​​What is Delayed Ejaculation?​

Delayed ejaculation, also known as impaired ejaculation, is a sexual disorder characterized by persistent difficulty or inability to ejaculate despite adequate sexual stimulation and arousal. It can cause distress and frustration for both the affected person and their partner. Let’s take a look at the underlying causes, symptoms, and treatment options for delayed ejaculation.

Impact of delayed ejaculation

While not releasing sperm is usually not harmful, it can have an impact on sexual satisfaction and close relationships. A person may have a medical problem, such as an infection, if they are unable to expel semen. Fertility can also be affected by the inability to release sperm.

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Underlying causes of delayed ejaculation

• Psychological factors: Anxiety, depression, stress, fear of failure and relationship problems can contribute to delayed ejaculation.
• Medical Conditions: Dr. Chirag Bhandari, founder of the Institute of Andrology and Sexual Health (IASH) says, “Certain medical conditions, such as diabetes, multiple sclerosis, spinal cord injury, hormonal imbalances and prostate problems, can affect ejaculation.”
• Medications: Certain medications, including antidepressants, antipsychotics, and blood pressure medications, can interfere with ejaculation.
• Substance abuse: Excessive alcohol or substance abuse can affect sexual function.

Symptoms of an ejaculation problem

• Difficulty or inability to ejaculate during sexual activity, despite prolonged stimulation.
• Need for excessive or intense stimulation to achieve ejaculation.
• Frustration, anxiety, or negative impact on relationships due to the inability to ejaculate.
• Decreased sexual satisfaction or pleasure.

Treatment of this sexual problem

• Psychological Therapy: According to Dr. Bhandari “counseling, cognitive behavioral therapy and sex therapy can help address underlying psychological factors that contribute to delayed ejaculation.”
• Medication adjustment: If medication causes delayed ejaculation, a doctor can adjust the dosage or prescribe alternative medications with fewer sexual side effects.
• Hormone Therapy: In cases where hormonal imbalances are the cause, hormone replacement therapy may be recommended.
• Behavioral techniques: “Techniques such as the ‘stop-start’ or ‘squeeze’ method can be used to improve ejaculation control,” says Dr. Bhandari.
• Couples therapy: involving the partner in therapy sessions can help improve communication and reduce anxiety or performance pressure.
• Vibrating Stimulation: This technique uses a device that delivers targeted vibrations to enhance penile sensations and facilitate ejaculation.

The takeaway meal

According to dr. Bhandari: “It is important for individuals experiencing delayed ejaculation to seek professional help from a healthcare professional or a qualified therapist. They can assess the underlying causes, provide appropriate treatment options, and offer guidance and support throughout the process. With the right approach, delayed ejaculation can be managed effectively, allowing individuals and couples to regain sexual satisfaction and intimacy.”