Cultural Beliefs: Guilt related to sexuality may inhibit ejaculation.
• Relationship Issues: Poor communication or emotional disconnect can reduce arousal.

3. Behavioral and Lifestyle Factors

• Excessive Masturbation: Particularly with unusual techniques or high frequency.
• Pornography Use: Overreliance on visual stimulation can desensitize natural sexual response.
• Substance Abuse: Alcohol or drug use may interfere with ejaculation.

Diagnosis of Delayed Ejaculation

Diagnosing delayed ejaculation involves a comprehensive evaluation by a healthcare provider, usually a urologist or sexual health specialist. The process includes:

Medical History

The doctor will ask about the duration and severity of the symptoms, medication use, medical history, and sexual habits.

Physical Examination

A thorough exam helps to identify any physical abnormalities or underlying conditions.

Laboratory Tests

• Testosterone levels
• Thyroid function
• Blood sugar levels

Psychosexual Evaluation

In cases where no physical cause is found, a psychological assessment may be recommended to explore emotional or mental health factors.

Treatment of Delayed Ejaculation

Treatment depends on the underlying cause. In many cases, a combination of therapies provides the best outcomes.

1. Medication Adjustments

If a prescribed medication is contributing to delayed ejaculation, your doctor may recommend:

• Lowering the dosage
• Switching to an alternative medication
• Adding a medication to counteract the side effect

2. Psychological Counseling

Psychotherapy or sex therapy is essential when psychological factors are present. Techniques include:

• Cognitive Behavioral Therapy (CBT)
• Relationship counseling
• Mindfulness and anxiety reduction techniques

3. Medical Treatment

Although there are no medications specifically approved for delayed ejaculation, some off-label treatments may be used:

• Bupropion: An antidepressant that can enhance sexual response.
• Amantadine: A dopamine agonist that may help stimulate orgasm.
• Testosterone Replacement Therapy (TRT): In cases of confirmed low testosterone.

4. Lifestyle Changes

• Reduce alcohol and drug use
• Limit or moderate pornography use
• Increase physical activity to improve circulation and hormone balance
• Develop a healthy sleep routine

5. Sexual Technique and Communication

Improving communication with a partner and trying different sexual techniques or positions may help increase arousal and reduce pressure.

Frequently Asked Questions (FAQs)

Is delayed ejaculation common?

It’s less common than other sexual disorders. Studies suggest it affects 1–4% of men, but actual numbers may be higher due to underreporting.

Can delayed ejaculation be cured?

Yes, especially when the underlying cause is identified and treated. Most men respond well to therapy, medication changes, or psychological counseling.

Does age affect ejaculation?

Yes. As men age, response times may slow, and ejaculation may take longer. However, significant delays may warrant medical attention.

Can antidepressants cause delayed ejaculation?

Yes, particularly selective serotonin reuptake inhibitors (SSRIs) like fluoxetine, sertraline, and paroxetine. If symptoms appear after starting an SSRI, consult your doctor.

Should I see a specialist?

If the problem persists for several months or is causing distress, it’s advisable to consult a urologist or a certified sex therapist for a thorough evaluation.

When to See a Doctor

You should consider seeking medical attention if:

• The problem has persisted for more than 3–6 months
• You experience distress or relationship strain
• You suspect medication or a medical condition may be involved
• Other sexual dysfunctions (like erectile dysfunction) are present