Delayed Ejaculation

Delayed Ejaculation

Sometimes called impaired ejaculation is a condition in which it takes an extended period of sexual stimulation for a man to reach sexual climax and release semen from the penis (ejaculate). Some men with delayed ejaculation are unable to ejaculate at all. Delayed ejaculation can be temporary or a lifelong problem. Possible causes of delayed ejaculation include certain chronic health conditions, surgeries, and medications. Treatment for delayed ejaculation depends on the underlying cause.

It’s normal for men to have delayed ejaculation from time to time. Delayed ejaculation is only a problem if it’s ongoing or causes stress for you or your partner.

Causes

Delayed ejaculation may be due to chronic health issues, surgeries, medications, substance abuse, or mental health concerns like depression or anxiety. Often, it results from a combination of factors.

Physical Causes

- Birth defects
- Pelvic nerve injury
- Infections like UTI
- Prostate surgeries (TURP)
- Neurological diseases
- Hormonal issues (low testosterone / thyroid)
- Retrograde ejaculation

Psychological Causes

- Depression or anxiety
- Relationship conflicts
- Performance anxiety
- Poor body image
- Cultural or religious concerns
- Mismatch between real sex & fantasies

Medications & Substances

- Antidepressants
- High blood pressure meds
- Diuretics
- Antipsychotics
- Anti-seizure medications
- Excess alcohol use

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