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

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 will focus on improving erections and sensation through:

  • PRP Therapy (Plasma Rich Platelet Injections): PRP therapy is a penile injection intended to improve sexual performance in men through a proposed mechanism that some people believe will promote the regeneration of nerves and blood vessels, thus potentially increasing the amount of blood flow to the penis. In particular, this procedure is designed with the goal to help those who feel their performance has declined due to issues such as diabetes, metabolic syndrome, cardiovascular disease, or nerve damage, or other issues related to aging. While the the PRP Shot is a relatively new treatment option, Platelet-Rich Plasma therapy (PRP) has for many years been a successful treatment modality in orthopedics, plastic surgery, and sports medicine.
  • Low Intensity Acoustic Shockwave Therapy (LiASWT): ED Shockwave therapy is an innovative medical treatment that uses low intensity acoustic sound waves in an attempt to address the vascular cause of erectile dysfunction, and not just its symptoms, by encouraging the growth of new blood vessels. For over 50 years shockwave therapy has been used to treat everything from kidney stones, to joint pain, and now erectile dysfunction. It is a safe and natural procedure which does not involve the use of pharmaceuticals, mechanical pumps, injections or surgical implants.
  • 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: If you’re taking medication that might be causing delayed ejaculation, reducing the dose of a medication or switching medications might fix the problem. Sometimes, adding medication might help. There aren’t any drugs that have been specifically approved for the treatment of delayed ejaculation.
  • Penile Vacuum Therapy: Penile vacuum therapy and penile traction techniques may provide some benefit to treatment. We may employ the Restorex Traction Device and/or a vacuum erection device (VED).

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Our team is available for an assessment of your unique situation.

Please contact us today to see what treatment option might benefit you.

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