Delayed premature ejaculation

Delayed ejaculation sometimes called the inability to ejaculate is a condition in which for men it takes a longer period of sexual stimulation to climax, relax and release semen from the penis (ejaculation). 

Some men with delayed ejaculation are unable to ejaculate completely.

Delayed premature ejaculation

This condition can be a temporary or permanent problem. Possible causes of this condition include certain chronic conditions, surgeries, and medications. 

Treatment for delayed ejaculation depends on the underlying cause.

It is normal for this to happen to men from time to time. This condition is only a problem if it continues or is stressful for you or your partner.


Some men with delayed ejaculation require 30 minutes or more of sexual arousal to reach orgasm and ejaculate. Others may not be able to ejaculate at all (anejaculation).

But there is no definitive time when you will be diagnosed with delayed ejaculation. While you may have delayed ejaculation if you are nervous or frustrated with the delay 

or have had to stop the sexual activity because of fatigue, physical agitation, loss of erection, or at the request of your partner.

Some men often find it difficult to orgasm during sexual or other sexual activity with a partner. Some men can only ejaculate when masturbating.

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

Chronic versus acquired. Chronically delayed ejaculation indicates that the problem started at the time of sexual maturity. 

While acquired delayed ejaculation occurs after a period of natural sexual intercourse.

General vs. Exhibitor. General delayed ejaculation is not limited to certain female partners or certain types of arousal. As indicated by its name, accidental delayed ejaculation occurs only in casual circumstances.

These categories help diagnose the underlying cause and determine the most effective treatment.

When do you visit the doctor?

It's a good idea to see your primary care doctor start treatment when you're experiencing delayed ejaculation. Please refer to the doctor in the following cases:

Delayed ejaculation is a problem for you or your partner

You have another health problem that may be related to delayed ejaculation, or you are taking medications that could be causing the problem

You have other symptoms besides delayed ejaculation that may or may not seem related

the reasons

Delayed ejaculation may be caused by certain medications, certain chronic diseases, or certain surgeries. 

It may result from drug addiction or a mental health problem, such as depression, anxiety, or stress. 

In many cases, delayed ejaculation is often the result of a mixture of emotional and physical anxiety.

Psychological causes of delayed ejaculation include:

Depression, anxiety, and other mental health conditions

Problems in relationships as a result of stress, miscommunication, or other problems

Stress about sexual performance

bad body image

Cultural or religious taboos

The differences between the reality of sex with a partner and sexual desires

Other medications and substances that cause delayed ejaculation include:

Some antidepressants

Some medicines to treat high blood pressure

some diuretics

Some antipsychotic drugs

Some anti-seizure medications

Alcohol - especially excessive alcohol use (excessive alcohol use or alcoholism)

Physical causes of delayed ejaculation include:

Some birth defects that affect the male reproductive system

Injury to the pelvic nerves that control orgasm

Some types of infections, such as urinary tract infections

Prostate surgeries, such as removing part of the prostate through the urethra or removing it completely

Neurological diseases, such as diabetic neuropathy, stroke, or damage to the nerves of the spinal cord

Hormone-related conditions, such as low thyroid hormone (hypothyroidism) or low testosterone (hypogonadism)

Reverse ejaculation is a condition in which semen moves backward into the urinary bladder instead of out into the penis

For some men, minor physical problems that cause delayed ejaculation may cause anxiety about ejaculation during intercourse. This resulting tension may worsen delayed ejaculation.

risk factors

Several things can increase your risk of developing delayed ejaculation, including:

Aging — As men get older, it's normal for it to take longer to ejaculate

Psychological conditions, such as depression or anxiety

Medical conditions, such as diabetes or multiple sclerosis

Certain medical treatments, such as prostate surgery

Medications, especially some antidepressants, high blood pressure medications, or diuretics

Relationship problems, such as poor communication with your partner

Excessive consumption of alcohol, especially if you have been drinking heavily for a long time


Complications of delayed ejaculation can include:

Lack of pleasure during intercourse for you and your wife

Feeling nervous or anxious about sexual ability

Marital problems or relationship problems due to dissatisfaction with intercourse

Inability to have a child (male infertility)

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