Sexual Wellness /
Delayed Ejaculation
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Delayed ejaculation (DE) is a condition where a man has difficulty reaching orgasm and ejaculating, even after prolonged sexual activity. Some men may take a very long time to ejaculate, while others may not be able to do so at all. This can happen during sex with a partner, masturbation, or both.
Taking a long time to ejaculate despite sufficient stimulation
Feeling frustrated or distressed about the delay
Difficulty ejaculating during sex but not during masturbation (or vice versa)
Reduced sexual satisfaction for both partners
Complete inability to ejaculate in some cases
There are several possible reasons why this happens:
1. Psychological Causes
Performance Anxiety – Worrying too much about sexual performance
Stress or Depression – Mental health conditions affecting sexual response
Relationship Issues – Emotional disconnect or unresolved conflicts
Past Trauma – Negative past experiences related to sex
2. Physical and Medical Conditions
Diabetes – Can cause nerve damage affecting ejaculation
Neurological Issues – Conditions like multiple sclerosis or stroke
Hormonal Imbalance – Low testosterone or thyroid problems
Prostate or Pelvic Surgery – Can affect nerve function
3. Medication Side Effects
Certain medications may delay ejaculation, including:
Antidepressants (SSRIs) – Like fluoxetine or sertraline
Blood Pressure Medications – Some beta-blockers
Pain Relievers – Strong opioid medications
Antipsychotics – Used to treat mental health disorders
The right treatment depends on what’s causing the issue.
1. Psychological Therapy
Sex Therapy or Counseling – Helps with anxiety or emotional issues
Cognitive-Behavioral Therapy (CBT) – Teaches ways to manage stress and negative thoughts
Couples Therapy – Can help if relationship issues are contributing
2. Medical Treatments
Changing Medications – If a drug is causing DE, the doctor may adjust or switch it
Hormone Therapy – If testosterone levels are low
Treating Underlying Conditions – Managing diabetes, thyroid disorders, or nerve-related problems
3. Behavioral Strategies
Trying Different Techniques – Experimenting with different types of stimulation
Kegel Exercises – Strengthening pelvic muscles may help
Reducing Stress – Meditation, breathing exercises, or lifestyle changes
When to see a Doctor?
You should seek medical advice if:
Delayed ejaculation is causing stress in your life or relationship
You suddenly develop this issue without any known reason
You have other sexual concerns like erectile dysfunction or loss of desire
You suspect that a medication or medical condition is affecting you
