Delayed ejaculation is a complex sexual health issue affecting many men worldwide. While occasional difficulties are normal, persistent delayed ejaculation can cause distress and impact the quality of life for both individuals and their partners.
At Nasim Fertility Center, Dr. Farooq Nasim Bhatti, with his 29 years of expertise in sexual health, provides comprehensive care and treatment for this condition. This article will explore delayed ejaculation, its causes, symptoms, treatments, and more.
What is Delayed Ejaculation? An Overview
Delayed ejaculation, also known as retarded ejaculation or male orgasmic disorder, is the difficulty or inability to reach orgasm and ejaculate despite prolonged sexual stimulation. While occasional delay is not uncommon, chronic cases can indicate underlying physical, psychological, or emotional issues.
Who Does Delayed Ejaculation Affect?
Delayed ejaculation can affect men of all ages, though it is more prevalent in older men. It can also occur in different sexual situations, whether during intercourse with a partner or masturbation. The condition can lead to stress, frustration, and difficulties in relationships, impacting overall sexual health and well-being.
How Common is Delayed Ejaculation?
Delayed ejaculation is less common than other sexual dysfunctions like premature ejaculation or erectile dysfunction, but it still affects a significant number of men. Studies suggest that about 1-4% of men may experience this condition at some point in their lives. Its prevalence may be underestimated due to the stigma and reluctance of men to discuss such issues openly.
Symptoms and Causes
What Are the Symptoms of Delayed Ejaculation?
Symptoms of delayed ejaculation include:
- Inability to ejaculate during sexual activity with a partner.
- Prolonged time to reach orgasm.
- Reduced sexual satisfaction.
- Emotional distress or relationship difficulties due to the condition.
- Occasional ability to ejaculate, often only during masturbation.
What Causes Delayed Ejaculation?
Delayed ejaculation can have various causes, including:
Psychological Causes: Stress, anxiety, depression, and relationship issues can contribute to delayed ejaculation.
Physical Causes: Diabetes, hormonal imbalances (low testosterone), certain medications like antidepressants and blood pressure drugs, or Neurological conditions (e.g., multiple sclerosis) can affect ejaculation.
Here are some other Causes:
- Side effects of certain medications, such as antidepressants, antipsychotics, and high blood pressure drugs
- Hormonal imbalances, such as low testosterone or high prolactin levels
- Urinary tract infections or prostate problems
- Alcohol and drug use
- Performance anxiety or fear of “performing” sexually
- Relationship problems or lack of emotional intimacy with partner
- Unresolved conflicts or resentment towards partner
- Strict religious or cultural beliefs that view sex as sinful
- Past sexual abuse or trauma
- Depression, stress, or other mental health concerns
- Lifestyle Factors: Excessive alcohol consumption, substance abuse, and smoking can impact sexual function.
- Age: Age-related changes can lead to decreased sensitivity and longer time to reach climax.
- Ejaculatory Disorder: Some men have a naturally delayed ejaculatory response.
Diagnosis and Tests
How is Delayed Ejaculation Diagnosed?
Diagnosis of delayed ejaculation involves:
- Medical History: A thorough review of the patient’s sexual, medical, and psychological history.
- Physical Examination: To check for any underlying health conditions.
- Laboratory Tests: Blood tests to assess hormone levels and screen for diabetes or other health issues.
- Psychological Evaluation: To identify any psychological factors contributing to the condition.
How is Delayed Ejaculation Treated?
Treatment depends on the underlying cause and may include:
- Therapy: Psychological counseling or sex therapy can address emotional and psychological factors.
- Medications: Adjusting or changing medications that may be affecting ejaculation.
- Lifestyle Changes: Reducing alcohol intake, quitting smoking, and adopting a healthier lifestyle can improve symptoms.
- Medical Treatments: Hormone therapy for hormonal imbalances or treatments for underlying medical conditions.
- Techniques and Exercises: Specific techniques to focus on sensation and reduce anxiety during sexual activity.
Are There Exercises That Will Help with Delayed Ejaculation?
Yes, certain exercises can help:
- Kegel Exercises: Strengthening pelvic floor muscles can improve sexual function and control.
- There are some other exercises that can be prescribed by experienced sexologist by examining your medical history
Prevention
How Can I Prevent Delayed Ejaculation?
Preventing delayed ejaculation involves maintaining overall health:
- Healthy Lifestyle: Regular exercise, a balanced diet, and avoiding alcohol and drugs can reduce the risk.
- Mental Well-being: Managing stress and seeking therapy for anxiety or depression can prevent psychological causes.
- Open Communication: Discussing sexual issues with your partner can alleviate pressure and reduce performance anxiety.
- Manage chronic health conditions like diabetes and heart disease through lifestyle changes and medication adherence
- Make time for relaxation and stress-reduction activities
- Seek help early for mental health issues like depression, anxiety, and relationship problems
- Discuss medication side effects with your doctor and explore alternative options if needed
What is the Prognosis (Outlook) for Delayed Ejaculation?
The prognosis for delayed ejaculation varies depending on the cause. Many men respond well to treatment, especially when psychological factors are addressed. With proper medical care, lifestyle changes, and support, the condition can be managed effectively.
When Should I See My Healthcare Provider About Delayed Ejaculation?
If you experience persistent difficulty ejaculating, distressing symptoms, or if it impacts your relationship or quality of life, it’s essential to seek medical advice. Dr. Farooq Nasim Bhatti MBBS, FAACS (USA), Diplomate of the American board of Sexology (USA) since 1999, CST, HSC (Hong Kong), CART (MALAYSIA), CART (CHINA), can provide expert guidance and personalized treatment options.
Conclusion
Delayed ejaculation is a complex condition that can significantly affect a man’s life and relationships. However, with the right diagnosis and treatment plan, most men can find relief and improve their sexual health. Nasim Fertility Center, under the guidance of Dr. Farooq Nasim Bhatti, offers expert care and a comprehensive approach to managing this condition. Don’t hesitate to seek professional help if you or your partner are struggling with delayed ejaculation.
FAQs
Can delayed ejaculation be cured?
In many cases, delayed ejaculation can be successfully treated through a combination of medication, therapy, and behavioral techniques. However, the prognosis depends on the underlying cause. Lifelong or generalized DE may be more challenging to treat than acquired or situational DE.
Does masturbation affect delayed ejaculation?
Excessive masturbation with a specific technique or pornography use may contribute to delayed ejaculation by conditioning the man to respond only to certain types of stimulation. Temporarily avoiding masturbation or trying different techniques can help “reset” the man’s arousal patterns and improve partnered sexual function.
Is there a treatment to stop a man from ejaculating?
While delayed ejaculation treatment focuses on helping men climax more easily, certain conditions may require specific interventions to control premature ejaculation if that’s the issue.
How do you fix the inability to ejaculate?
Treatment involves addressing underlying physical, psychological, or lifestyle factors through therapy, medication adjustments, and exercises.
Why does it take so long for me to ejaculate?
Factors like conditioning of ejaculation to specific stimuli, stress, anxiety, certain medications, age-related changes, and medical conditions can prolong the time to ejaculation.
Can lifestyle changes help with delayed ejaculation?
Yes, adopting a healthy lifestyle, reducing alcohol intake, and quitting smoking can positively impact sexual function.
Regain Confidence with Our ED Solutions
Explore effective treatments for erectile dysfunction. Take charge of your intimacy today.
