Delayed Ejaculation Treatment

What is Delayed Ejaculation?

Delayed ejaculation (DE) is a condition where it takes an extended period of sexual stimulation for men to reach sexual climax and ejaculate.

Some men with DE are unable to ejaculate at all.

Delayed ejaculation can be temporary or a lifelong problem.

Possible causes of DE include certain chronic health conditions, surgeries and medications, and treatment for it depends on the underlying cause.

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

A physical exam and medical history are needed to be able to recommend treatment for delayed ejaculation, and Pollock Clinics is a good place to start.

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Delayed ejaculation is potentially a treatable condition and is not related to masculinity or sexual prowess.

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Must Read - Key Scientific Studies on Delayed Ejaculation

Why Treat Delayed Ejaculation?

Because it often causes:

Diminished sexual pleasure for you and your partner.
Stress or anxiety about sexual performance.
Marital or relationship problems due to an unsatisfactory sex life.
Inability to get your partner pregnant (male infertility).

Symptoms

Some men with delayed ejaculation need 30 minutes or more of sexual stimulation to have an orgasm and ejaculate. Some men can only ejaculate with manual or oral stimulation. Other men might not be able to ejaculate at all (anejaculation).

But, there’s no specific time that indicates a diagnosis of DE. Instead, you are probably experiencing it if the delay is causing distress or frustration, or if you have to stop sexual activity due to fatigue, physical irritation, loss of erection or a request from your partner.

Often, men might have difficulty reaching orgasm during sexual intercourse or other sexual activities with a partner. Some men can ejaculate only when masturbating.

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

Lifelong vs. acquired. With lifelong delayed ejaculation, the problem is present from the time of sexual maturity and is very different from a problem that develops later in life. Acquired delayed ejaculation occurs after a period of normal sexual functioning.
Generalized vs. situational. Generalized delayed ejaculation isn’t limited to certain sex partners or certain kinds of stimulation. A generalized problem in which DE occurs in all sexual situations. Situational delayed ejaculation occurs only under certain circumstances or with certain partners.

These categories help in diagnosing an underlying cause and determining what might be the most effective treatment.

Causes

DE can result from medications, certain chronic health conditions and surgeries. Or it might be caused by substance misuse or a mental health concern, such as depression, anxiety or stress. In many cases, it is due to a combination of physical and psychological concerns.

Medications and Substances Causing Delayed Ejaculation

Some antidepressants.
Certain high blood pressure medications.
Certain diuretics.
Some antipsychotic medications.
Some anti-seizure medications.
Alcohol — particularly drinking too much (excessive alcohol use or alcoholism), especially if you’re a long-term heavy drinker.

Biological Causes

Certain birth defects affecting the male reproductive system.
Injury to the pelvic nerves that control orgasm.
Certain infections, such as a urinary tract infection.
Prostate surgery, such as transurethral resection of the prostate or prostate removal.
Neurological diseases, such as diabetic neuropathy, stroke or nerve damage to the spinal cord.
Hormone-related conditions, such as low thyroid hormone level (hypothyroidism) or low testosterone level (hypogonadism).
Retrograde ejaculation, a condition in which the semen goes backward into the bladder rather than out of the penis.
Older age — as men age, it’s normal for ejaculation to take longer.
Medical conditions, such as diabetes or multiple sclerosis.

Psychological Causes

Depression, anxiety or other mental health conditions.
Relationship problems due to stress, poor communication with your partner or other concerns.
Anxiety about performance.
Poor body image.
Cultural or religious taboos.
Differences between the reality of sex with a partner and sexual fantasies.

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Treatments for Delayed Ejaculation

While our treatments have support from scientific literature, many of them are not yet included in established national treatment protocols, because of the limited number of studies completed.

For your reference, please click here to see details of accepted national treatment protocols from the American Urological Association for disorders of ejaculation.

Patients are encouraged to review the relevant literature that we have provided with their own family doctor or urologist to support informed decisions on treatment. Many of our patients have already tried conventional methods and come to Pollock Clinics for an innovative approach. Results will vary, and are not guaranteed.

Delayed ejaculation treatment at Pollock Clinics will focus on improving erections and sensation to the penis. We will review patients’ medical history, conduct a physical examination and review medication that could be related to delayed ejaculation.

Delayed ejaculation is a difficult condition to treat and there are very limited studies demonstrating effective treatment.

Treatments will be tailored to each patient’s situation and may include:

Sex Therapy: Sex Therapy can help a person or couple overcome a variety of sexual difficulties and challenges that may interfere with the erectile signals to your penis. Sex therapy is often helpful in the treatment of ejaculatory dysfunction, even when physical factors are the principal cause. Sexual difficulties, no matter what the cause, can strain your relationship. Frequently, a man with ejaculatory problems experiences performance anxiety, which makes him reluctant to initiate sexual contact. His partner may perceive this as rejection, which could trigger feelings of frustration and resentment. Sex therapy, with our experienced, certified sex therapist, can help a couple overcome these feelings and re-establish intimacy.
Oral Medication: Our medical team will carefully review medications you are taking. It is possible that medications may be contributing to delayed ejaculation. Reducing the dose or switching the medication might address the problem. There aren’t any drugs that have been specifically approved for the treatment of delayed ejaculation.

Other treatment modalities offered at Pollock Clinics may also be explored.