Materiały źródłowe

• #1 Delayed Ejaculation: Pathophysiology, Diagnosis, and Treatment

  https://pmc.ncbi.nlm.nih.gov/articles/PMC5756804/

  Delayed ejaculation (DE) is a poorly defined and uncommon form of male sexual dysfunction, characterized by a marked delay in ejaculation or an inability to achieve ejaculation. […] The literature suggests that the pathophysiology of DE/AE is multifactorial, including both organic and psychosocial factors. […] Despite the many publications on this condition, the exact pathogenesis is not yet known. […] Many of these etiologic factors are not supported by good evidence-based data, but rather are based on case reports and case series. […] These etiological factors organic and psychogenic etiologies are neither independent nor mutually exclusive and may well interact with each other, and their pathological effects may vary between individuals. […] Ejaculation involves emission, bladder neck closure, and expulsion (ejaculation proper).

• #2 The pathophysiology of delayed ejaculation – Chen – Translational Andrology and Urology

  https://tau.amegroups.org/article/view/10617/11776

  Delayed ejaculation (DE) is probably least studied, and least understood of male sexual dysfunctions, with an estimated prevalence of 14% of the male population. […] Pathophysiology of DE is multifactorial and including psychosexual-behavioral and cultural factors, disruption of ejaculatory apparatus, central and peripheral neurotransmitters, hormonal or neurochemical ejaculatory control and psychosocial factors. […] Although knowledge of the physiology of the DE has increased in the last two decade, our understanding of the different pathophysiological process of the causes of DE remains limited. […] The etiology of DE is usually multidimensional, resulting from the mans biologic ejaculatory latency being affected by multiple organic biological, or psychogenic factors in varying combinations during his life.

• #3 The pathophysiology of delayed ejaculation

  https://pmc.ncbi.nlm.nih.gov/articles/PMC5002008/

  Delayed ejaculation (DE) is probably least studied, and least understood of male sexual dysfunctions, with an estimated prevalence of 14% of the male population. Pathophysiology of DE is multifactorial and including psychosexual-behavioral and cultural factors, disruption of ejaculatory apparatus, central and peripheral neurotransmitters, hormonal or neurochemical ejaculatory control and psychosocial factors. […] The pathophysiological etiology of DE should be established thorough medical, psychosexual and psychosocial history. The etiology of DE is usually multidimensional, resulting from the mans biologic ejaculatory latency being affected by multiple organic biological, or psychogenic factors in varying combinations during his life. […] Psychogenic and biogenic etiologies of DE usually are neither independent nor mutually exclusive, with both categories overlapping and including a combination of factors involving both etiological domains.

• #4 Delayed Ejaculation: Pathophysiology, Diagnosis, and Treatment

  https://pmc.ncbi.nlm.nih.gov/articles/PMC5756804/

  Delayed ejaculation (DE) is a poorly defined and uncommon form of male sexual dysfunction, characterized by a marked delay in ejaculation or an inability to achieve ejaculation. […] The literature suggests that the pathophysiology of DE/AE is multifactorial, including both organic and psychosocial factors. […] Despite the many publications on this condition, the exact pathogenesis is not yet known. […] Many of these etiologic factors are not supported by good evidence-based data, but rather are based on case reports and case series. […] These etiological factors organic and psychogenic etiologies are neither independent nor mutually exclusive and may well interact with each other, and their pathological effects may vary between individuals. […] Ejaculation involves emission, bladder neck closure, and expulsion (ejaculation proper).

• #5 Delayed Ejaculation: Pathophysiology, Diagnosis, and Treatment

  https://pmc.ncbi.nlm.nih.gov/articles/PMC5756804/

  Delayed ejaculation (DE) is a poorly defined and uncommon form of male sexual dysfunction, characterized by a marked delay in ejaculation or an inability to achieve ejaculation. […] The literature suggests that the pathophysiology of DE/AE is multifactorial, including both organic and psychosocial factors. […] Despite the many publications on this condition, the exact pathogenesis is not yet known. […] Many of these etiologic factors are not supported by good evidence-based data, but rather are based on case reports and case series. […] These etiological factors organic and psychogenic etiologies are neither independent nor mutually exclusive and may well interact with each other, and their pathological effects may vary between individuals. […] Ejaculation involves emission, bladder neck closure, and expulsion (ejaculation proper).

• #6 The pathophysiology of delayed ejaculation

  https://pmc.ncbi.nlm.nih.gov/articles/PMC5002008/

  Delayed ejaculation (DE) is probably least studied, and least understood of male sexual dysfunctions, with an estimated prevalence of 14% of the male population. Pathophysiology of DE is multifactorial and including psychosexual-behavioral and cultural factors, disruption of ejaculatory apparatus, central and peripheral neurotransmitters, hormonal or neurochemical ejaculatory control and psychosocial factors. […] The pathophysiological etiology of DE should be established thorough medical, psychosexual and psychosocial history. The etiology of DE is usually multidimensional, resulting from the mans biologic ejaculatory latency being affected by multiple organic biological, or psychogenic factors in varying combinations during his life. […] Psychogenic and biogenic etiologies of DE usually are neither independent nor mutually exclusive, with both categories overlapping and including a combination of factors involving both etiological domains.

• #7 Delayed ejaculation – treatment, causes and diagnosis | healthdirect

  https://www.healthdirect.gov.au/delayed-ejaculation

  Delayed ejaculation is when you have trouble reaching orgasm and ejaculating. […] Delayed ejaculation can be a temporary or lifelong condition. […] Treatment depends on the cause. […] The causes of delayed ejaculation are different for everyone and can be complicated. […] Many different types of medicines can cause delayed ejaculation, including antidepressants, some strong pain-relief medicines, and some medicines for high blood pressure and heart disease. […] Alcohol and some recreational drugs can also cause delayed ejaculation. […] There can be physical reasons for delayed ejaculation, such as surgery or trauma to your pelvis or genitals, problems with your reproductive system, problems with your nerves or spinal cord, some hormonal conditions, chronic illnesses, such as diabetes or multiple sclerosis, and ageing.

• #8 Mayo Clinic Health Library – Delayed ejaculation | Swiss Medical Network

  https://www.swissmedical.net/en/healtcare-library/con-20371342

  Delayed ejaculation can be a brief or lifelong problem. Possible causes of delayed ejaculation include certain ongoing health conditions, surgeries and medicines. […] Some medicines, certain ongoing health conditions and surgeries can cause delayed ejaculation. Other causes include substance misuse or a mental health concern, such as depression, anxiety or stress. Often, it’s due to a mix of physical and psychological concerns. […] Psychological causes of delayed ejaculation include: Depression, anxiety or other mental health conditions. Relationship problems due to stress, not communicating well or other concerns. Anxiety about performance. Poor body image. Cultural or religious taboos. Differences between the reality of sex with a partner and sexual fantasies. […] Medicines and other substances that can cause delayed ejaculation include: Some antidepressants or antipsychotics. Certain high blood pressure medicines. Certain water pills, called diuretics. Some antipsychotic medicines. Some antiseizure medicines. Too much alcohol.

• #9 Delayed Ejaculation: Causes, Diagnosis & Treatment

  https://my.clevelandclinic.org/health/diseases/22125-delayed-ejaculation

  Delayed ejaculation can have physical or psychological causes. […] There are physical and psychological (mental and emotional) causes for delayed ejaculation. […] Physical causes may include conditions that affect your nervous system, such as a stroke, spinal cord injury or multiple sclerosis (MS) nerve damage may also occur as a complication of diabetes or surgery. […] Psychological causes may include feeling guilty about sexual intercourse, possibly due to your upbringing or religious background. […] Many men have delayed ejaculation issues as they get older. […] Age-related delayed ejaculation may not improve, even with treatment.

• #10 Ejaculation problems | nidirect

  https://www.nidirect.gov.uk/conditions/ejaculation-problems

  Delayed ejaculation can suddenly start to happen after previously having no problems, or the man may have always experienced it. It may occur in all sexual situations or only in certain situations, such as during sex but not during masturbation. When ejaculation only occurs in certain situations, there’s usually a psychological cause.

• #11 Delayed Ejaculation: Pathophysiology, Diagnosis, and Treatment

  https://pmc.ncbi.nlm.nih.gov/articles/PMC5756804/

  On one hand, it was argued that DE may be caused by psychosexual, psychosocial, or relationship problems. On the other hand, it has been argued that DE is caused by genetic, neurobiological, endocrine, anatomic, and infectious factors, or may be drug-induced. […] The list of organic causes possibly leading to DE/AE is extensive and is outlined in Table 1, 2, 3. […] A full discussion of each factor is beyond the scope of this review. New etiologies continue to be added to the list of causes. […] Complaints of DE/AE in patients taking medications are not uncommon. […] Different medications may interfere with either central or peripheral control of ejaculation, potentially affecting the IELT. […] The significant heterogeneity in the occurrence and the presentation of SSRI-related sexual dysfunction may suggest underlying genetic factors.

• #12 The pathophysiology of delayed ejaculation – Chen – Translational Andrology and Urology

  https://tau.amegroups.org/article/view/10617/11776

  Different surgical modalities for the treatment of lower urinary tract symptoms (LUTS) due to benign prostate hyperplasia (BPH) are associated with variable adverse effects on ejaculatory function. […] Neurological disorders, either functional or organic, that affect the brain and spinal cord may cause DE, depending on the level and extent of the pathology. […] Although hormonal regulation of all aspects of male reproduction is well established, the role of endocrine control on the ejaculatory process is still not completely clarified. […] UTI, pelvic inflammation and chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) have all been recognized as etiologic factors for EjD, including DE. […] The medical treatment for many conditions can be the reasons for DE. […] A significant number of men on medical treatment for LUTS associated with BPH report EjD.

• #13 Delayed Ejaculation: Causes, Symptoms, & Diagnosis

  https://www.healthline.com/health/delayed-ejaculation

  Delayed ejaculation (DE) occurs when a man needs more than 30 minutes of sexual stimulation to reach orgasm and ejaculate. […] DE has multiple causes, including anxiety, depression, neuropathy, and reactions to medications. […] There are many potential causes of DE, including psychological concerns, chronic health conditions, and reactions to medications. […] Psychological causes of DE can occur due to a traumatic experience. Cultural or religious taboos can give sex a negative connotation. Anxiety and depression can both suppress sexual desire, which may result in DE as well. […] Certain chemicals can affect the nerves involved in ejaculation. This can affect ejaculation with and without a partner. […] Surgeries or trauma may also cause DE. The physical causes of DE may include damage to the nerves in your spine or pelvis, certain prostate surgeries that cause nerve damage, heart disease that affects blood pressure to the pelvic region, infections, especially prostate or urinary infections, neuropathy or stroke, low thyroid hormone, low testosterone levels, and birth defects that impair the ejaculation process.

• #14 Ejaculation problems

  https://www.nhs.uk/conditions/ejaculation-problems/

  Delayed ejaculation (male orgasmic disorder) is classed as either: […] Like premature ejaculation, delayed ejaculation can be caused by psychological and physical factors. […] Possible psychological causes of delayed ejaculation are similar to those of premature ejaculation for example, relationship problems, stress or depression. […] Physical causes of delayed ejaculation include: diabetes, spinal cord injuries, multiple sclerosis, surgery to the bladder or prostate gland, increasing age. […] Many medicines are known to cause delayed ejaculation, including: antidepressants, particularly selective serotonin reuptake inhibitors (SSRIs), medicines to treat high blood pressure, such as beta-blockers, antipsychotics, used to treat episodes of psychosis. […] Delayed ejaculation can suddenly start to happen after previously having no problems, or (less commonly) the man may have always experienced it.

• #15 Ejaculatory Disorders | University of Utah Health

  https://healthcare.utah.edu/fertility/conditions/ejaculatory-disorders

  Delayed ejaculation is when you take a long time, such as 30-45 minutes, to ejaculate. A variation of delayed ejaculation (anejaculation) is when you don’t ejaculate at all. […] Delayed ejaculation can occur for psychological reasons. It can also occur due to physical causes: […] Aging […] Diabetes […] Duct blockages where semen should pass through […] Hormonal imbalances […] Medications, especially SSRIs […] Neurologic conditions, including multiple sclerosis and spinal cord injuries […] Surgery, including prostate cancer surgery and testicle cancer surgery.

• #16 Delayed ejaculation – treatment, causes and diagnosis | healthdirect

  https://www.healthdirect.gov.au/delayed-ejaculation

  Delayed ejaculation is when you have trouble reaching orgasm and ejaculating. […] Delayed ejaculation can be a temporary or lifelong condition. […] Treatment depends on the cause. […] The causes of delayed ejaculation are different for everyone and can be complicated. […] Many different types of medicines can cause delayed ejaculation, including antidepressants, some strong pain-relief medicines, and some medicines for high blood pressure and heart disease. […] Alcohol and some recreational drugs can also cause delayed ejaculation. […] There can be physical reasons for delayed ejaculation, such as surgery or trauma to your pelvis or genitals, problems with your reproductive system, problems with your nerves or spinal cord, some hormonal conditions, chronic illnesses, such as diabetes or multiple sclerosis, and ageing.

• #17 Mayo Clinic Health Library – Delayed ejaculation | Swiss Medical Network

  https://www.swissmedical.net/en/healtcare-library/con-20371342

  Physical causes of delayed ejaculation include: Certain birth defects that affect the reproductive system. Injury to the pelvic nerves that control orgasm. Certain infections, such as a urinary tract infection. Prostate surgery, such as transurethral resection of the prostate or prostate removal. Neurological diseases, such as diabetic neuropathy, stroke or nerve damage to the spinal cord. Hormone-related conditions, such as low thyroid hormone level, called hypothyroidism, or low testosterone level, called hypogonadism. A condition in which the semen goes backward into the bladder rather than out of the penis, called retrograde ejaculation.

• #18 Delayed Ejaculation: Causes, Symptoms, & Diagnosis

  https://www.healthline.com/health/delayed-ejaculation

  Delayed ejaculation (DE) occurs when a man needs more than 30 minutes of sexual stimulation to reach orgasm and ejaculate. […] DE has multiple causes, including anxiety, depression, neuropathy, and reactions to medications. […] There are many potential causes of DE, including psychological concerns, chronic health conditions, and reactions to medications. […] Psychological causes of DE can occur due to a traumatic experience. Cultural or religious taboos can give sex a negative connotation. Anxiety and depression can both suppress sexual desire, which may result in DE as well. […] Certain chemicals can affect the nerves involved in ejaculation. This can affect ejaculation with and without a partner. […] Surgeries or trauma may also cause DE. The physical causes of DE may include damage to the nerves in your spine or pelvis, certain prostate surgeries that cause nerve damage, heart disease that affects blood pressure to the pelvic region, infections, especially prostate or urinary infections, neuropathy or stroke, low thyroid hormone, low testosterone levels, and birth defects that impair the ejaculation process.

• #19 Ejaculation problems

  https://www.nhs.uk/conditions/ejaculation-problems/

  Delayed ejaculation (male orgasmic disorder) is classed as either: […] Like premature ejaculation, delayed ejaculation can be caused by psychological and physical factors. […] Possible psychological causes of delayed ejaculation are similar to those of premature ejaculation for example, relationship problems, stress or depression. […] Physical causes of delayed ejaculation include: diabetes, spinal cord injuries, multiple sclerosis, surgery to the bladder or prostate gland, increasing age. […] Many medicines are known to cause delayed ejaculation, including: antidepressants, particularly selective serotonin reuptake inhibitors (SSRIs), medicines to treat high blood pressure, such as beta-blockers, antipsychotics, used to treat episodes of psychosis. […] Delayed ejaculation can suddenly start to happen after previously having no problems, or (less commonly) the man may have always experienced it.

• #20 Is it unhealthy to not ejaculate? What to know

  https://www.medicalnewstoday.com/articles/side-effects-of-not-releasing-sperm

  Males with delayed ejaculation experience difficulty or inability to ejaculate in a reasonable time. […] This can happen for a number of reasons, including: psychosocial and psychosexual factors, such as: fear of pregnancy, fear of intimacy, performance anxiety; endocrine issues, such as: hypogonadism, hypothyroidism, hyperprolactinemia; some medications; genetics; congenital anatomical factors; neurogenic conditions such as multiple sclerosis; aging; infections or inflammation. […] As there are many possible causes of delayed ejaculation, it is best to contact a doctor for advice. The doctor can help determine the cause and advise on a suitable treatment plan.

• #21 Delayed Ejaculation: Causes, Symptoms, & Diagnosis

  https://www.healthline.com/health/delayed-ejaculation

  Delayed ejaculation (DE) occurs when a man needs more than 30 minutes of sexual stimulation to reach orgasm and ejaculate. […] DE has multiple causes, including anxiety, depression, neuropathy, and reactions to medications. […] There are many potential causes of DE, including psychological concerns, chronic health conditions, and reactions to medications. […] Psychological causes of DE can occur due to a traumatic experience. Cultural or religious taboos can give sex a negative connotation. Anxiety and depression can both suppress sexual desire, which may result in DE as well. […] Certain chemicals can affect the nerves involved in ejaculation. This can affect ejaculation with and without a partner. […] Surgeries or trauma may also cause DE. The physical causes of DE may include damage to the nerves in your spine or pelvis, certain prostate surgeries that cause nerve damage, heart disease that affects blood pressure to the pelvic region, infections, especially prostate or urinary infections, neuropathy or stroke, low thyroid hormone, low testosterone levels, and birth defects that impair the ejaculation process.

• #22 Mayo Clinic Health Library – Delayed ejaculation | Swiss Medical Network

  https://www.swissmedical.net/en/healtcare-library/con-20371342

  Physical causes of delayed ejaculation include: Certain birth defects that affect the reproductive system. Injury to the pelvic nerves that control orgasm. Certain infections, such as a urinary tract infection. Prostate surgery, such as transurethral resection of the prostate or prostate removal. Neurological diseases, such as diabetic neuropathy, stroke or nerve damage to the spinal cord. Hormone-related conditions, such as low thyroid hormone level, called hypothyroidism, or low testosterone level, called hypogonadism. A condition in which the semen goes backward into the bladder rather than out of the penis, called retrograde ejaculation.

• #23 The pathophysiology of delayed ejaculation – Chen – Translational Andrology and Urology

  https://tau.amegroups.org/article/view/10617/11776

  Different surgical modalities for the treatment of lower urinary tract symptoms (LUTS) due to benign prostate hyperplasia (BPH) are associated with variable adverse effects on ejaculatory function. […] Neurological disorders, either functional or organic, that affect the brain and spinal cord may cause DE, depending on the level and extent of the pathology. […] Although hormonal regulation of all aspects of male reproduction is well established, the role of endocrine control on the ejaculatory process is still not completely clarified. […] UTI, pelvic inflammation and chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) have all been recognized as etiologic factors for EjD, including DE. […] The medical treatment for many conditions can be the reasons for DE. […] A significant number of men on medical treatment for LUTS associated with BPH report EjD.

• #24 Mayo Clinic Health Library – Delayed ejaculation | Swiss Medical Network

  https://www.swissmedical.net/en/healtcare-library/con-20371342

  Physical causes of delayed ejaculation include: Certain birth defects that affect the reproductive system. Injury to the pelvic nerves that control orgasm. Certain infections, such as a urinary tract infection. Prostate surgery, such as transurethral resection of the prostate or prostate removal. Neurological diseases, such as diabetic neuropathy, stroke or nerve damage to the spinal cord. Hormone-related conditions, such as low thyroid hormone level, called hypothyroidism, or low testosterone level, called hypogonadism. A condition in which the semen goes backward into the bladder rather than out of the penis, called retrograde ejaculation.

• #25 Delayed Ejaculation – Causes, Symptoms, and Treatment

  https://www.icliniq.com/articles/mens-health/delayed-ejaculation

  Delayed ejaculation is a sexual disorder in which the man is unable to achieve orgasm despite adequate sexual stimulation. […] The causes of delayed ejaculation are as follows: […] Delayed ejaculation can be due to any physical factor, such as medications or nerve damage. The physical causes of delayed ejaculation include, […] Certain medications, such as antidepressants, antipsychotic drugs, diuretics, anti-seizure medications, and blood pressure medications, may result in delayed ejaculation. […] Pelvic nerve damage results in controlling orgasm. This can lead to delayed ejaculation. […] Certain pelvis surgeries, such as the removal of the prostate gland, can result in delayed ejaculation. […] Excessive and frequent alcohol consumption can cause delayed ejaculation. […] Several conditions, such as underactive thyroid and low testosterone, affect sexual performance, ejaculation, and orgasm.

• #26 Mayo Clinic Health Library – Delayed ejaculation | Swiss Medical Network

  https://www.swissmedical.net/en/healtcare-library/con-20371342

  Physical causes of delayed ejaculation include: Certain birth defects that affect the reproductive system. Injury to the pelvic nerves that control orgasm. Certain infections, such as a urinary tract infection. Prostate surgery, such as transurethral resection of the prostate or prostate removal. Neurological diseases, such as diabetic neuropathy, stroke or nerve damage to the spinal cord. Hormone-related conditions, such as low thyroid hormone level, called hypothyroidism, or low testosterone level, called hypogonadism. A condition in which the semen goes backward into the bladder rather than out of the penis, called retrograde ejaculation.

• #27 Delayed Ejaculation: Causes, Symptoms, & Diagnosis

  https://www.healthline.com/health/delayed-ejaculation

  A temporary ejaculation problem can cause anxiety and depression. This can lead to recurrence, even when the underlying physical cause has been resolved. […] Low Testosterone can contribute to DE and low testosterone supplements could help fix your DE issue. […] 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. However, don’t stop taking any medication without your doctor’s recommendation.

• #28 Delayed Ejaculation: Background, Etiology, Pathophysiology

  https://emedicine.medscape.com/article/2184956-overview

  Hyperprolactinemia has been associated with both decreased sexual desire and a decreased ability to reach orgasm in males. […] Reportedly, the intensity of orgasm correlates with the ejaculatory volume; thus, declines in ejaculatory volume can result in reduced sexual pleasure. Because ejaculate volume is androgen-dependent, it tends to decrease with age, and this decrease may result in a blunted orgasm experience in the elderly. […] The increased frequency of delayed ejaculation in men older than 50 years may be associated with age-related loss of fast-conducting peripheral sensory nerves, as well as with age-related reduction in the secretion of sex steroids.

• #29 Male delayed orgasm and anorgasmia: a practical guide for sexual medicine providers | International Journal of Impotence Research

  https://www.nature.com/articles/s41443-023-00692-7

  Delayed orgasm (DO) is defined as increased latency of orgasm despite adequate sexual stimulation and desire. Etiologies of DO/AO include medication-induced, psychogenic, endocrine, and genitopelvic dysesthesia. […] The most common etiologies include selective serotonin reuptake inhibitors (SSRI; 42%), psychogenic (28%), low testosterone (T; 21%), abnormal penile sensation (7%), and penile hyperstimulation (2%). […] Given the fundamental role of hormonal regulation in the physiology of orgasm, multiple endocrinopathies have been identified in patients with DO. […] Hyperprolactinemia also leads to DO as increased levels of prolactin (PRL) result in suppression of T production. […] Psychogenic DO results from feelings of fear, anxiety, hostility, relationship difficulties associated with sexual intercourse and encounters.

• #30 Delayed Ejaculation Causes, Diagnosis, Treatment, and Coping

  https://www.verywellhealth.com/delayed-ejaculation-3300047

  Delayed ejaculation may have pathologic, neurological, hormonal, pharmaceutical, or psychological causes. […] Some of the causes your healthcare provider may consider include: […] Pathologic causes, such as heart disease (which can lower blood pressure), diabetes, prostate problems, and urinary tract infection […] Neurological causes, like stroke, neuropathy, spinal cord injury, or multiple sclerosis […] Hormonal causes, including thyroid problems, hypogonadism (low testosterone), and Cushing’s disease […] Medication side effects, including benzodiazepines like Valium (diazepam), selective serotonin reuptake inhibitors (SSRI) antidepressants, opioids like Oxycontin (oxycodone), antihypertensives (including diuretics), and certain antipsychotics […] Recent pelvic surgery, including prostate surgery

• #31 Delayed ejaculation – Wikipedia

  https://en.wikipedia.org/wiki/Delayed_ejaculation

  Some researchers believe that circumcision has a negative effect on men’s ejaculation during sex, while others believe that circumcision has no effect. […] Endocrine (hypogonadism, pituitary disorders such as hyperprolactinaemia and Cushing’s disease, thyroid disorders, etc.). Although low testosterone level had been considered a risk factor in the past, more recent studies have not confirmed any association between ejaculation times and serum testosterone levels. […] Delayed ejaculation is a possible side effect of alcohol and certain medications, including antipsychotics, antidepressants including selective serotonin reuptake inhibitors (SSRIs), opiates such as morphine or oxycodone, many benzodiazepines such as Valium or Xanax, and certain antihypertensives including thiazide diuretics, alpha-adrenergic blockers and ganglion blockers. […] Psychological (acute psychological distress, relationship distress, psychosexual skill deficit, disconnect between arousal and sexual situations, masturbation style and frequency, etc.)

• #32 Mayo Clinic Health Library – Delayed ejaculation | Swiss Medical Network

  https://www.swissmedical.net/en/healtcare-library/con-20371342

  Physical causes of delayed ejaculation include: Certain birth defects that affect the reproductive system. Injury to the pelvic nerves that control orgasm. Certain infections, such as a urinary tract infection. Prostate surgery, such as transurethral resection of the prostate or prostate removal. Neurological diseases, such as diabetic neuropathy, stroke or nerve damage to the spinal cord. Hormone-related conditions, such as low thyroid hormone level, called hypothyroidism, or low testosterone level, called hypogonadism. A condition in which the semen goes backward into the bladder rather than out of the penis, called retrograde ejaculation.

• #33 Delayed Ejaculation: Causes, Symptoms, & Diagnosis

  https://www.healthline.com/health/delayed-ejaculation

  Delayed ejaculation (DE) occurs when a man needs more than 30 minutes of sexual stimulation to reach orgasm and ejaculate. […] DE has multiple causes, including anxiety, depression, neuropathy, and reactions to medications. […] There are many potential causes of DE, including psychological concerns, chronic health conditions, and reactions to medications. […] Psychological causes of DE can occur due to a traumatic experience. Cultural or religious taboos can give sex a negative connotation. Anxiety and depression can both suppress sexual desire, which may result in DE as well. […] Certain chemicals can affect the nerves involved in ejaculation. This can affect ejaculation with and without a partner. […] Surgeries or trauma may also cause DE. The physical causes of DE may include damage to the nerves in your spine or pelvis, certain prostate surgeries that cause nerve damage, heart disease that affects blood pressure to the pelvic region, infections, especially prostate or urinary infections, neuropathy or stroke, low thyroid hormone, low testosterone levels, and birth defects that impair the ejaculation process.

• #34 Mayo Clinic Health Library – Delayed ejaculation | Swiss Medical Network

  https://www.swissmedical.net/en/healtcare-library/con-20371342

  Physical causes of delayed ejaculation include: Certain birth defects that affect the reproductive system. Injury to the pelvic nerves that control orgasm. Certain infections, such as a urinary tract infection. Prostate surgery, such as transurethral resection of the prostate or prostate removal. Neurological diseases, such as diabetic neuropathy, stroke or nerve damage to the spinal cord. Hormone-related conditions, such as low thyroid hormone level, called hypothyroidism, or low testosterone level, called hypogonadism. A condition in which the semen goes backward into the bladder rather than out of the penis, called retrograde ejaculation.

• #35 Delayed Ejaculation – Causes, Symptoms, and Treatment

  https://www.icliniq.com/articles/mens-health/delayed-ejaculation

  Delayed ejaculation is a sexual disorder in which the man is unable to achieve orgasm despite adequate sexual stimulation. […] The causes of delayed ejaculation are as follows: […] Delayed ejaculation can be due to any physical factor, such as medications or nerve damage. The physical causes of delayed ejaculation include, […] Certain medications, such as antidepressants, antipsychotic drugs, diuretics, anti-seizure medications, and blood pressure medications, may result in delayed ejaculation. […] Pelvic nerve damage results in controlling orgasm. This can lead to delayed ejaculation. […] Certain pelvis surgeries, such as the removal of the prostate gland, can result in delayed ejaculation. […] Excessive and frequent alcohol consumption can cause delayed ejaculation. […] Several conditions, such as underactive thyroid and low testosterone, affect sexual performance, ejaculation, and orgasm.

• #36 The pathophysiology of delayed ejaculation – Chen – Translational Andrology and Urology

  https://tau.amegroups.org/article/view/10617/11776

  Different surgical modalities for the treatment of lower urinary tract symptoms (LUTS) due to benign prostate hyperplasia (BPH) are associated with variable adverse effects on ejaculatory function. […] Neurological disorders, either functional or organic, that affect the brain and spinal cord may cause DE, depending on the level and extent of the pathology. […] Although hormonal regulation of all aspects of male reproduction is well established, the role of endocrine control on the ejaculatory process is still not completely clarified. […] UTI, pelvic inflammation and chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) have all been recognized as etiologic factors for EjD, including DE. […] The medical treatment for many conditions can be the reasons for DE. […] A significant number of men on medical treatment for LUTS associated with BPH report EjD.

• #37 Mayo Clinic Health Library – Delayed ejaculation | Swiss Medical Network

  https://www.swissmedical.net/en/healtcare-library/con-20371342

  Physical causes of delayed ejaculation include: Certain birth defects that affect the reproductive system. Injury to the pelvic nerves that control orgasm. Certain infections, such as a urinary tract infection. Prostate surgery, such as transurethral resection of the prostate or prostate removal. Neurological diseases, such as diabetic neuropathy, stroke or nerve damage to the spinal cord. Hormone-related conditions, such as low thyroid hormone level, called hypothyroidism, or low testosterone level, called hypogonadism. A condition in which the semen goes backward into the bladder rather than out of the penis, called retrograde ejaculation.

• #38 Mayo Clinic Health Library – Delayed ejaculation | Swiss Medical Network

  https://www.swissmedical.net/en/healtcare-library/con-20371342

  Physical causes of delayed ejaculation include: Certain birth defects that affect the reproductive system. Injury to the pelvic nerves that control orgasm. Certain infections, such as a urinary tract infection. Prostate surgery, such as transurethral resection of the prostate or prostate removal. Neurological diseases, such as diabetic neuropathy, stroke or nerve damage to the spinal cord. Hormone-related conditions, such as low thyroid hormone level, called hypothyroidism, or low testosterone level, called hypogonadism. A condition in which the semen goes backward into the bladder rather than out of the penis, called retrograde ejaculation.

• #39 Delayed Ejaculation: Causes, Symptoms, & Diagnosis

  https://www.healthline.com/health/delayed-ejaculation

  Delayed ejaculation (DE) occurs when a man needs more than 30 minutes of sexual stimulation to reach orgasm and ejaculate. […] DE has multiple causes, including anxiety, depression, neuropathy, and reactions to medications. […] There are many potential causes of DE, including psychological concerns, chronic health conditions, and reactions to medications. […] Psychological causes of DE can occur due to a traumatic experience. Cultural or religious taboos can give sex a negative connotation. Anxiety and depression can both suppress sexual desire, which may result in DE as well. […] Certain chemicals can affect the nerves involved in ejaculation. This can affect ejaculation with and without a partner. […] Surgeries or trauma may also cause DE. The physical causes of DE may include damage to the nerves in your spine or pelvis, certain prostate surgeries that cause nerve damage, heart disease that affects blood pressure to the pelvic region, infections, especially prostate or urinary infections, neuropathy or stroke, low thyroid hormone, low testosterone levels, and birth defects that impair the ejaculation process.

• #40 Delayed ejaculation – Wikipedia

  https://en.wikipedia.org/wiki/Delayed_ejaculation

  Delayed ejaculation can be age-related, organic, psychological, or pharmacological. […] Primary lifelong DEs are poorly understood and rarely explained by few congenital anatomic causes (viz., Mllerian duct cyst, Wolfian duct abnormalities, prune belly syndrome, imperforate anus, congenital ejaculatory duct obstruction, genetic abnormalities including cystic fibrosis, etc.) […] Anatomic causes (acquired ejaculatory duct obstruction) […] Infective/Inflammation (residual damage from acute infections, chronic infections, urethritis, prostatitis, orchitis, genitourinary tuberculosis, schistosomiasis, lichen sclerosis, etc.) […] Neurogenic causes (diabetic autonomic neuropathy, spinal cord or nerve root injury from trauma or disc prolapse, multiple sclerosis, etc.). DE can be due to the injury to pelvic nerves responsible for orgasm from trauma as a result of pelvic surgery (viz., prostate surgery including transurethral resection of prostate and bladder neck incision, proctocolectomy, bilateral sympathectomy, abdominal aortic aneurysmectomy, para-aortic lymphadenectomy etc.). Some men report a lack of sensation in the nerves of the glans penis, which may or may not be related to external factors, including a history of circumcision.

• #41 Delayed Ejaculation: Causes, Symptoms, & Diagnosis

  https://www.healthline.com/health/delayed-ejaculation

  Delayed ejaculation (DE) occurs when a man needs more than 30 minutes of sexual stimulation to reach orgasm and ejaculate. […] DE has multiple causes, including anxiety, depression, neuropathy, and reactions to medications. […] There are many potential causes of DE, including psychological concerns, chronic health conditions, and reactions to medications. […] Psychological causes of DE can occur due to a traumatic experience. Cultural or religious taboos can give sex a negative connotation. Anxiety and depression can both suppress sexual desire, which may result in DE as well. […] Certain chemicals can affect the nerves involved in ejaculation. This can affect ejaculation with and without a partner. […] Surgeries or trauma may also cause DE. The physical causes of DE may include damage to the nerves in your spine or pelvis, certain prostate surgeries that cause nerve damage, heart disease that affects blood pressure to the pelvic region, infections, especially prostate or urinary infections, neuropathy or stroke, low thyroid hormone, low testosterone levels, and birth defects that impair the ejaculation process.

• #42 Delayed Ejaculation: symptoms, causes, treatment, medicine, prevention, diagnosis

  https://www.myupchar.com/en/disease/delayed-ejaculation

  Advancing age is also said to be behind the emergence of delayed ejaculation among some men, although the argument has been divided thanks to conflicting outcomes of studies. […] Heart disease is also known to be a factor behind delayed ejaculation, as it can affect blood pressure to the pelvic region. […] Anxiety, depression and other mental health conditions are also known factors behind delayed ejaculation, as they can reduce sexual desire in men. […] Traumatic past experiences involving sex or physical abuse can also cause sexual dysfunctions such as delayed ejaculation. […] Prolonged drug use or alcohol consumption are also known to be behind the symptoms of delayed ejaculation. […] Prolonged use of antidepressants, blood pressure medications and certain diuretics can also cause delayed ejaculation in some people. […] There are several factors behind the onset of delayed ejaculation, which include physiological as well as psychological reasons.

• #43 Delayed Ejaculation: Background, Etiology, Pathophysiology

  https://emedicine.medscape.com/article/2184956-overview

  Hyperprolactinemia has been associated with both decreased sexual desire and a decreased ability to reach orgasm in males. […] Reportedly, the intensity of orgasm correlates with the ejaculatory volume; thus, declines in ejaculatory volume can result in reduced sexual pleasure. Because ejaculate volume is androgen-dependent, it tends to decrease with age, and this decrease may result in a blunted orgasm experience in the elderly. […] The increased frequency of delayed ejaculation in men older than 50 years may be associated with age-related loss of fast-conducting peripheral sensory nerves, as well as with age-related reduction in the secretion of sex steroids.

• #44 Delayed Ejaculation: Causes, Symptoms, & Diagnosis

  https://www.healthline.com/health/delayed-ejaculation

  Delayed ejaculation (DE) occurs when a man needs more than 30 minutes of sexual stimulation to reach orgasm and ejaculate. […] DE has multiple causes, including anxiety, depression, neuropathy, and reactions to medications. […] There are many potential causes of DE, including psychological concerns, chronic health conditions, and reactions to medications. […] Psychological causes of DE can occur due to a traumatic experience. Cultural or religious taboos can give sex a negative connotation. Anxiety and depression can both suppress sexual desire, which may result in DE as well. […] Certain chemicals can affect the nerves involved in ejaculation. This can affect ejaculation with and without a partner. […] Surgeries or trauma may also cause DE. The physical causes of DE may include damage to the nerves in your spine or pelvis, certain prostate surgeries that cause nerve damage, heart disease that affects blood pressure to the pelvic region, infections, especially prostate or urinary infections, neuropathy or stroke, low thyroid hormone, low testosterone levels, and birth defects that impair the ejaculation process.

• #45 The pathophysiology of delayed ejaculation

  https://pmc.ncbi.nlm.nih.gov/articles/PMC5002008/

  There are many psychological and relational factors that have been traditionally implicated as predisposing and/or confounding factors in the etiology of DE, such as fear and/or ambivalence regarding pregnancy and fertility issues, hostility and anger, fear of loss of control, fears of abandonment/rejection, fears of intimacy and loss of autonomy, paraphilic inclinations/interests, and fears of hurting/defiling the partner. […] Masters and Johnson were the first to claim that DE in some men might be associated with orthodoxy of a religious belief. Such prohibitions may limit the males sexual experience necessary for learning to ejaculate or may result in an inhibition of normal function. […] In his review on the psychological etiology of DE, Apfelbaum noted that some males appear capable of achieving erections sufficient for intercourse despite a relative absence of subjective arousal.

• #46 The pathophysiology of delayed ejaculation – Chen – Translational Andrology and Urology

  https://tau.amegroups.org/article/view/10617/11776

  Psychogenic and biogenic etiologies of DE usually are neither independent nor mutually exclusive, with both categories overlapping and including a combination of factors involving both etiological domains. […] There are many psychological and relational factors that have been traditionally implicated as predisposing and/or confounding factors in the etiology of DE, such as fear and/or ambivalence regarding pregnancy and fertility issues, hostility and anger, fear of loss of control, fears of abandonment/rejection, fears of intimacy and loss of autonomy, paraphilic inclinations/interests, and fears of hurting/defiling the partner. […] Masters and Johnson were the first to claim that DE in some men might be associated with orthodoxy of a religious belief. […] In his review on the psychological etiology of DE, Apfelbaum noted that some males appear capable of achieving erections sufficient for intercourse despite a relative absence of subjective arousal.

• #47 Mayo Clinic Health Library – Delayed ejaculation | Swiss Medical Network

  https://www.swissmedical.net/en/healtcare-library/con-20371342

  Delayed ejaculation can be a brief or lifelong problem. Possible causes of delayed ejaculation include certain ongoing health conditions, surgeries and medicines. […] Some medicines, certain ongoing health conditions and surgeries can cause delayed ejaculation. Other causes include substance misuse or a mental health concern, such as depression, anxiety or stress. Often, it’s due to a mix of physical and psychological concerns. […] Psychological causes of delayed ejaculation include: Depression, anxiety or other mental health conditions. Relationship problems due to stress, not communicating well or other concerns. Anxiety about performance. Poor body image. Cultural or religious taboos. Differences between the reality of sex with a partner and sexual fantasies. […] Medicines and other substances that can cause delayed ejaculation include: Some antidepressants or antipsychotics. Certain high blood pressure medicines. Certain water pills, called diuretics. Some antipsychotic medicines. Some antiseizure medicines. Too much alcohol.

• #48 Delayed ejaculation – treatment, causes and diagnosis | healthdirect

  https://www.healthdirect.gov.au/delayed-ejaculation

  Mental health conditions and psychological factors can also be related to delayed ejaculation, including anxiety, depression, relationship issues, performance anxiety, fears of pregnancy or intimacy, and stress. […] The treatment for delayed ejaculation depends on the cause. […] If any medicines you take could be causing delayed ejaculation, you should discuss with your doctor if it is possible to change your medicines. […] Your doctor may recommend medicines, depending on the cause of your delayed ejaculation. […] Delayed ejaculation can’t be prevented if the cause is physical, such as nerve damage. […] Delayed ejaculation might make it more difficult to conceive a baby. […] Delayed ejaculation might also increase stress, lead to anxiety or depression, contribute to low self-esteem, and lead to relationship issues.

• #49 Mayo Clinic Health Library – Delayed ejaculation | Swiss Medical Network

  https://www.swissmedical.net/en/healtcare-library/con-20371342

  Delayed ejaculation can be a brief or lifelong problem. Possible causes of delayed ejaculation include certain ongoing health conditions, surgeries and medicines. […] Some medicines, certain ongoing health conditions and surgeries can cause delayed ejaculation. Other causes include substance misuse or a mental health concern, such as depression, anxiety or stress. Often, it’s due to a mix of physical and psychological concerns. […] Psychological causes of delayed ejaculation include: Depression, anxiety or other mental health conditions. Relationship problems due to stress, not communicating well or other concerns. Anxiety about performance. Poor body image. Cultural or religious taboos. Differences between the reality of sex with a partner and sexual fantasies. […] Medicines and other substances that can cause delayed ejaculation include: Some antidepressants or antipsychotics. Certain high blood pressure medicines. Certain water pills, called diuretics. Some antipsychotic medicines. Some antiseizure medicines. Too much alcohol.

• #50 Delayed ejaculation – treatment, causes and diagnosis | healthdirect

  https://www.healthdirect.gov.au/delayed-ejaculation

  Mental health conditions and psychological factors can also be related to delayed ejaculation, including anxiety, depression, relationship issues, performance anxiety, fears of pregnancy or intimacy, and stress. […] The treatment for delayed ejaculation depends on the cause. […] If any medicines you take could be causing delayed ejaculation, you should discuss with your doctor if it is possible to change your medicines. […] Your doctor may recommend medicines, depending on the cause of your delayed ejaculation. […] Delayed ejaculation can’t be prevented if the cause is physical, such as nerve damage. […] Delayed ejaculation might make it more difficult to conceive a baby. […] Delayed ejaculation might also increase stress, lead to anxiety or depression, contribute to low self-esteem, and lead to relationship issues.

• #51 Mayo Clinic Health Library – Delayed ejaculation | Swiss Medical Network

  https://www.swissmedical.net/en/healtcare-library/con-20371342

  Delayed ejaculation can be a brief or lifelong problem. Possible causes of delayed ejaculation include certain ongoing health conditions, surgeries and medicines. […] Some medicines, certain ongoing health conditions and surgeries can cause delayed ejaculation. Other causes include substance misuse or a mental health concern, such as depression, anxiety or stress. Often, it’s due to a mix of physical and psychological concerns. […] Psychological causes of delayed ejaculation include: Depression, anxiety or other mental health conditions. Relationship problems due to stress, not communicating well or other concerns. Anxiety about performance. Poor body image. Cultural or religious taboos. Differences between the reality of sex with a partner and sexual fantasies. […] Medicines and other substances that can cause delayed ejaculation include: Some antidepressants or antipsychotics. Certain high blood pressure medicines. Certain water pills, called diuretics. Some antipsychotic medicines. Some antiseizure medicines. Too much alcohol.

• #52 Delayed ejaculation: Causes, treatment, and outlook

  https://www.medicalnewstoday.com/articles/284679

  Delayed ejaculation refers to a difficulty or inability of a male to reach an orgasm and ejaculate semen. Both physical and psychological issues can cause someone to be unable to climax. […] Delayed ejaculation can have a psychological or biological cause. There can also be an overlap between the two. It can be a lifelong condition, where a person has always had difficulty reaching an orgasm. […] Physical causes of delayed ejaculation include the following: Medication side effects can be a reason. Delayed ejaculation may be an adverse effect of: antidepressants, especially selective serotonin reuptake inhibitors (SSRIs), antianxiety drugs, blood pressure medication, painkillers, other medications. […] Some psychological factors that may contribute to delayed ejaculation include: early life history, including abuse, difficulties bonding, neglect by parents, or a negative sexual upbringing, unexpressed anger, inability to enjoy pleasure, religious belief, perhaps that sexual activity is a sin, fear of, for instance, semen or female genitalia, or fear of somehow hurting or defiling a partner through ejaculation, fear of pregnancy, issues of lost confidence or performance anxiety for example, anxiety about body image that interrupts the process of sexual stimulation. […] Certain types of masturbatory behavior may play a role in developing delayed ejaculation. […] The specialist observed that most men with delayed ejaculation reported no problems reaching an orgasm or ejaculating via masturbation.

• #53 The pathophysiology of delayed ejaculation

  https://pmc.ncbi.nlm.nih.gov/articles/PMC5002008/

  There are many psychological and relational factors that have been traditionally implicated as predisposing and/or confounding factors in the etiology of DE, such as fear and/or ambivalence regarding pregnancy and fertility issues, hostility and anger, fear of loss of control, fears of abandonment/rejection, fears of intimacy and loss of autonomy, paraphilic inclinations/interests, and fears of hurting/defiling the partner. […] Masters and Johnson were the first to claim that DE in some men might be associated with orthodoxy of a religious belief. Such prohibitions may limit the males sexual experience necessary for learning to ejaculate or may result in an inhibition of normal function. […] In his review on the psychological etiology of DE, Apfelbaum noted that some males appear capable of achieving erections sufficient for intercourse despite a relative absence of subjective arousal.

• #54 Delayed Ejaculation | Lloyds Online Doctor IE

  https://lloydsonlinedoctor.ie/blogs/mens-health-advice/delayed-ejaculation

  Delayed ejaculation (DE), also called male orgasmic disorder, retarded or absent ejaculation, isn’t a source of pride, but of frustration and distress. […] DE can be caused by physical issues, psychological issues, or both. […] Many conditions can contribute to DE: Diabetes, Multiple sclerosis, Spinal cord injury, Bladder and prostate surgery, Certain substances: anti-depressants, blood pressure treatment such as Beta Blockers, antipsychotic drugs, muscle relaxants, strong painkillers, recreational drugs, steroids and alcohol. […] Ageing can also have a part to play. The penis may lose some of its sensitivity with age and testosterone levels decrease in older men, slowing the arousal process. […] Certain mindsets and attitudes may be having an impact on your DE: Fear of causing pregnancy, Inherited negative attitudes about sex, Feelings of shame, Strong cultural or religious beliefs about sex, Stress or depression, Sexual trauma, Relationship difficulties, Fear of feeling out of control or vulnerable, Negative feelings about the look, smell or feeling of semen, Fear of losing physical control during orgasm.

• #55 The pathophysiology of delayed ejaculation

  https://pmc.ncbi.nlm.nih.gov/articles/PMC5002008/

  There are many psychological and relational factors that have been traditionally implicated as predisposing and/or confounding factors in the etiology of DE, such as fear and/or ambivalence regarding pregnancy and fertility issues, hostility and anger, fear of loss of control, fears of abandonment/rejection, fears of intimacy and loss of autonomy, paraphilic inclinations/interests, and fears of hurting/defiling the partner. […] Masters and Johnson were the first to claim that DE in some men might be associated with orthodoxy of a religious belief. Such prohibitions may limit the males sexual experience necessary for learning to ejaculate or may result in an inhibition of normal function. […] In his review on the psychological etiology of DE, Apfelbaum noted that some males appear capable of achieving erections sufficient for intercourse despite a relative absence of subjective arousal.

• #56 The pathophysiology of delayed ejaculation – Chen – Translational Andrology and Urology

  https://tau.amegroups.org/article/view/10617/11776

  Psychogenic and biogenic etiologies of DE usually are neither independent nor mutually exclusive, with both categories overlapping and including a combination of factors involving both etiological domains. […] There are many psychological and relational factors that have been traditionally implicated as predisposing and/or confounding factors in the etiology of DE, such as fear and/or ambivalence regarding pregnancy and fertility issues, hostility and anger, fear of loss of control, fears of abandonment/rejection, fears of intimacy and loss of autonomy, paraphilic inclinations/interests, and fears of hurting/defiling the partner. […] Masters and Johnson were the first to claim that DE in some men might be associated with orthodoxy of a religious belief. […] In his review on the psychological etiology of DE, Apfelbaum noted that some males appear capable of achieving erections sufficient for intercourse despite a relative absence of subjective arousal.

• #57 The pathophysiology of delayed ejaculation

  https://pmc.ncbi.nlm.nih.gov/articles/PMC5002008/

  There are many psychological and relational factors that have been traditionally implicated as predisposing and/or confounding factors in the etiology of DE, such as fear and/or ambivalence regarding pregnancy and fertility issues, hostility and anger, fear of loss of control, fears of abandonment/rejection, fears of intimacy and loss of autonomy, paraphilic inclinations/interests, and fears of hurting/defiling the partner. […] Masters and Johnson were the first to claim that DE in some men might be associated with orthodoxy of a religious belief. Such prohibitions may limit the males sexual experience necessary for learning to ejaculate or may result in an inhibition of normal function. […] In his review on the psychological etiology of DE, Apfelbaum noted that some males appear capable of achieving erections sufficient for intercourse despite a relative absence of subjective arousal.

• #58 The pathophysiology of delayed ejaculation – Chen – Translational Andrology and Urology

  https://tau.amegroups.org/article/view/10617/11776

  Psychogenic and biogenic etiologies of DE usually are neither independent nor mutually exclusive, with both categories overlapping and including a combination of factors involving both etiological domains. […] There are many psychological and relational factors that have been traditionally implicated as predisposing and/or confounding factors in the etiology of DE, such as fear and/or ambivalence regarding pregnancy and fertility issues, hostility and anger, fear of loss of control, fears of abandonment/rejection, fears of intimacy and loss of autonomy, paraphilic inclinations/interests, and fears of hurting/defiling the partner. […] Masters and Johnson were the first to claim that DE in some men might be associated with orthodoxy of a religious belief. […] In his review on the psychological etiology of DE, Apfelbaum noted that some males appear capable of achieving erections sufficient for intercourse despite a relative absence of subjective arousal.

• #59 Mayo Clinic Health Library – Delayed ejaculation | Swiss Medical Network

  https://www.swissmedical.net/en/healtcare-library/con-20371342

  Delayed ejaculation can be a brief or lifelong problem. Possible causes of delayed ejaculation include certain ongoing health conditions, surgeries and medicines. […] Some medicines, certain ongoing health conditions and surgeries can cause delayed ejaculation. Other causes include substance misuse or a mental health concern, such as depression, anxiety or stress. Often, it’s due to a mix of physical and psychological concerns. […] Psychological causes of delayed ejaculation include: Depression, anxiety or other mental health conditions. Relationship problems due to stress, not communicating well or other concerns. Anxiety about performance. Poor body image. Cultural or religious taboos. Differences between the reality of sex with a partner and sexual fantasies. […] Medicines and other substances that can cause delayed ejaculation include: Some antidepressants or antipsychotics. Certain high blood pressure medicines. Certain water pills, called diuretics. Some antipsychotic medicines. Some antiseizure medicines. Too much alcohol.

• #60 Delayed ejaculation – treatment, causes and diagnosis | healthdirect

  https://www.healthdirect.gov.au/delayed-ejaculation

  Mental health conditions and psychological factors can also be related to delayed ejaculation, including anxiety, depression, relationship issues, performance anxiety, fears of pregnancy or intimacy, and stress. […] The treatment for delayed ejaculation depends on the cause. […] If any medicines you take could be causing delayed ejaculation, you should discuss with your doctor if it is possible to change your medicines. […] Your doctor may recommend medicines, depending on the cause of your delayed ejaculation. […] Delayed ejaculation can’t be prevented if the cause is physical, such as nerve damage. […] Delayed ejaculation might make it more difficult to conceive a baby. […] Delayed ejaculation might also increase stress, lead to anxiety or depression, contribute to low self-esteem, and lead to relationship issues.

• #61 Delayed Ejaculation – Causes, Symptoms, and Treatment

  https://www.icliniq.com/articles/mens-health/delayed-ejaculation

  Psychological factors can lead to delayed ejaculation. The factors include anxiety and depression. […] Several mental health conditions may lead to low sexual desire and delayed ejaculations, such as depression and anxiety. […] Fear of intimacy concerns about making a woman pregnant may affect the ability to ejaculate and lead to delayed ejaculation. […] The person may take a long time to ejaculate due to a lack of sexual attraction with the partner or if the person feels unhappy with the partner. […] An individual with a cultural background that makes an inappropriate view of sex may affect the ability to orgasm or ejaculate. […] The trauma related to sex, such as negative experiences about sex, may lead to delayed ejaculation. […] If an individual frequently watches porn or does masturbation could contribute to sexual dysfunction.

• #62 Delayed ejaculation Information | Mount Sinai – New York

  https://www.mountsinai.org/health-library/diseases-conditions/delayed-ejaculation

  Delayed ejaculation can have psychological or physical causes. […] Common psychological causes include: Religious background that makes the person view sex as sinful, Lack of attraction for a partner, Conditioning caused by a

• #63 The pathophysiology of delayed ejaculation

  https://pmc.ncbi.nlm.nih.gov/articles/PMC5002008/

  There are many psychological and relational factors that have been traditionally implicated as predisposing and/or confounding factors in the etiology of DE, such as fear and/or ambivalence regarding pregnancy and fertility issues, hostility and anger, fear of loss of control, fears of abandonment/rejection, fears of intimacy and loss of autonomy, paraphilic inclinations/interests, and fears of hurting/defiling the partner. […] Masters and Johnson were the first to claim that DE in some men might be associated with orthodoxy of a religious belief. Such prohibitions may limit the males sexual experience necessary for learning to ejaculate or may result in an inhibition of normal function. […] In his review on the psychological etiology of DE, Apfelbaum noted that some males appear capable of achieving erections sufficient for intercourse despite a relative absence of subjective arousal.

• #64 Why Delayed Ejaculation Is More Common Than Folks Realize | Psychology Today

  https://www.psychologytoday.com/us/blog/sexual-tipping-point/201812/why-delayed-ejaculation-is-more-common-than-folks-realize

  There are many partner issues that affect males ejaculatory interest and capacity, but two require special attention, especially pregnancy concerns and resentment. […] Anger generally is an important factor that can be both a direct cause and a maintainer of sexual dysfunction. […] Clinical experience demonstrates that separating causes, diagnosis, and treatment into categories such as psychogenic and biologic is too limiting. The most useful approach to understanding human responses is that of integrating rather than isolating the biological and psychological, social, behavioral and cultural factors.

• #65 Mayo Clinic Health Library – Delayed ejaculation | Swiss Medical Network

  https://www.swissmedical.net/en/healtcare-library/con-20371342

  Delayed ejaculation can be a brief or lifelong problem. Possible causes of delayed ejaculation include certain ongoing health conditions, surgeries and medicines. […] Some medicines, certain ongoing health conditions and surgeries can cause delayed ejaculation. Other causes include substance misuse or a mental health concern, such as depression, anxiety or stress. Often, it’s due to a mix of physical and psychological concerns. […] Psychological causes of delayed ejaculation include: Depression, anxiety or other mental health conditions. Relationship problems due to stress, not communicating well or other concerns. Anxiety about performance. Poor body image. Cultural or religious taboos. Differences between the reality of sex with a partner and sexual fantasies. […] Medicines and other substances that can cause delayed ejaculation include: Some antidepressants or antipsychotics. Certain high blood pressure medicines. Certain water pills, called diuretics. Some antipsychotic medicines. Some antiseizure medicines. Too much alcohol.

• #66 Psychosexual therapy for delayed ejaculation based on the Sexual Tipping Point model – Perelman – Translational Andrology and Urology

  https://tau.amegroups.org/article/view/11164/html

  Regardless of the degree of organic etiology, DE is exacerbated by insufficient stimulation: an inadequate combination of friction and fantasy. […] Disparity between the reality of sex with their partner and their preferred sexual fantasy (whether or not unconventional) used during masturbation is another cause of DE. […] The STP and other biopsychosocial-cultural models all explain this variation both between and within given individuals, and provide a better theoretical basis for understanding DE.

• #67 Mayo Clinic Health Library – Delayed ejaculation | Swiss Medical Network

  https://www.swissmedical.net/en/healtcare-library/con-20371342

  Delayed ejaculation can be a brief or lifelong problem. Possible causes of delayed ejaculation include certain ongoing health conditions, surgeries and medicines. […] Some medicines, certain ongoing health conditions and surgeries can cause delayed ejaculation. Other causes include substance misuse or a mental health concern, such as depression, anxiety or stress. Often, it’s due to a mix of physical and psychological concerns. […] Psychological causes of delayed ejaculation include: Depression, anxiety or other mental health conditions. Relationship problems due to stress, not communicating well or other concerns. Anxiety about performance. Poor body image. Cultural or religious taboos. Differences between the reality of sex with a partner and sexual fantasies. […] Medicines and other substances that can cause delayed ejaculation include: Some antidepressants or antipsychotics. Certain high blood pressure medicines. Certain water pills, called diuretics. Some antipsychotic medicines. Some antiseizure medicines. Too much alcohol.

• #68 Delayed ejaculation: Causes, treatment, and outlook

  https://www.medicalnewstoday.com/articles/284679

  Delayed ejaculation refers to a difficulty or inability of a male to reach an orgasm and ejaculate semen. Both physical and psychological issues can cause someone to be unable to climax. […] Delayed ejaculation can have a psychological or biological cause. There can also be an overlap between the two. It can be a lifelong condition, where a person has always had difficulty reaching an orgasm. […] Physical causes of delayed ejaculation include the following: Medication side effects can be a reason. Delayed ejaculation may be an adverse effect of: antidepressants, especially selective serotonin reuptake inhibitors (SSRIs), antianxiety drugs, blood pressure medication, painkillers, other medications. […] Some psychological factors that may contribute to delayed ejaculation include: early life history, including abuse, difficulties bonding, neglect by parents, or a negative sexual upbringing, unexpressed anger, inability to enjoy pleasure, religious belief, perhaps that sexual activity is a sin, fear of, for instance, semen or female genitalia, or fear of somehow hurting or defiling a partner through ejaculation, fear of pregnancy, issues of lost confidence or performance anxiety for example, anxiety about body image that interrupts the process of sexual stimulation. […] Certain types of masturbatory behavior may play a role in developing delayed ejaculation. […] The specialist observed that most men with delayed ejaculation reported no problems reaching an orgasm or ejaculating via masturbation.

• #69 The pathophysiology of delayed ejaculation

  https://pmc.ncbi.nlm.nih.gov/articles/PMC5002008/

  There are many psychological and relational factors that have been traditionally implicated as predisposing and/or confounding factors in the etiology of DE, such as fear and/or ambivalence regarding pregnancy and fertility issues, hostility and anger, fear of loss of control, fears of abandonment/rejection, fears of intimacy and loss of autonomy, paraphilic inclinations/interests, and fears of hurting/defiling the partner. […] Masters and Johnson were the first to claim that DE in some men might be associated with orthodoxy of a religious belief. Such prohibitions may limit the males sexual experience necessary for learning to ejaculate or may result in an inhibition of normal function. […] In his review on the psychological etiology of DE, Apfelbaum noted that some males appear capable of achieving erections sufficient for intercourse despite a relative absence of subjective arousal.

• #70 The pathophysiology of delayed ejaculation – Chen – Translational Andrology and Urology

  https://tau.amegroups.org/article/view/10617/11776

  Psychogenic and biogenic etiologies of DE usually are neither independent nor mutually exclusive, with both categories overlapping and including a combination of factors involving both etiological domains. […] There are many psychological and relational factors that have been traditionally implicated as predisposing and/or confounding factors in the etiology of DE, such as fear and/or ambivalence regarding pregnancy and fertility issues, hostility and anger, fear of loss of control, fears of abandonment/rejection, fears of intimacy and loss of autonomy, paraphilic inclinations/interests, and fears of hurting/defiling the partner. […] Masters and Johnson were the first to claim that DE in some men might be associated with orthodoxy of a religious belief. […] In his review on the psychological etiology of DE, Apfelbaum noted that some males appear capable of achieving erections sufficient for intercourse despite a relative absence of subjective arousal.

• #71 The pathophysiology of delayed ejaculation

  https://pmc.ncbi.nlm.nih.gov/articles/PMC5002008/

  There are many psychological and relational factors that have been traditionally implicated as predisposing and/or confounding factors in the etiology of DE, such as fear and/or ambivalence regarding pregnancy and fertility issues, hostility and anger, fear of loss of control, fears of abandonment/rejection, fears of intimacy and loss of autonomy, paraphilic inclinations/interests, and fears of hurting/defiling the partner. […] Masters and Johnson were the first to claim that DE in some men might be associated with orthodoxy of a religious belief. Such prohibitions may limit the males sexual experience necessary for learning to ejaculate or may result in an inhibition of normal function. […] In his review on the psychological etiology of DE, Apfelbaum noted that some males appear capable of achieving erections sufficient for intercourse despite a relative absence of subjective arousal.

• #72 The pathophysiology of delayed ejaculation – Chen – Translational Andrology and Urology

  https://tau.amegroups.org/article/view/10617/11776

  Psychogenic and biogenic etiologies of DE usually are neither independent nor mutually exclusive, with both categories overlapping and including a combination of factors involving both etiological domains. […] There are many psychological and relational factors that have been traditionally implicated as predisposing and/or confounding factors in the etiology of DE, such as fear and/or ambivalence regarding pregnancy and fertility issues, hostility and anger, fear of loss of control, fears of abandonment/rejection, fears of intimacy and loss of autonomy, paraphilic inclinations/interests, and fears of hurting/defiling the partner. […] Masters and Johnson were the first to claim that DE in some men might be associated with orthodoxy of a religious belief. […] In his review on the psychological etiology of DE, Apfelbaum noted that some males appear capable of achieving erections sufficient for intercourse despite a relative absence of subjective arousal.

• #73 The pathophysiology of delayed ejaculation

  https://pmc.ncbi.nlm.nih.gov/articles/PMC5002008/

  Another commonly accepted pathophysiological factor for DE is autosexual orientation, a term used to describe men with DE who prefer masturbation over partnered sex. […] The pathophysiology of DE in relation to congenital abnormalities is complex and is dependent upon anatomical variations of the pelvic floor and the physiological functioning of the organs located into the pelvic floor. […] Acquired or secondary DE is the result of an identifiable surgical procedure, a different medical condition or psychosexual changes. It may affect ejaculation by a variety of ways, such as via disruption of the chemical or nervous control of ejaculation, or directly at the site of the ejaculatory organs themselves. […] Ejaculatory duct damage may follow correction of an imperforate anus. […] Different surgical modalities for the treatment of lower urinary tract symptoms (LUTS) due to benign prostate hyperplasia (BPH) are associated with variable adverse effects on ejaculatory function.

• #74 The pathophysiology of delayed ejaculation – Chen – Translational Andrology and Urology

  https://tau.amegroups.org/article/view/10617/11776

  Another commonly accepted pathophysiological factor for DE is autosexual orientation, a term used to describe men with DE who prefer masturbation over partnered sex. […] The pathophysiological etiology of DE should be established thorough medical, psychosexual and psychosocial history. […] In a systematic review of 333 articles, Seyam described a variety of etiological factors that have been associated with organic DE, including age, race, infectious disorders mainly related to the prostatic diseases, diabetes mellitus, depression and other psychiatric diseases, medications, narcotics and alcohol. […] Acquired or secondary DE is the result of an identifiable surgical procedure, a different medical condition or psychosexual changes. […] Ejaculatory duct damage may follow correction of an imperforate anus.

• #75 Delayed ejaculation: Causes, treatment, and outlook

  https://www.medicalnewstoday.com/articles/284679

  Delayed ejaculation refers to a difficulty or inability of a male to reach an orgasm and ejaculate semen. Both physical and psychological issues can cause someone to be unable to climax. […] Delayed ejaculation can have a psychological or biological cause. There can also be an overlap between the two. It can be a lifelong condition, where a person has always had difficulty reaching an orgasm. […] Physical causes of delayed ejaculation include the following: Medication side effects can be a reason. Delayed ejaculation may be an adverse effect of: antidepressants, especially selective serotonin reuptake inhibitors (SSRIs), antianxiety drugs, blood pressure medication, painkillers, other medications. […] Some psychological factors that may contribute to delayed ejaculation include: early life history, including abuse, difficulties bonding, neglect by parents, or a negative sexual upbringing, unexpressed anger, inability to enjoy pleasure, religious belief, perhaps that sexual activity is a sin, fear of, for instance, semen or female genitalia, or fear of somehow hurting or defiling a partner through ejaculation, fear of pregnancy, issues of lost confidence or performance anxiety for example, anxiety about body image that interrupts the process of sexual stimulation. […] Certain types of masturbatory behavior may play a role in developing delayed ejaculation. […] The specialist observed that most men with delayed ejaculation reported no problems reaching an orgasm or ejaculating via masturbation.

• #76 Ejaculation Problems: Too Fast, Too Slow or Not at All? » Sexual Medicine » BUMC

  https://www.bumc.bu.edu/sexualmedicine/informationsessions/ejaculation-problems-too-fast-too-slow-or-not-at-all/

  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. […] Delayed ejaculation carries with it issues of inability to achieve orgasm and infertility. Anti-depressants or agents which act centrally such as Valium, anti-hypertensives and alcohol abuse all can affect this. […] A common cause is pudendal neuropathy, caused by a crush to the perineum such as from bike riding with a narrow saddle. If the delayed ejaculation is situational it is probably psychologic; if it is generalized the problem is probably biologic.

• #77 Why Delayed Ejaculation Is More Common Than Folks Realize | Psychology Today

  https://www.psychologytoday.com/us/blog/sexual-tipping-point/201812/why-delayed-ejaculation-is-more-common-than-folks-realize

  Idiosyncratic masturbation patterns (techniques not easily duplicated by the partner during sexual acts) are a frequent cause of DE. […] The best model to understand human sexual response integrates rather than isolates all the biomedical, psychosocial and cultural factors. […] Delayed ejaculation is usually caused by a combination of physical and mental factors. Aging is highly correlated with sexual disorders. […] One often overlooked cause of the increased prevalence of men suffering from DE is the ever-increasing use of pharmacotherapy to treat both medical and sexual problems. […] Masturbation related factors have been shown to be a frequent cause of DE. […] The primary factor causing DE is usually an idiosyncratic masturbatory style, a term I coined and defined as a technique not easily duplicated by the partner during sex.

• #78 Delayed Ejaculation: Pathophysiology, Diagnosis, and Treatment

  https://pmc.ncbi.nlm.nih.gov/articles/PMC5756804/

  On one hand, it was argued that DE may be caused by psychosexual, psychosocial, or relationship problems. On the other hand, it has been argued that DE is caused by genetic, neurobiological, endocrine, anatomic, and infectious factors, or may be drug-induced. […] The list of organic causes possibly leading to DE/AE is extensive and is outlined in Table 1, 2, 3. […] A full discussion of each factor is beyond the scope of this review. New etiologies continue to be added to the list of causes. […] Complaints of DE/AE in patients taking medications are not uncommon. […] Different medications may interfere with either central or peripheral control of ejaculation, potentially affecting the IELT. […] The significant heterogeneity in the occurrence and the presentation of SSRI-related sexual dysfunction may suggest underlying genetic factors.

• #79 Mayo Clinic Health Library – Delayed ejaculation | Swiss Medical Network

  https://www.swissmedical.net/en/healtcare-library/con-20371342

  Delayed ejaculation can be a brief or lifelong problem. Possible causes of delayed ejaculation include certain ongoing health conditions, surgeries and medicines. […] Some medicines, certain ongoing health conditions and surgeries can cause delayed ejaculation. Other causes include substance misuse or a mental health concern, such as depression, anxiety or stress. Often, it’s due to a mix of physical and psychological concerns. […] Psychological causes of delayed ejaculation include: Depression, anxiety or other mental health conditions. Relationship problems due to stress, not communicating well or other concerns. Anxiety about performance. Poor body image. Cultural or religious taboos. Differences between the reality of sex with a partner and sexual fantasies. […] Medicines and other substances that can cause delayed ejaculation include: Some antidepressants or antipsychotics. Certain high blood pressure medicines. Certain water pills, called diuretics. Some antipsychotic medicines. Some antiseizure medicines. Too much alcohol.

• #80 Ejaculation problems

  https://www.nhs.uk/conditions/ejaculation-problems/

  Delayed ejaculation (male orgasmic disorder) is classed as either: […] Like premature ejaculation, delayed ejaculation can be caused by psychological and physical factors. […] Possible psychological causes of delayed ejaculation are similar to those of premature ejaculation for example, relationship problems, stress or depression. […] Physical causes of delayed ejaculation include: diabetes, spinal cord injuries, multiple sclerosis, surgery to the bladder or prostate gland, increasing age. […] Many medicines are known to cause delayed ejaculation, including: antidepressants, particularly selective serotonin reuptake inhibitors (SSRIs), medicines to treat high blood pressure, such as beta-blockers, antipsychotics, used to treat episodes of psychosis. […] Delayed ejaculation can suddenly start to happen after previously having no problems, or (less commonly) the man may have always experienced it.

• #81 Mayo Clinic Health Library – Delayed ejaculation | Swiss Medical Network

  https://www.swissmedical.net/en/healtcare-library/con-20371342

  Delayed ejaculation can be a brief or lifelong problem. Possible causes of delayed ejaculation include certain ongoing health conditions, surgeries and medicines. […] Some medicines, certain ongoing health conditions and surgeries can cause delayed ejaculation. Other causes include substance misuse or a mental health concern, such as depression, anxiety or stress. Often, it’s due to a mix of physical and psychological concerns. […] Psychological causes of delayed ejaculation include: Depression, anxiety or other mental health conditions. Relationship problems due to stress, not communicating well or other concerns. Anxiety about performance. Poor body image. Cultural or religious taboos. Differences between the reality of sex with a partner and sexual fantasies. […] Medicines and other substances that can cause delayed ejaculation include: Some antidepressants or antipsychotics. Certain high blood pressure medicines. Certain water pills, called diuretics. Some antipsychotic medicines. Some antiseizure medicines. Too much alcohol.

• #82 Ejaculation problems

  https://www.nhs.uk/conditions/ejaculation-problems/

  Delayed ejaculation (male orgasmic disorder) is classed as either: […] Like premature ejaculation, delayed ejaculation can be caused by psychological and physical factors. […] Possible psychological causes of delayed ejaculation are similar to those of premature ejaculation for example, relationship problems, stress or depression. […] Physical causes of delayed ejaculation include: diabetes, spinal cord injuries, multiple sclerosis, surgery to the bladder or prostate gland, increasing age. […] Many medicines are known to cause delayed ejaculation, including: antidepressants, particularly selective serotonin reuptake inhibitors (SSRIs), medicines to treat high blood pressure, such as beta-blockers, antipsychotics, used to treat episodes of psychosis. […] Delayed ejaculation can suddenly start to happen after previously having no problems, or (less commonly) the man may have always experienced it.

• #83 Delayed ejaculation: Causes, treatment, and outlook

  https://www.medicalnewstoday.com/articles/284679

  Delayed ejaculation refers to a difficulty or inability of a male to reach an orgasm and ejaculate semen. Both physical and psychological issues can cause someone to be unable to climax. […] Delayed ejaculation can have a psychological or biological cause. There can also be an overlap between the two. It can be a lifelong condition, where a person has always had difficulty reaching an orgasm. […] Physical causes of delayed ejaculation include the following: Medication side effects can be a reason. Delayed ejaculation may be an adverse effect of: antidepressants, especially selective serotonin reuptake inhibitors (SSRIs), antianxiety drugs, blood pressure medication, painkillers, other medications. […] Some psychological factors that may contribute to delayed ejaculation include: early life history, including abuse, difficulties bonding, neglect by parents, or a negative sexual upbringing, unexpressed anger, inability to enjoy pleasure, religious belief, perhaps that sexual activity is a sin, fear of, for instance, semen or female genitalia, or fear of somehow hurting or defiling a partner through ejaculation, fear of pregnancy, issues of lost confidence or performance anxiety for example, anxiety about body image that interrupts the process of sexual stimulation. […] Certain types of masturbatory behavior may play a role in developing delayed ejaculation. […] The specialist observed that most men with delayed ejaculation reported no problems reaching an orgasm or ejaculating via masturbation.

• #84 Mayo Clinic Health Library – Delayed ejaculation | Swiss Medical Network

  https://www.swissmedical.net/en/healtcare-library/con-20371342

  Delayed ejaculation can be a brief or lifelong problem. Possible causes of delayed ejaculation include certain ongoing health conditions, surgeries and medicines. […] Some medicines, certain ongoing health conditions and surgeries can cause delayed ejaculation. Other causes include substance misuse or a mental health concern, such as depression, anxiety or stress. Often, it’s due to a mix of physical and psychological concerns. […] Psychological causes of delayed ejaculation include: Depression, anxiety or other mental health conditions. Relationship problems due to stress, not communicating well or other concerns. Anxiety about performance. Poor body image. Cultural or religious taboos. Differences between the reality of sex with a partner and sexual fantasies. […] Medicines and other substances that can cause delayed ejaculation include: Some antidepressants or antipsychotics. Certain high blood pressure medicines. Certain water pills, called diuretics. Some antipsychotic medicines. Some antiseizure medicines. Too much alcohol.

• #85 Ejaculation problems

  https://www.nhs.uk/conditions/ejaculation-problems/

  Delayed ejaculation (male orgasmic disorder) is classed as either: […] Like premature ejaculation, delayed ejaculation can be caused by psychological and physical factors. […] Possible psychological causes of delayed ejaculation are similar to those of premature ejaculation for example, relationship problems, stress or depression. […] Physical causes of delayed ejaculation include: diabetes, spinal cord injuries, multiple sclerosis, surgery to the bladder or prostate gland, increasing age. […] Many medicines are known to cause delayed ejaculation, including: antidepressants, particularly selective serotonin reuptake inhibitors (SSRIs), medicines to treat high blood pressure, such as beta-blockers, antipsychotics, used to treat episodes of psychosis. […] Delayed ejaculation can suddenly start to happen after previously having no problems, or (less commonly) the man may have always experienced it.

• #86 Mayo Clinic Health Library – Delayed ejaculation | Swiss Medical Network

  https://www.swissmedical.net/en/healtcare-library/con-20371342

  Delayed ejaculation can be a brief or lifelong problem. Possible causes of delayed ejaculation include certain ongoing health conditions, surgeries and medicines. […] Some medicines, certain ongoing health conditions and surgeries can cause delayed ejaculation. Other causes include substance misuse or a mental health concern, such as depression, anxiety or stress. Often, it’s due to a mix of physical and psychological concerns. […] Psychological causes of delayed ejaculation include: Depression, anxiety or other mental health conditions. Relationship problems due to stress, not communicating well or other concerns. Anxiety about performance. Poor body image. Cultural or religious taboos. Differences between the reality of sex with a partner and sexual fantasies. […] Medicines and other substances that can cause delayed ejaculation include: Some antidepressants or antipsychotics. Certain high blood pressure medicines. Certain water pills, called diuretics. Some antipsychotic medicines. Some antiseizure medicines. Too much alcohol.

• #87 Ejaculatory Dysfunction | Urology Associates | Denver Metro

  https://www.denverurology.com/mens-fertility-sexual-health/ejaculatory-dysfunction/

  Delayed ejaculation is when ejaculation is retarded beyond a reasonable period after sexual stimulation. […] Delayed ejaculation can be a permanent problem present from the beginning of sexual activity. Or it can be an acquired problem occuring after a history of normal ejaculation. It may be general or situational, in which it may occur only with certain partners or situations. […] Causes of delayed ejaculation can be physical, psychological or the side effects of certain medications. Causes also include alcohol abuse, diuretics (drugs or food and beverage ingredients that accelerate the bodys loss of water), high blood pressure, or the use of antidepressant, anti-seizure or antipsychotic medications. […] Physical causes include birth defects, infections, injury to pelvic nerves, hormone issues, neurological disorders, and prostate surgery.

• #88 Mayo Clinic Health Library – Delayed ejaculation | Swiss Medical Network

  https://www.swissmedical.net/en/healtcare-library/con-20371342

  Delayed ejaculation can be a brief or lifelong problem. Possible causes of delayed ejaculation include certain ongoing health conditions, surgeries and medicines. […] Some medicines, certain ongoing health conditions and surgeries can cause delayed ejaculation. Other causes include substance misuse or a mental health concern, such as depression, anxiety or stress. Often, it’s due to a mix of physical and psychological concerns. […] Psychological causes of delayed ejaculation include: Depression, anxiety or other mental health conditions. Relationship problems due to stress, not communicating well or other concerns. Anxiety about performance. Poor body image. Cultural or religious taboos. Differences between the reality of sex with a partner and sexual fantasies. […] Medicines and other substances that can cause delayed ejaculation include: Some antidepressants or antipsychotics. Certain high blood pressure medicines. Certain water pills, called diuretics. Some antipsychotic medicines. Some antiseizure medicines. Too much alcohol.

• #89 Ejaculation problems

  https://www.nhs.uk/conditions/ejaculation-problems/

  Delayed ejaculation (male orgasmic disorder) is classed as either: […] Like premature ejaculation, delayed ejaculation can be caused by psychological and physical factors. […] Possible psychological causes of delayed ejaculation are similar to those of premature ejaculation for example, relationship problems, stress or depression. […] Physical causes of delayed ejaculation include: diabetes, spinal cord injuries, multiple sclerosis, surgery to the bladder or prostate gland, increasing age. […] Many medicines are known to cause delayed ejaculation, including: antidepressants, particularly selective serotonin reuptake inhibitors (SSRIs), medicines to treat high blood pressure, such as beta-blockers, antipsychotics, used to treat episodes of psychosis. […] Delayed ejaculation can suddenly start to happen after previously having no problems, or (less commonly) the man may have always experienced it.

• #90 Ejaculation problems | nidirect

  https://www.nidirect.gov.uk/conditions/ejaculation-problems

  Delayed ejaculation (male orgasmic disorder) is classed as either: experiencing a significant delay before ejaculation lasting for 30 to 60 minutes […] being unable to ejaculate at all, even though you want to and your erection is normal at least half the times you have sex. […] Delayed ejaculation can also be caused by psychological and physical factors. Possible psychological causes of delayed ejaculation are similar to those of premature ejaculation. Physical causes of delayed ejaculation include: diabetes (usually only type 1 diabetes) […] spinal cord injuries […] multiple sclerosis (MS) […] surgery to the bladder or prostate gland […] increasing age. […] Many medicines are known to cause delayed ejaculation, including: antidepressants, particularly SSRIs […] medications to treat high blood pressure, such as beta-blockers […] antipsychotics […] muscle relaxants […] powerful painkillers.

• #91 Mayo Clinic Health Library – Delayed ejaculation | Swiss Medical Network

  https://www.swissmedical.net/en/healtcare-library/con-20371342

  Delayed ejaculation can be a brief or lifelong problem. Possible causes of delayed ejaculation include certain ongoing health conditions, surgeries and medicines. […] Some medicines, certain ongoing health conditions and surgeries can cause delayed ejaculation. Other causes include substance misuse or a mental health concern, such as depression, anxiety or stress. Often, it’s due to a mix of physical and psychological concerns. […] Psychological causes of delayed ejaculation include: Depression, anxiety or other mental health conditions. Relationship problems due to stress, not communicating well or other concerns. Anxiety about performance. Poor body image. Cultural or religious taboos. Differences between the reality of sex with a partner and sexual fantasies. […] Medicines and other substances that can cause delayed ejaculation include: Some antidepressants or antipsychotics. Certain high blood pressure medicines. Certain water pills, called diuretics. Some antipsychotic medicines. Some antiseizure medicines. Too much alcohol.

• #92 Delayed ejaculation – treatment, causes and diagnosis | healthdirect

  https://www.healthdirect.gov.au/delayed-ejaculation

  Delayed ejaculation is when you have trouble reaching orgasm and ejaculating. […] Delayed ejaculation can be a temporary or lifelong condition. […] Treatment depends on the cause. […] The causes of delayed ejaculation are different for everyone and can be complicated. […] Many different types of medicines can cause delayed ejaculation, including antidepressants, some strong pain-relief medicines, and some medicines for high blood pressure and heart disease. […] Alcohol and some recreational drugs can also cause delayed ejaculation. […] There can be physical reasons for delayed ejaculation, such as surgery or trauma to your pelvis or genitals, problems with your reproductive system, problems with your nerves or spinal cord, some hormonal conditions, chronic illnesses, such as diabetes or multiple sclerosis, and ageing.

• #93 Delayed Ejaculation Causes, Diagnosis, Treatment, and Coping

  https://www.verywellhealth.com/delayed-ejaculation-3300047

  Delayed ejaculation may have pathologic, neurological, hormonal, pharmaceutical, or psychological causes. […] Some of the causes your healthcare provider may consider include: […] Pathologic causes, such as heart disease (which can lower blood pressure), diabetes, prostate problems, and urinary tract infection […] Neurological causes, like stroke, neuropathy, spinal cord injury, or multiple sclerosis […] Hormonal causes, including thyroid problems, hypogonadism (low testosterone), and Cushing’s disease […] Medication side effects, including benzodiazepines like Valium (diazepam), selective serotonin reuptake inhibitors (SSRI) antidepressants, opioids like Oxycontin (oxycodone), antihypertensives (including diuretics), and certain antipsychotics […] Recent pelvic surgery, including prostate surgery

• #94 Delayed ejaculation – Wikipedia

  https://en.wikipedia.org/wiki/Delayed_ejaculation

  Some researchers believe that circumcision has a negative effect on men’s ejaculation during sex, while others believe that circumcision has no effect. […] Endocrine (hypogonadism, pituitary disorders such as hyperprolactinaemia and Cushing’s disease, thyroid disorders, etc.). Although low testosterone level had been considered a risk factor in the past, more recent studies have not confirmed any association between ejaculation times and serum testosterone levels. […] Delayed ejaculation is a possible side effect of alcohol and certain medications, including antipsychotics, antidepressants including selective serotonin reuptake inhibitors (SSRIs), opiates such as morphine or oxycodone, many benzodiazepines such as Valium or Xanax, and certain antihypertensives including thiazide diuretics, alpha-adrenergic blockers and ganglion blockers. […] Psychological (acute psychological distress, relationship distress, psychosexual skill deficit, disconnect between arousal and sexual situations, masturbation style and frequency, etc.)

• #95 Delayed Ejaculation Clinical Presentation: History

  https://emedicine.medscape.com/article/2184956-clinical

  Psychological factors (eg, a history of trauma, severe guilt, a fear of impregnation, or hostility toward a woman) have all been associated with primary inhibited male orgasm. […] Severe forms of major depressive disorder may also be linked with an increased frequency of delayed ejaculation. […] Ejaculatory dysfunction has been reported in about 40% of patients with bilateral sympathectomy at the L2 level. […] High bilateral retroperitoneal lymphadenectomy can cause an even higher percentage of emission failures. […] Chronic use of cocaine, opioids, and amphetamines has also been reported to induce sexual disorders and anorgasmia in a high proportion of users. […] 3,4-Methylenedioxy-N-methylmphetamine (MDMA), most commonly known under the street name of ecstasy, has been associated with both delayed orgasm and anorgasmia.

• #96 Delayed Ejaculation Clinical Presentation: History

  https://emedicine.medscape.com/article/2184956-clinical

  Psychological factors (eg, a history of trauma, severe guilt, a fear of impregnation, or hostility toward a woman) have all been associated with primary inhibited male orgasm. […] Severe forms of major depressive disorder may also be linked with an increased frequency of delayed ejaculation. […] Ejaculatory dysfunction has been reported in about 40% of patients with bilateral sympathectomy at the L2 level. […] High bilateral retroperitoneal lymphadenectomy can cause an even higher percentage of emission failures. […] Chronic use of cocaine, opioids, and amphetamines has also been reported to induce sexual disorders and anorgasmia in a high proportion of users. […] 3,4-Methylenedioxy-N-methylmphetamine (MDMA), most commonly known under the street name of ecstasy, has been associated with both delayed orgasm and anorgasmia.

• #97 Why Delayed Ejaculation Is More Common Than Folks Realize | Psychology Today

  https://www.psychologytoday.com/us/blog/sexual-tipping-point/201812/why-delayed-ejaculation-is-more-common-than-folks-realize

  Idiosyncratic masturbation patterns (techniques not easily duplicated by the partner during sexual acts) are a frequent cause of DE. […] The best model to understand human sexual response integrates rather than isolates all the biomedical, psychosocial and cultural factors. […] Delayed ejaculation is usually caused by a combination of physical and mental factors. Aging is highly correlated with sexual disorders. […] One often overlooked cause of the increased prevalence of men suffering from DE is the ever-increasing use of pharmacotherapy to treat both medical and sexual problems. […] Masturbation related factors have been shown to be a frequent cause of DE. […] The primary factor causing DE is usually an idiosyncratic masturbatory style, a term I coined and defined as a technique not easily duplicated by the partner during sex.

• #98 Kelowna Delayed Ejaculation Treatment – Precision Sexual Health Clinic

  https://precisionclinickelowna.ca/delayed-ejaculation/

  Neurological diseases, such as diabetic neuropathy, stroke or nerve damage to the spinal cord. […] Hormone-related conditions, including low testosterone level (hypogonadism). […] Retrograde ejaculation, a condition in which the semen goes backward into the bladder rather than out of the penis. […] Older age as men age, its normal for ejaculation to take longer. […] Medical conditions, such as diabetes or multiple sclerosis. […] Depression, anxiety or other mental health conditions. […] Relationship problems due to stress, poor communication with your partner or other concerns. […] Anxiety about performance. […] Poor body image. […] Cultural or religious taboos. […] Differences between the reality of sex with a partner and sexual fantasies.

• #99 Delayed Ejaculation | Lloyds Online Doctor IE

  https://lloydsonlinedoctor.ie/blogs/mens-health-advice/delayed-ejaculation

  Delayed ejaculation (DE), also called male orgasmic disorder, retarded or absent ejaculation, isn’t a source of pride, but of frustration and distress. […] DE can be caused by physical issues, psychological issues, or both. […] Many conditions can contribute to DE: Diabetes, Multiple sclerosis, Spinal cord injury, Bladder and prostate surgery, Certain substances: anti-depressants, blood pressure treatment such as Beta Blockers, antipsychotic drugs, muscle relaxants, strong painkillers, recreational drugs, steroids and alcohol. […] Ageing can also have a part to play. The penis may lose some of its sensitivity with age and testosterone levels decrease in older men, slowing the arousal process. […] Certain mindsets and attitudes may be having an impact on your DE: Fear of causing pregnancy, Inherited negative attitudes about sex, Feelings of shame, Strong cultural or religious beliefs about sex, Stress or depression, Sexual trauma, Relationship difficulties, Fear of feeling out of control or vulnerable, Negative feelings about the look, smell or feeling of semen, Fear of losing physical control during orgasm.

• #100 Delayed Ejaculation | Lloyds Online Doctor IE

  https://lloydsonlinedoctor.ie/blogs/mens-health-advice/delayed-ejaculation

  Delayed ejaculation (DE), also called male orgasmic disorder, retarded or absent ejaculation, isn’t a source of pride, but of frustration and distress. […] DE can be caused by physical issues, psychological issues, or both. […] Many conditions can contribute to DE: Diabetes, Multiple sclerosis, Spinal cord injury, Bladder and prostate surgery, Certain substances: anti-depressants, blood pressure treatment such as Beta Blockers, antipsychotic drugs, muscle relaxants, strong painkillers, recreational drugs, steroids and alcohol. […] Ageing can also have a part to play. The penis may lose some of its sensitivity with age and testosterone levels decrease in older men, slowing the arousal process. […] Certain mindsets and attitudes may be having an impact on your DE: Fear of causing pregnancy, Inherited negative attitudes about sex, Feelings of shame, Strong cultural or religious beliefs about sex, Stress or depression, Sexual trauma, Relationship difficulties, Fear of feeling out of control or vulnerable, Negative feelings about the look, smell or feeling of semen, Fear of losing physical control during orgasm.

• #101 Delayed Ejaculation: Background, Etiology, Pathophysiology

  https://emedicine.medscape.com/article/2184956-overview

  Hyperprolactinemia has been associated with both decreased sexual desire and a decreased ability to reach orgasm in males. […] Reportedly, the intensity of orgasm correlates with the ejaculatory volume; thus, declines in ejaculatory volume can result in reduced sexual pleasure. Because ejaculate volume is androgen-dependent, it tends to decrease with age, and this decrease may result in a blunted orgasm experience in the elderly. […] The increased frequency of delayed ejaculation in men older than 50 years may be associated with age-related loss of fast-conducting peripheral sensory nerves, as well as with age-related reduction in the secretion of sex steroids.

• #102 Delayed Ejaculation: Causes, Diagnosis & Treatment

  https://my.clevelandclinic.org/health/diseases/22125-delayed-ejaculation

  Delayed ejaculation can have physical or psychological causes. […] There are physical and psychological (mental and emotional) causes for delayed ejaculation. […] Physical causes may include conditions that affect your nervous system, such as a stroke, spinal cord injury or multiple sclerosis (MS) nerve damage may also occur as a complication of diabetes or surgery. […] Psychological causes may include feeling guilty about sexual intercourse, possibly due to your upbringing or religious background. […] Many men have delayed ejaculation issues as they get older. […] Age-related delayed ejaculation may not improve, even with treatment.

• #103 The pathophysiology of delayed ejaculation

  https://pmc.ncbi.nlm.nih.gov/articles/PMC5002008/

  Delayed ejaculation (DE) is probably least studied, and least understood of male sexual dysfunctions, with an estimated prevalence of 14% of the male population. Pathophysiology of DE is multifactorial and including psychosexual-behavioral and cultural factors, disruption of ejaculatory apparatus, central and peripheral neurotransmitters, hormonal or neurochemical ejaculatory control and psychosocial factors. […] The pathophysiological etiology of DE should be established thorough medical, psychosexual and psychosocial history. The etiology of DE is usually multidimensional, resulting from the mans biologic ejaculatory latency being affected by multiple organic biological, or psychogenic factors in varying combinations during his life. […] Psychogenic and biogenic etiologies of DE usually are neither independent nor mutually exclusive, with both categories overlapping and including a combination of factors involving both etiological domains.

• #104 The pathophysiology of delayed ejaculation – Chen – Translational Andrology and Urology

  https://tau.amegroups.org/article/view/10617/11776

  Delayed ejaculation (DE) is probably least studied, and least understood of male sexual dysfunctions, with an estimated prevalence of 14% of the male population. […] Pathophysiology of DE is multifactorial and including psychosexual-behavioral and cultural factors, disruption of ejaculatory apparatus, central and peripheral neurotransmitters, hormonal or neurochemical ejaculatory control and psychosocial factors. […] Although knowledge of the physiology of the DE has increased in the last two decade, our understanding of the different pathophysiological process of the causes of DE remains limited. […] The etiology of DE is usually multidimensional, resulting from the mans biologic ejaculatory latency being affected by multiple organic biological, or psychogenic factors in varying combinations during his life.

• #105 Why Delayed Ejaculation Is More Common Than Folks Realize | Psychology Today

  https://www.psychologytoday.com/us/blog/sexual-tipping-point/201812/why-delayed-ejaculation-is-more-common-than-folks-realize

  There are many partner issues that affect males ejaculatory interest and capacity, but two require special attention, especially pregnancy concerns and resentment. […] Anger generally is an important factor that can be both a direct cause and a maintainer of sexual dysfunction. […] Clinical experience demonstrates that separating causes, diagnosis, and treatment into categories such as psychogenic and biologic is too limiting. The most useful approach to understanding human responses is that of integrating rather than isolating the biological and psychological, social, behavioral and cultural factors.

• #106 Delayed Ejaculation Disorder | Symptoms, Causes, Diagnosis

  https://firstlightpsych.com/delayed-ejaculation-disorder/

  In some men, a physical issue that may delay ejaculation can lead to anxiety about ejaculation during sexual activity. This anxiety in turn may further worsen the ejaculation problem. […] Delayed ejaculation negatively impacts self-esteem and creates feelings of inadequacy, insufficiency, disappointment, and negativity. […] Other complications may include: Absent or minimal sexual pleasure, Anxiety about sex, Male infertility, Lower libido, Stress and Depression. […] The treatment of delayed ejaculation is dependent upon the underlying cause, but it might include taking medication, making changes to currently prescribed medications, and psychological counseling. […] If you are currently taking any medication that might be causing delayed ejaculation, switching the medications may fix the problem. […] There are not any specific drugs that have been specifically approved for the treatment of delayed ejaculation.

• #107 Delayed Ejaculation Disorder | Symptoms, Causes, Diagnosis

  https://firstlightpsych.com/delayed-ejaculation-disorder/

  In some men, a physical issue that may delay ejaculation can lead to anxiety about ejaculation during sexual activity. This anxiety in turn may further worsen the ejaculation problem. […] Delayed ejaculation negatively impacts self-esteem and creates feelings of inadequacy, insufficiency, disappointment, and negativity. […] Other complications may include: Absent or minimal sexual pleasure, Anxiety about sex, Male infertility, Lower libido, Stress and Depression. […] The treatment of delayed ejaculation is dependent upon the underlying cause, but it might include taking medication, making changes to currently prescribed medications, and psychological counseling. […] If you are currently taking any medication that might be causing delayed ejaculation, switching the medications may fix the problem. […] There are not any specific drugs that have been specifically approved for the treatment of delayed ejaculation.

• #108 Delayed Ejaculation: Causes, Symptoms, & Diagnosis

  https://www.healthline.com/health/delayed-ejaculation

  A temporary ejaculation problem can cause anxiety and depression. This can lead to recurrence, even when the underlying physical cause has been resolved. […] Low Testosterone can contribute to DE and low testosterone supplements could help fix your DE issue. […] 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. However, don’t stop taking any medication without your doctor’s recommendation.

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