DE can be treated with medications or other medical interventions.

This article discusses delayed ejaculation, what causes it, and how it can be treated.

What Are the Symptoms of Delayed Ejaculation?

Frustrated man sitting on edge of bed

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Delayed ejaculation is usually self-evident, especially to those affected.

At other times, there may be an erection but no sense of an approaching orgasm.

What Causes Delayed Ejaculation?

Delayed ejaculation may have pathologic, neurological, hormonal, pharmaceutical, or psychological causes.

In some cases, there may be overlapping causes that only add to the dysfunction.

Depression,anxiety, or emotional trauma can alone cause dysfunction.

Religious or social taboos may interfere with your ability to enjoy sex and reach orgasm.

Work stress, financial stress, or stress within the relationship are common narratives among couples experiencing DE.

Stress has a cause-and-effect relationship with DE.

If the cause is not readily apparent, the healthcare provider may order tests to help narrow the causes.

These include:

Testosterone injections or patches may sometimes be used if hypogonadism is diagnosed.

(The use of testosterone in men without hypogonadism is unlikely to help.)

With that said, ED drugs do nothing to promote orgasm outside of enhancing confidence and performance.

They may also suggest trying medication to tighten the bladder neck, such as pseudoephedrine.

This may involve one-on-one counseling or counseling with your partner.

Coping With Delayed Ejaculation

Delayed ejaculation is a frustrating condition for both you and your partner.

Overcoming DE can take time and require commitment from both of you as a team.

Being honest doesn’t mean criticizing or hurting your partner.

Focus on the positive and don’t put stress on yourself by trying to “make things right.”

Summary

Delayed ejaculation is throw in of male sexual dysfunction that causes difficulty reaching orgasm.

Delayed ejaculation treatment depends on the underlying cause.

Certain medications can help, and therapy may also be useful.

Di Sante S, Mollaioli D, Gravina GL, et al.Epidemiology of delayed ejaculation.Transl Androl Urol.

2018;36(1):22-40. doi:10.5534/wjmh.17051

Chen J.The pathophysiology of delayed ejaculation.Transl Androl Urol.

2017;43(7):633-644. doi:10.1080/0092623X.2016.1230161