Delayed ejaculation: How to tell if you have this condition

Delayed ejaculation is the cause of tension in many relationships, but it’s hardly ever talked about.

You are probably quite familiar with premature ejaculation; causes, symptoms and treatment. However, its inverse condition known as delayed ejaculation (DE) is hardly talked about, but it impacts sexual health just as much.

What is delayed ejaculation?

This term is used to describe a man’s inability to achieve climax after 30 minutes or more of sexual activity, explains.

Also known as impaired ejaculation, this condition, in some cases, results in men not being able to ejaculate at all, regardless the length of sexual stimulation. Most men experience it from time to time, but it may be a chronic problem for some.

It is not considered a serious health issue, but can be sexually frustrating and difficult for people in relationships.

Relationship tension, anger and disappointment could cause delayed ejaculation. Getty/ SolStock


DE can be as a result of psychological issues, chronic health conditions or reactions to medications, according to Mayo Clinic.Anxiety, depression, cultural or religious taboos surrounding sex, could suppress sexual desire, causing a prolonged delay in ejaculation.

Tension in a relationship, anger, disappointment or a lack of communication with a sexual partner, can lead to DE.

Other causes include:

  • Medications such as antidepressants, antipsychotics, anti-seizure meds or diuretics
  • Certain infections like prostate or urinary infections
  • Certain prostate surgeries that cause nerve damage
  • Injury to the pelvic nerves that control orgasm

In some cases, an instance of DE may cause anxiety about ejaculating, making it possible for the condition to recur even if the underlying cause is eliminated.

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Treatment would depend on the cause of delayed ejaculation, meaning you would have to go see a doctor or a urologist to have it diagnosed. Your doctor can recommend a change in your primary medication or a review of the dosage.

Also, if the cause of the DE is low testosterone levels, you can be prescribed supplements to regulate that. suggests psychological counselling for the treatment of depression and anxiety, as well as sexual therapy sessions, can help improve the condition. Sexual therapy can be done alone or with a partner.

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