The Most Common Causes of Delayed Ejaculation in Men
The 3rd most common sexual disorder in men, Delayed ejaculation refers to a difficulty or inability of a man to reach an orgasm and to ejaculate semen. The causes can be physical or psychological.
if a man takes longer than 30 minutes of penetrative sex to ejaculate, despite a normal erection, it is considered delayed ejaculation
Some men with delayed ejaculation need 30 minutes or more of sexual stimulation to have an orgasm and ejaculate, or they may not be able to ejaculate at all (anejaculation). In the most common form of delayed ejaculation, a man can't reach orgasm during sexual intercourse — but can ejaculate with oral or manual stimulation of the penis. Some men can ejaculate only when masturbating.
Delayed ejaculation can result from certain chronic health conditions, surgeries and medications. Or it may be caused by substance abuse or a mental health concern, such as depression, anxiety or stress. In many cases, delayed ejaculation is due to a combination of physical and psychological concerns.
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.
Physical causes may include:
- Blockage of the ducts that semen passes through
- Use of certain drugs
- Nervous system diseases, such as stroke or nerve damage to the spinal cord or back
- Nerve damage during surgery in the pelvis
Because it can happen for a number of physical and psychological reasons, no one strategy can prevent delayed ejaculation. But taking these steps may help:
- Spend more time with your partner to increase intimacy.
- Limit or avoid the use of alcohol.
- Don't use illegal drugs.
- Stop using tobacco.
- Exercise regularly.
- Take steps to reduce or better manage stress.
- Get enough sleep.
- Get help for anxiety or depression.
- Make sure you're getting the treatment you need for any chronic health problems.
When to see a doctor
Your primary care doctor is a good place to start when you have delayed ejaculation. See your doctor if:
Delayed ejaculation is an issue for you or your partner