How can ejaculation be delayed

If so, adjustments will be made to your medication regimen and your symptoms will be monitored. Some medications have been used to help DE, but none have been specifically approved for it. According to the Mayo Clinic , these medications include:. Treating illicit drug use and alcoholism , if applicable, can also help DE. Finding inpatient or outpatient recovery programs is one therapy option. Psychological counseling can help treat depression , anxiety, and fears that trigger or perpetuate DE.

Sex therapy may also be useful in addressing the underlying cause of sexual dysfunction. This type of therapy may be completed alone or with your partner. DE can generally be resolved by treating the mental or physical causes. Identifying and seeking treatment for DE sometimes exposes an underlying medical condition.

Once this is treated, DE often resolves. The same is true when the underlying cause is a medication. DE can cause problems with self-esteem in addition to feelings of inadequacy, failure, and negativity. Men who experience the condition may avoid intimacy with others due to frustrations and fear of failure. DE can also cause conflicts in your relationships, often stemming from misunderstandings on the part of both partners. You might feel frustrated or embarrassed about wanting to achieve ejaculation but being physically or mentally unable to do so.

Treatment or counseling can help resolve these issues. By facilitating open, honest communication, understanding can often be reached. There are many possible causes of DE. Regardless of the cause, treatments are available.

The condition is very common. By asking for help, you can get the psychological and physical support needed to address the issue and enjoy a more fulfilling sex life. A doctor can still use the drug for that purpose. This is because the FDA regulates the testing and approval of drugs, but not how doctors use drugs to treat their patients.

So, your doctor can prescribe a drug however they think is best for you. There are many natural ways to boost your libido, such as eating aphrodisiacs and sleeping more. Discover other foods and lifestyle habits you should…. It's common to lose interest in sexual activity from time to time, and your libido levels can vary throughout your life. In fact, treatments for delayed ejaculation have an average success rate of around 70 percent to 80 percent.

For men with delayed ejaculation, reaching orgasm and ejaculating can take significantly longer than this. For some men, the process takes as long as 45 minutes. In addition to taking longer to orgasm and ejaculate, men with delayed ejaculation may find the process of orgasm and ejaculation difficult. In some cases, men with delayed ejaculation may not be able to orgasm or ejaculate at all, even with significant sexual stimulation.

Others may only be able to reach orgasm and ejaculate through alternative sexual experiences or acts, such as masturbation. Delayed ejaculation is also known as impaired ejaculation. While longer-lasting sex may sound like a good thing, the reality is that delayed ejaculation can cause stress, frustration and discomfort, both for men who are affected by this condition and for their partners.

When sex goes on for too long, it can become physically uncomfortable. Natural factors that are important for pleasurable sex, such as vaginal lubrication, can run out, making what should be a pleasurable experience a frustrating, physically difficult one.

Delayed ejaculation can vary in severity and cause several symptoms. Need 30 minutes or more of sexual stimulation to ejaculate.

You may find it difficult to orgasm and ejaculate in a reasonable period of time during sex with your partner, or while masturbating. Find it difficult or impossible to ejaculate at all. Typically referred to as anejaculation, you may find it difficult to ejaculate following sexual stimulation. Anejaculation can occur with or without orgasm. Can only ejaculate while masturbating. Some men with delayed ejaculation may find it difficult to orgasm and ejaculate during sexual intercourse, but are able to orgasm and ejaculate normally from masturbation.

Need to stop or take a break from sex due to your symptoms. You may experience fatigue during sex due to exertion. Feel distress or frustration. This may even cause relationship problems or tension in your sex life. The precise symptoms of delayed ejaculation can vary.

To diagnose and treat cases of delayed ejaculation more specifically, most experts categorize delayed ejaculation into the two following categories:. Lifelong delayed ejaculation. This form of delayed ejaculation occurs from the start of sexual maturity. Men with lifelong delayed ejaculation may have always found it difficult to reach orgasm and ejaculate.

Acquired delayed ejaculation. This form of delayed ejaculation occurs after a period of being able to orgasm and ejaculate normally. In addition to being either lifelong or acquired, delayed ejaculation is often categorized as being generalized or situational:. Generalized delayed ejaculation.

Men with generalized delayed ejaculation experience symptoms with all sexual partners and types of sexual stimulation. Situational delayed ejaculation. Men with situational delayed ejaculation may only find it difficult to orgasm and ejaculate in certain situations, such as with a specific sexual pleasure or with a certain type of sexual stimulation.

A variety of factors can be underlying causes for delayed ejaculation, from psychological issues to health problems, or even the use of certain types of medication. Sometimes, several factors may all play a role in contributing to difficulty reaching orgasm and ejaculating.

In many cases, delayed ejaculation is caused by a psychological factor, such as depression or sexual performance anxiety. Fear of intimacy, pregnancy or other factors. Certain fears , such as fear of intimacy or concerns about impregnating your sexual partner, may affect your ability to ejaculate and contribute to delayed ejaculation. Mental health conditions, such as depression or anxiety.

A variety of mental health conditions are linked to delayed ejaculation, including depression, anxiety disorders and obsessive-compulsive disorder OCD. Sexual performance anxiety. This is referred to as sexual performance anxiety and it may cause symptoms such as erectile dysfunction or difficulty ejaculating.

Conditioning due to masturbation. You may find it difficult to have a sexual response long enough to ejaculate if you have a lack of sexual attraction to your partner, or if you feel unhappy with your partner due to a conflict. Feelings of guilt due to a religious or cultural conviction. In such cases, penile sensitivity may be evaluated using various instruments that produce vibration.

In addition, a medical history is obtained paying particular attention to any previous neurologic injury or trauma to the penis. Other sexual dysfunctions such as low desire and erectile dysfunction may also accompany the ejaculatory problem and need to be addressed.

The psychological definition of delayed ejaculation refers to the inability to have an ejaculation during sexual intercourse. Interestingly enough, ejaculatory issues are rarely defined as a dysfunction if they occur only during masturbation. As a result, an important diagnostic question for sex therapists is the context in which the problem occurs. Does this difficulty occur with self-stimulation, with all partners or with specific partners?

This question will ultimately be important as a treatment program is designed and implemented. Problems of delayed ejaculation tend to be somewhat rare and not well understood by psychologists and sex therapists. In addition, they are not well understood by most medical doctors and urologists. It is not unusual for doctors to minimize the dysfunction and to dismiss it.

For many men, finding the right professional, who has experience and realizes the seriousness of the problem may be one of the most difficult aspects in the treatment process. In many cases, the man himself may tend to delay treatment or to minimize the distress of the situation.

At other times, there is the hope that ejaculatory problems will disappear without proper treatment. Unfortunately however, problems such as delayed ejaculation seldom disappear without professional intervention. For many men, feelings of shame prevent them from seeking medical and professional help.

In spite of the lack of information regarding delayed ejaculation, the most successful approach, for sex therapists, is to engage both members of the couple into addressing the problem. Resolving the problem is most successful when both partners can work together as a team toward a successful solution. If the man is in a relationship, he needs the support and understanding of his partner.

This helps to insure a successful treatment. Overcoming an ejaculation problem when under stress and pressure from a partner is extremely difficult for any man. Ejaculatory problems can have a devastating affect on self-esteem.

Men with ejaculation problems undoubtedly have feelings of inadequacy, feelings of failure and a negative view of themselves. They feel that they have little to offer in a relationship and to tend to avoid emotional and physical intimacy. Over time, partners become frustrated and communication becomes strained. Thus, resentments, anger and feelings of rejection often accompany an ejaculation problem.

Ejaculation problems may also contribute to a low libido and lack of interest in sexual activity. Without ejaculation, sex can become a source of frustration and devoid of satisfaction. As a result, sexual activity can be perceived as more work than pleasure. In some cases, the woman may not be interested in sexual intimacy because of her frustration and anger at the situation.

Ultimately in such cases, couples agree to avoid sexual contact rather than face the emotional pain of another sexual failure. For some men, there may be additional psychological issues that underlie an ejaculatory dysfunction. For example, there may be issues of performance anxiety related to infertility, fears of rejection or the desire to please a partner. Early psychological trauma can also be a significant factor. If sexual abuse of the man has occurred, these can have a direct correlation to the sexual dysfunction itself.

Sex can serve as a trigger to bring back painful emotional feelings and memories from the past. Ignoring these important emotional issues can lead to difficulties resolving the problem or to a future re-occurrence of the sexual dysfunction. Traditional behavioral sex therapy for delayed ejaculation is as follows: the man begins by masturbating, then starts intercourse when he is almost ready to ejaculate; the procedure continues with the man beginning intercourse earlier and earlier.

The partner may assist the man to masturbate and maintains a supportive and encouraging attitude. Sensitivity may be improved with the use of androgens such as testosterone or by using a vibrator. In contrast to delayed ejaculation, early ejaculation difficulties are much more common and frequently seen in sexual medicine clinics.