Most men ejaculate within a few minutes of starting to thrust during intercourse. Men with delayed ejaculation may be unable to ejaculate or may only be able to ejaculate with great effort after having intercourse for a long time (for example, 30 to 45 minutes). Delayed ejaculation can have psychological or physical causes. Common psychological causes include: religious background that makes the person view sex as sinful lack of attraction for a partner conditioning caused by a habit of excessive masturbation traumatic events (such as being discovered masturbating or having illicit sex, or learning one's partner is having an affair) some factors, such as anger toward the partner, may be involved.

Delayed ejaculation occurs when a man needs more than 30 minutes of sexual stimulation to reach orgasm and ejaculate. Ejaculation is when semen is discharged from the penis. Some men can only ejaculate with manual or oral stimulation. Some cannot ejaculate at all. A lifelong problem with de is very different from a problem that develops later in life. Some men have a generalized problem in which de occurs in all sexual situations. For other men, it only occurs with certain partners or in certain circumstances. This is known as “situational delayed ejaculation. ”in rare cases, de is a sign of a worsening health problem such as heart disease or diabetes.

Fast facts on delayed ejaculation

You may find that your erectile dysfunction is different depending on the situation. Some people may be unable to get an erection at all, others may find that they cannot maintain an erection for long enough. For premature or delayed ejaculation you will find that when you reach orgasm is either too fast or too slow. If you have retrograde ejaculation, you may find that you produce little or no semen when you have an orgasm. You may also see that your urine is cloudy after having sex.

How we reviewed this article:

Hossein sadeghi-nejad, md, facs, and richard watson, md, facs a b s t r a c t introduction. Premature ejaculation (pe) is the most common form of male sexual dysfunction. Until very recently, scientific investigation of pe has been hampered by a lack of standardized definitions and objective, validated questionnaires. Small numbers of randomized controlled studies evaluating various treatment options have also added to the challenges facing the clinicians who manage pe. Aim. This article provides a summary of some of the more relevant the peer-reviewed literature pertaining to the medical therapy of premature ejaculation. Methods. A retrospective review of peer reviewed publications relevant to the field of premature ejaculation and related medical therapies.

Lifelong delayed ejaculation is defined as lifelong, consistent, bothersome inability to achieve ejaculation, or excessive latency of ejaculation, despite adequate sexual stimulation and the desire to ejaculate. (expert opinion) acquired delayed ejaculation is defined as an acquired, consistent, bothersome inability to achieve ejaculation, or an increased latency of ejaculation, despite adequate sexual stimulation and the desire to ejaculate. (expert opinion) clinicians should assess medical, relationship, and sexual history and perform a focused physical exam to evaluate a patient with delayed ejaculation. (clinical principle) clinicians may utilize additional testing as clinically indicated for the evaluation of delayed ejaculation. (conditional recommendation; evidence level: grade c).

There are several different medications which can delay ejaculation. They belong to a class of medications known as selective serotonin reuptake inhibitors (ssris) which are types of antidepressants. These medications include sertraline (zoloft), paroxetine (paxil), and fluoxetine (prozac). When these drugs are used to treat depression, men notice the side effect that it may cause them to take a longer period of time to reach ejaculation. The medications likely affect the “thermostat” in the brain which controls the signal for ejaculation. Although these drugs are not indicated for the treatment of premature ejaculation, they are frequently used with benefit in men who have premature ejaculation.