Delayed ejaculation: Causes, & best medicine

What is delayed ejaculation?

Delayed ejaculation is the inability to ejaculate at will, so that ejaculation takes much longer than desired or does not happen at all. Some men find that they can only reach orgasm (come) and ejaculate after long periods of stimulation, even though they have the normal desire and a normal erection. Some men may not be able to ejaculate at all, regardless of the duration of activity. The delay or inability to ejaculate may occur during both intercourse and masturbation. This may or may not cause relationship problems or embarrassment.

You may have delayed ejaculation if:

you cannot ejaculate when you want to and experience an unwanted delay of 30 to 60 minutes
you cannot ejaculate at least half the times you have
Delayed ejaculation can be a temporary or a lifelong problem. It is normal for some men to experience it from time to time. It is only a problem if it is worrying you or your partner.

What causes delayed ejaculation?

Delayed ejaculation can have various causes, including psychological, physical, and lifestyle factors. Here are some of the common factors that may contribute to delayed ejaculation:

Psychological factors: Psychological issues can play a significant role in delayed ejaculation. Anxiety, stress, depression, relationship problems, performance anxiety, guilt, or a history of traumatic experiences can interfere with the ability to reach orgasm and ejaculate.
Medications: Certain medications, such as antidepressants (particularly selective serotonin reuptake inhibitors or SSRIs), antipsychotics, and blood pressure medications, may have side effects that can delay ejaculation. These medications can affect neurotransmitters and hormonal balance, leading to difficulties in achieving orgasm.
Substance abuse: Excessive alcohol consumption or substance abuse, including drugs like opioids or marijuana, can impact function and contribute to delayed ejaculation.
Age-related factors: As men age, they may experience changes in their response cycle. It is not uncommon for older men to require more time and stimulation to reach ejaculation.
Medical conditions: Certain medical conditions can contribute to delayed ejaculation. These include diabetes, multiple sclerosis, spinal cord injuries, prostate surgery, hormonal imbalances, and nerve damage.
Psychological conditioning: Some individuals may have conditioned themselves to respond to specific types or levels of stimulation, which can make it difficult to achieve ejaculation under different circumstances.