Materiały źródłowe

• #1 Delayed ejaculation – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/delayed-ejaculation/symptoms-causes/syc-20371358

  Delayed ejaculation is a condition in which it takes a long period of sexual arousal to reach climax and release semen from the penis, called ejaculate. Some people with delayed ejaculation can’t ejaculate at all. […] Delayed ejaculation can be a brief or lifelong problem. Possible causes of delayed ejaculation include certain ongoing health conditions, surgeries and medicines. Treatment for delayed ejaculation depends on the cause. […] There’s no set time that means a diagnosis of delayed ejaculation. Some people with delayed ejaculation need many minutes of sexual stimulation to have an orgasm and ejaculate. Others might not be able to ejaculate at all, called anejaculation. […] In delayed ejaculation, the delay causes upset. Also delayed ejaculation might mean stopping sex due to tiredness, physical irritation, loss of erection or because the partner wants to stop.

• #2 Delayed ejaculation: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/article/001954.htm

  Delayed ejaculation is a medical condition in which a male cannot ejaculate easily or at all. It may occur either during intercourse or by manual stimulation with or without a partner. Ejaculation is when semen is released from the penis. […] Most men can ejaculate within a few minutes of starting to thrust during intercourse. Men with delayed ejaculation may be unable to ejaculate or may only be able to ejaculate with great effort after having intercourse for a long time (for example, 30 to 45 minutes). […] Delayed ejaculation can have psychological or physical causes. […] If you have never ejaculated through any form of stimulation, see your health care provider to determine if the problem has a physical cause. […] Treatment commonly requires about 12 to 18 sessions. The average success rate is 70% to 80%.

• #3 Delayed ejaculation: Causes & treatment | Healthy Male

  https://healthymale.org.au/mens-health/delayed-ejaculation

  Delayed ejaculation is diagnosed if you take a long time to reach orgasm or do not reach orgasm at all, even though you want to and are trying, and you are upset or having relationship problems because of it. […] Delayed ejaculation can make you depressed or anxious and can have negative effects on your relationship with your partner. […] Delayed ejaculation can be successfully treated but, because its such a complex problem, its difficult to know how long it might take and exactly how successful your treatment will be.

• #4 Delayed ejaculation

  https://johnsonmemorial.org/jmh-health/disease-conditions/con-20371342

  Delayed ejaculation is a condition in which it takes a long period of sexual arousal to reach climax and release semen from the penis, called ejaculate. Some people with delayed ejaculation can’t ejaculate at all. […] Delayed ejaculation can be a brief or lifelong problem. Possible causes of delayed ejaculation include certain ongoing health conditions, surgeries and medicines. Treatment for delayed ejaculation depends on the cause. […] There’s no set time that means a diagnosis of delayed ejaculation. Some people with delayed ejaculation need many minutes of sexual stimulation to have an orgasm and ejaculate. Others might not be able to ejaculate at all, called anejaculation. […] In delayed ejaculation, the delay causes upset. Also delayed ejaculation might mean stopping sex due to tiredness, physical irritation, loss of erection or because the partner wants to stop.

• #5 Delayed ejaculation | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/delayed-ejaculation

  Delayed ejaculation is a condition in which it takes a long period of sexual arousal to reach climax and release semen from the penis, called ejaculate. Some people with delayed ejaculation can’t ejaculate at all. […] There’s no set time that means a diagnosis of delayed ejaculation. Some people with delayed ejaculation need many minutes of sexual stimulation to have an orgasm and ejaculate. Others might not be able to ejaculate at all, called anejaculation. […] In delayed ejaculation, the delay causes upset. Also delayed ejaculation might mean stopping sex due to tiredness, physical irritation, loss of erection or because the partner wants to stop. […] Often, there’s trouble reaching orgasm during sexual intercourse or other sexual activities with a partner. Some people can ejaculate only when masturbating. But others may not be able to ejaculate by masturbating.

• #6 Delayed Ejaculation DSM-5 302.74 (N53.11)

  https://www.theravive.com/therapedia/delayed-ejaculation-dsm–5-302.74-(n53.11)

  According to the DSM-5, delayed ejaculation is defined by four symptoms with a choice of seven specifiers. 1. an inability to climax during sex with a partner about 75-100% of the time, with either a delay in ejaculation or infrequent or absent ejaculation. 2. The symptoms described above have persisted for at least six months, 3. the symptoms produce marked distress in the individual, and 4. The delayed ejaculation is not better accounted for by another mental disorder, use of a medication known for causing ejaculatory delay or failure, or due to stressors within or external to the relationship. […] The DSM-5 notes that normal age related changes in men include loss of genital sensitivity and decline of testosterone, which can be causal in delayed ejaculation. Most men, and their partners will find that increased sexual endurance is a desirable quality. It becomes problematic when it is personally distressing, and sexual activity becomes an exercise in frustration rather than an enjoyable process. For other men, it occurs in their youth, at the onset of sexual activity, or is acquired after a period of normal sexual function.

• #7 Characteristics of Men Who Report Delayed Ejaculation Symptoms – ISSM

  https://www.issm.info/sexual-health-headlines/characteristics-of-men-who-report-delayed-ejaculation-symptoms

  Delayed ejaculation (DE) is a sexual health condition in which a man takes a long time to ejaculate or is unable to ejaculate, particularly during partnered sex. It can also refer to a significant increase in the time it takes a man to ejaculate during sex compared to his previous normal. Often, ejaculation latency time is discussed with regard to DE, which is the time it takes a person to ejaculate during penetrative sex. […] The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), defines DE as a marked delay, infrequency, or absence of ejaculation in ejaculation present in 75% or more of partnered sexual encounters and persistent over at least the last 6 months that causes clinically significant distress. […] Similarly, the International Classification of Diseases, 11th Revision (ICD-11), defines DE as the inability to achieve ejaculation or an excessive or increased latency of ejaculation, despite adequate sexual stimulation and the desire to ejaculate which has occurred episodically or persistently over at least several months, and is associated with clinically significant distress.

• #8 Delayed ejaculation – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/delayed-ejaculation/symptoms-causes/syc-20371358

  Delayed ejaculation is a condition in which it takes a long period of sexual arousal to reach climax and release semen from the penis, called ejaculate. Some people with delayed ejaculation can’t ejaculate at all. […] Delayed ejaculation can be a brief or lifelong problem. Possible causes of delayed ejaculation include certain ongoing health conditions, surgeries and medicines. Treatment for delayed ejaculation depends on the cause. […] There’s no set time that means a diagnosis of delayed ejaculation. Some people with delayed ejaculation need many minutes of sexual stimulation to have an orgasm and ejaculate. Others might not be able to ejaculate at all, called anejaculation. […] In delayed ejaculation, the delay causes upset. Also delayed ejaculation might mean stopping sex due to tiredness, physical irritation, loss of erection or because the partner wants to stop.

• #9 Delayed ejaculation – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/delayed-ejaculation/symptoms-causes/syc-20371358

  Often, there’s trouble reaching orgasm during sexual intercourse or other sexual activities with a partner. Some people can ejaculate only when masturbating. But others may not be able to ejaculate by masturbating. […] Delayed ejaculation is divided into the following types based on symptoms: Lifelong versus acquired. With lifelong delayed ejaculation, the problem is present from the time of sexual maturity. Acquired delayed ejaculation happens after a period of typical sexual functioning. Generalized versus situational. Generalized delayed ejaculation isn’t limited to certain sex partners or certain kinds of arousal. Situational delayed ejaculation happens only under certain conditions. […] 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. […] Complications of delayed ejaculation can include: Less sexual pleasure for you and your partner. Stress or anxiety about having sex. Marital or relationship problems due to a poor sex life. Not being able to get your partner pregnant, called infertility.

• #10 Delayed ejaculation

  https://johnsonmemorial.org/jmh-health/disease-conditions/con-20371342

  Often, there’s trouble reaching orgasm during sexual intercourse or other sexual activities with a partner. Some people can ejaculate only when masturbating. But others may not be able to ejaculate by masturbating. […] Delayed ejaculation is divided into the following types based on symptoms: Lifelong versus acquired. With lifelong delayed ejaculation, the problem is present from the time of sexual maturity. Acquired delayed ejaculation happens after a period of typical sexual functioning. Generalized versus situational. Generalized delayed ejaculation isn’t limited to certain sex partners or certain kinds of arousal. Situational delayed ejaculation happens only under certain conditions. […] Complications of delayed ejaculation can include: Less sexual pleasure for you and your partner. Stress or anxiety about having sex. Marital or relationship problems due to a poor sex life. Not being able to get your partner pregnant, called infertility.

• #11 Delayed Ejaculation: Symptoms, Causes & Treatment | hims

  https://www.forhims.co.uk/blog/delayed-ejaculation-causes-treatment

  The exact symptoms of delayed ejaculation can vary. To diagnose and treat cases, most men’s health experts categorize delayed ejaculation into two types: Lifelong delayed ejaculation. This form of delayed ejaculation is there from the start of sexual maturity. Men with lifelong delayed ejaculation may have always had a hard time reaching orgasm and ejaculating. […] Acquired delayed ejaculation. This form of delayed ejaculation happens after a period of normal sexual function. […] Besides being either lifelong or acquired, delayed ejaculation is often categorized as generalized or situational: Generalized delayed ejaculation. Men with generalized delayed ejaculation experience symptoms with all sexual partners and all types of sexual stimulation. […] Situational delayed ejaculation. Guys with situational delayed ejaculation may only find it difficult to orgasm and ejaculate in certain situations, like with a specific sexual partner or with a particular type of sexual stimulation.

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

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

  Every so often, men might face difficulty in reaching orgasm during sexual intercourse or while engaged in other sexual activity with a partner. Some men can ejaculate only when masturbating. […] Delayed ejaculation is divided into 2 types based on symptoms: Lifelong vs. acquired: With lifelong delayed ejaculation, the issue is present from the time of puberty. Acquired delayed ejaculation occurs after a period of normal sexual functioning. […] Generalized vs. situational. Generalized delayed ejaculation isn’t limited to certain sex partners or certain kinds of stimulation. Situational delayed ejaculation occurs only under certain circumstances. […] Delayed ejaculation negatively impacts self-esteem and creates feelings of inadequacy, insufficiency, disappointment, and negativity. Men who suffer from the disorder might avoid intimacy with others due to the fear of failure. […] Other complications may include: Absent or minimal sexual pleasure, Anxiety about sex, Male infertility, Lower libido, Stress and Depression. […] Delayed ejaculation can also give rise to conflicts in relationships, often stemming from misinterpretations on the part of both partners.

• #13 Delayed ejaculation – Wikipedia

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

  Delayed ejaculation can be mild (men who still experience orgasm during intercourse, but only under certain conditions), moderate (cannot ejaculate during intercourse, but can during fellatio or a handjob), severe (can ejaculate only when alone), or most severe (cannot ejaculate at all). […] All forms may result in a sense of sexual frustration. […] Delayed ejaculation is the least common of the male sexual dysfunctions, and can result as a side effect of some medications. […] In one survey, 8% of men reported being unable to achieve orgasm over a two-month period or longer in the previous year. […] DEs are either primary and lifelong or acquired. […] While most men do experience occasional or short term delayed ejaculation issues, the prevalence of lifelong DE and acquired long-term DE is estimated around 1% and 4%, respectively.

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

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

  Delayed ejaculation (DE) is a medical condition in which a man has difficulty reaching an orgasm. The „Diagnostic and Statistical Manual of Mental Disorders” defines DE as a significant delay, infrequency, or absence of ejaculation at least 75% of the time during partnered sexual activity for six months. […] Delayed ejaculation is usually self-evident, especially to those affected. In some cases, the man may feel as if he on the verge of climax but is unable to reach the point of ejaculation. At other times, there may be an erection but no sense of an approaching orgasm. […] The condition can range in severity, and symptoms can include: Able to ejaculate during intercourse but only under certain controlled conditions; Cannot ejaculate during intercourse but can with oral sex or masturbation; Can only ejaculate when alone; Unable to ejaculate.

• #15 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. […] If a person with a penis takes longer than 30 minutes to ejaculate, despite a typical erection, it is considered delayed ejaculation. […] Delayed ejaculation affects around 14% of the male population. […] Most men will experience delayed ejaculation at some point in their lives, but for some, it is a lifelong problem. […] 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. […] However, more commonly, delayed ejaculation occurs after a period of typical function.

• #16 What Does Delayed Ejaculation Mean? Causes, Symptoms, & Solutions | Allo Health

  https://www.allohealth.com/blog/sexual-dysfunction/delayed-ejaculation/what-is-delayed-ejaculation

  Delayed ejaculation (DE) can be seen in many ways, and men suffering from it feel frustrated and uncertain. One of the main symptoms of this disorder is that men are unable to ejaculate most of the time or always, despite being in a prolonged sexual activity or getting enough stimulation. For some men, it might take a longer time to ejaculate which makes them and their partner lose interest during intimacy. Others might struggle to ejaculate only at the time of penetrative sex and may not have the same problem with other forms of stimulation. […] Men Might Have a Problem Reaching Climax: Men with DE take an unusually long time to ejaculate, even with sufficient arousal and stimulation. […] Not Being Able to Ejaculate: Men not being able to ejaculate at all during sexual intercourse. May only be able to ejaculate through other forms of stimulation like masturbation.

• #17 Delayed ejaculation

  https://johnsonmemorial.org/jmh-health/disease-conditions/con-20371342

  Delayed ejaculation is a condition in which it takes a long period of sexual arousal to reach climax and release semen from the penis, called ejaculate. Some people with delayed ejaculation can’t ejaculate at all. […] Delayed ejaculation can be a brief or lifelong problem. Possible causes of delayed ejaculation include certain ongoing health conditions, surgeries and medicines. Treatment for delayed ejaculation depends on the cause. […] There’s no set time that means a diagnosis of delayed ejaculation. Some people with delayed ejaculation need many minutes of sexual stimulation to have an orgasm and ejaculate. Others might not be able to ejaculate at all, called anejaculation. […] In delayed ejaculation, the delay causes upset. Also delayed ejaculation might mean stopping sex due to tiredness, physical irritation, loss of erection or because the partner wants to stop.

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

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

  An acquired case is usually determined as having a psychological cause if it only happens in specific situations. […] For example, it is more likely that delayed ejaculation has a psychological basis if a man is able to ejaculate normally when masturbating but experiences a delay during sex with a partner. […] The specialist observed that most men with delayed ejaculation reported no problems reaching an orgasm or ejaculating via masturbation. […] Some men with the condition needed to employ an idiosyncratic form of self-manipulation to reach an orgasm, such as rubbing the penis against the bedsheets or masturbating with pressure on a particular spot while looking at erotic materials. […] Delayed ejaculation is diagnosed when a person is concerned about a marked delay or infrequency of achieving ejaculation during most sexual encounters over a period of 6 months or more, and when other problems have been ruled out. […] Successful treatment of delayed ejaculation depends on the cause of the delayed ejaculation and the type of treatment. Each individual will have different needs and outcomes.

• #19 Delayed Ejaculation: Symptoms, Causes & Treatment | hims

  https://www.forhims.co.uk/blog/delayed-ejaculation-causes-treatment

  Find it difficult or impossible to ejaculate at all. Typically referred to as anejaculation, you might not be able to ejaculate following sexual stimulation. Anejaculation can happen with or without orgasm. […] Can only ejaculate while masturbating. Some men with delayed ejaculation can orgasm and ejaculate normally from masturbation but not sexual intercourse or other partnered sexual activity. […] Need to stop or take a break from sex. You may get too tired during sex to continue. You (and potentially your partner) might feel physically irritated, or you may lose your erection during sex. […] Feel distress or frustration. You and/or your partner may be distressed, frustrated, or unhappy about your inability to orgasm and ejaculate. This could even cause relationship problems or tension in your sex life.

• #20 What Does Delayed Ejaculation Mean? Causes, Symptoms, & Solutions | Allo Health

  https://www.allohealth.com/blog/sexual-dysfunction/delayed-ejaculation/what-is-delayed-ejaculation

  Constantly Having Low Sexual Satisfaction: Feeling frustrated or dissatisfied to continue any sexual activity. This can bring dissatisfaction to both the individual and their partner. […] Less or No Sensation During Ejaculation: After some time ejaculation may feel less intense or pleasurable. Some men might not feel any typical physical and emotional release that comes with orgasm. […] If your DE continues and keeps affecting your quality of life or relationships, its important to consult a sexual health professional. […] Delayed ejaculation (DE) can happen due to many reasons and is usually due to a mix of both physical and mental factors. Figuring out the root cause of your DE is necessary, and its about finding a balance between your physical health and mental well-being. […] Delayed ejaculation can make it challenging to achieve pregnancy naturally, especially if ejaculation becomes too infrequent or does not occur during intercourse. Consulting a fertility or sexual health expert can help address this issue effectively.

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

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

  Delayed ejaculation (DE) is a medical condition in which a man has difficulty reaching an orgasm. The „Diagnostic and Statistical Manual of Mental Disorders” defines DE as a significant delay, infrequency, or absence of ejaculation at least 75% of the time during partnered sexual activity for six months. […] Delayed ejaculation is usually self-evident, especially to those affected. In some cases, the man may feel as if he on the verge of climax but is unable to reach the point of ejaculation. At other times, there may be an erection but no sense of an approaching orgasm. […] The condition can range in severity, and symptoms can include: Able to ejaculate during intercourse but only under certain controlled conditions; Cannot ejaculate during intercourse but can with oral sex or masturbation; Can only ejaculate when alone; Unable to ejaculate.

• #22 Ejaculation problems | nidirect

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

  powerful painkillers. […] 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.

• #23 SMSNA – Delayed Orgasm and Delayed Ejaculation

  https://www.smsna.org/patients/conditions/delayed-ejaculation

  In some circumstances, delayed orgasm/ejaculation occurs in both situations. This problem can be frustrating and may cause distress for both patients and their partners. […] Many experts believe that the majority of delayed orgasm/ejaculation problems do not have an underlying physical abnormality present. This is based on the fact that 85% of men with either primary or secondary delayed orgasm/ejaculation are able to achieve orgasm through masturbation. Therefore, it is likely that these men have a behavioral or psychological issue which needs to be addressed. […] Delayed orgasm/ejaculation is diagnosed during the history-taking process. The provider may ask for an estimate of the usual time between starting sexual stimulation and orgasm/ejaculation. […] There are several treatments for delayed orgasm/ejaculation. Treatment is mainly determined by the suspected cause of the problem.

• #24 Epidemiology of delayed ejaculation – Sante – Translational Andrology and Urology

  https://tau.amegroups.org/article/view/10793/11774

  Delayed ejaculation (DE) is one of the diminished ejaculatory disorders, which range from varying delays in ejaculatory latency to a complete inability to ejaculate. […] DE can be defined as lifelong, from the first sexual experience, or acquired, i.e., subsequent to a normal period of sexual functioning. […] The prevalence of DE appears to be moderately and positively related to age, which is not surprising in view of the fact that ejaculatory function as a whole tends to diminish as men age. […] The results of a community-based study of 1,688 men in the Netherlands showed that the prevalence of ejaculatory dysfunctions (defined as ejaculation with a decreased amount of semen or anejaculation) increased from 3% in men aged 50-54 years to 35% in those aged 70-78 years. […] Ejaculatory dysfunction can exhibit a slow progressive decline from a DE-RE to anejaculation, depending on the degree of sympathetic autonomic neuropathy involved.

• #25 Epidemiology of delayed ejaculation – Sante – Translational Andrology and Urology

  https://tau.amegroups.org/article/view/10793/11774

  Delayed ejaculation (DE) is one of the diminished ejaculatory disorders, which range from varying delays in ejaculatory latency to a complete inability to ejaculate. […] DE can be defined as lifelong, from the first sexual experience, or acquired, i.e., subsequent to a normal period of sexual functioning. […] The prevalence of DE appears to be moderately and positively related to age, which is not surprising in view of the fact that ejaculatory function as a whole tends to diminish as men age. […] The results of a community-based study of 1,688 men in the Netherlands showed that the prevalence of ejaculatory dysfunctions (defined as ejaculation with a decreased amount of semen or anejaculation) increased from 3% in men aged 50-54 years to 35% in those aged 70-78 years. […] Ejaculatory dysfunction can exhibit a slow progressive decline from a DE-RE to anejaculation, depending on the degree of sympathetic autonomic neuropathy involved.

• #26 Epidemiology of delayed ejaculation – Sante – Translational Andrology and Urology

  https://tau.amegroups.org/article/view/10793/11774

  Delayed ejaculation (DE) is one of the diminished ejaculatory disorders, which range from varying delays in ejaculatory latency to a complete inability to ejaculate. […] DE can be defined as lifelong, from the first sexual experience, or acquired, i.e., subsequent to a normal period of sexual functioning. […] The prevalence of DE appears to be moderately and positively related to age, which is not surprising in view of the fact that ejaculatory function as a whole tends to diminish as men age. […] The results of a community-based study of 1,688 men in the Netherlands showed that the prevalence of ejaculatory dysfunctions (defined as ejaculation with a decreased amount of semen or anejaculation) increased from 3% in men aged 50-54 years to 35% in those aged 70-78 years. […] Ejaculatory dysfunction can exhibit a slow progressive decline from a DE-RE to anejaculation, depending on the degree of sympathetic autonomic neuropathy involved.

• #27 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. […] In some cases, ejaculation cannot be achieved at all. Most men experience DE from time to time, but for others it may be a lifelong problem. […] A lifelong problem with DE is very different from a problem that develops later in life. Some men have a generalized problem in which DE occurs in all sexual situations. […] In rare cases, DE is a sign of a worsening health problem such as heart disease or diabetes. […] A temporary ejaculation problem can cause anxiety and depression. This can lead to recurrence, even when the underlying physical cause has been resolved. […] DE can cause problems with self-esteem in addition to feelings of inadequacy, failure, and negativity. Men who experience the condition may avoid intimacy with others due to frustrations and fear of failure.

• #28 Delayed Ejaculation – Dr Ben Medical – Men’s Health Clinic | Women’s Health Singapore

  https://dbclinic.com.sg/delayed-ejaculation/

  Delayed ejaculation, or impaired ejaculation, occurs when a man is consistently unable to get an orgasm and ejaculate even with sufficient sexual stimulation and arousal. […] Delayed ejaculation can happen from time to time, for some men, it is a lifelong issue. […] You may have impaired ejaculation if you take more than 30 minutes of sexual stimulation and activity to ejaculate. If you cannot ejaculate at all, you have a condition known as anejaculation. […] Though rare, sometimes delayed ejaculation can be a sign of a worsening health condition such as diabetes or heart disease. […] If you dont address your delayed ejaculation problem, you are highly likely to experience several complications such as male infertility, stress and anxiety brought about by poor sexual performance concerns as well as relationship issues.

• #29 What is delayed ejaculation? – myDr.com.au

  https://mydr.com.au/sexual-health/delayed-ejaculation/

  Delayed ejaculation can be the result of: diabetes; spinal cord injuries; multiple sclerosis (MS); and pelvic nerve damage following surgery or injury. […] Delayed ejaculation can be a side effect of certain medicines. […] Complications of delayed ejaculation can include: reduced satisfaction with your sex life; feelings of frustration, embarrassment or reduced confidence; and relationship issues that can further impact on your sex life. […] If you are experiencing anejaculation (inability to ejaculate) and you and your partner would like to have a baby, there are treatments available.

• #30 Delayed ejaculation

  https://johnsonmemorial.org/jmh-health/disease-conditions/con-20371342

  Often, there’s trouble reaching orgasm during sexual intercourse or other sexual activities with a partner. Some people can ejaculate only when masturbating. But others may not be able to ejaculate by masturbating. […] Delayed ejaculation is divided into the following types based on symptoms: Lifelong versus acquired. With lifelong delayed ejaculation, the problem is present from the time of sexual maturity. Acquired delayed ejaculation happens after a period of typical sexual functioning. Generalized versus situational. Generalized delayed ejaculation isn’t limited to certain sex partners or certain kinds of arousal. Situational delayed ejaculation happens only under certain conditions. […] Complications of delayed ejaculation can include: Less sexual pleasure for you and your partner. Stress or anxiety about having sex. Marital or relationship problems due to a poor sex life. Not being able to get your partner pregnant, called infertility.

• #31 Delayed Ejaculation: Symptoms and Causes

  https://gainswave.com/delayed-ejaculation/

  Left untreated, delayed ejaculation can lead to various complications, including: Fertility Issues: In some cases, delayed ejaculation can hinder the ability to conceive due to the prolonged time required for ejaculation. […] Relationship Strain: The frustration and stress associated with delayed ejaculation can strain intimate relationships. […] Sexual Dissatisfaction: Both partners may experience sexual dissatisfaction, which can negatively impact their overall quality of life. […] Yes, delayed ejaculation can be a lifelong condition for some individuals. It may require ongoing treatment and management. […] Delayed ejaculation is relatively rare compared to other sexual disorders, but it can still affect a significant number of men. […] Yes, delayed ejaculation can sometimes indicate an underlying medical issue, such as hormonal imbalance or nerve damage. […] Yes, delayed ejaculation is treatable, and many individuals find relief through therapy, medication adjustment, or other interventions.

• #32 Delayed ejaculation | Beacon Health System

  https://www.beaconhealthsystem.org/library/diseases-and-conditions/delayed-ejaculation/

  Complications of delayed ejaculation can include: Less sexual pleasure for you and your partner. Stress or anxiety about having sex. Marital or relationship problems due to a poor sex life. Not being able to get your partner pregnant, called infertility. […] Delayed ejaculation treatment depends on the cause. Treatment might include taking medicine or making changes to medicines you take. It might involve psychological counseling or addressing alcohol or illicit drug use. […] Counseling can help by dealing with mental health problems linked to delayed ejaculation, such as depression or anxiety. […] Ongoing delayed ejaculation can cause mental and emotional stress for you and your partner. If you have delayed ejaculation only sometimes, try not to assume that you have a lasting problem or to expect it to happen again the next time you have sex. […] Talk openly with your partner about your condition. Treatment often is more successful if couples work together as a team. You might want to see a counselor with your partner. This can help you address concerns you both might have about delayed ejaculation.

• #33 The drug treatment of delayed ejaculation

  https://pmc.ncbi.nlm.nih.gov/articles/PMC5001980/

  Delayed ejaculation (DE) is an uncommon and a challenging disorder to treat. It is often quite concerning to patients and it can affect psychosocial well-being. […] DE is not easy to treat because it is poorly understood. Treatment should be etiology specific, and may include patient and their partner psychosexual therapy, drug therapy or integrated treatment. Drug treatment of DE includes many agents with varying degrees of success. Currently, no drug has been approved by FDA for DE. […] DE was shown to be associated with significant reduction in health-related quality of life as well as self-esteem, anxiety, and depression and has been linked to reduced sexual satisfaction and relationship dissatisfaction and discord. […] Although there are many pharmacological treatment options, the evidence is still limited to small trials, case series or case reports. Review of literature showed that evidence level 1 (Double blind randomized clinical trial) studies were performed with testosterone, oxytocin, buspirone or bethanechol treatment. It is concluded that successful drug treatment of DE is still in its infancy. […] Various drugs are available to address such problem, however their evidence of efficacy is still limited and their choice needs to be individualized to each specific case.

• #34 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. […] In some cases, ejaculation cannot be achieved at all. Most men experience DE from time to time, but for others it may be a lifelong problem. […] A lifelong problem with DE is very different from a problem that develops later in life. Some men have a generalized problem in which DE occurs in all sexual situations. […] In rare cases, DE is a sign of a worsening health problem such as heart disease or diabetes. […] A temporary ejaculation problem can cause anxiety and depression. This can lead to recurrence, even when the underlying physical cause has been resolved. […] DE can cause problems with self-esteem in addition to feelings of inadequacy, failure, and negativity. Men who experience the condition may avoid intimacy with others due to frustrations and fear of failure.

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

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

  Every so often, men might face difficulty in reaching orgasm during sexual intercourse or while engaged in other sexual activity with a partner. Some men can ejaculate only when masturbating. […] Delayed ejaculation is divided into 2 types based on symptoms: Lifelong vs. acquired: With lifelong delayed ejaculation, the issue is present from the time of puberty. Acquired delayed ejaculation occurs after a period of normal sexual functioning. […] Generalized vs. situational. Generalized delayed ejaculation isn’t limited to certain sex partners or certain kinds of stimulation. Situational delayed ejaculation occurs only under certain circumstances. […] Delayed ejaculation negatively impacts self-esteem and creates feelings of inadequacy, insufficiency, disappointment, and negativity. Men who suffer from the disorder might avoid intimacy with others due to the fear of failure. […] Other complications may include: Absent or minimal sexual pleasure, Anxiety about sex, Male infertility, Lower libido, Stress and Depression. […] Delayed ejaculation can also give rise to conflicts in relationships, often stemming from misinterpretations on the part of both partners.

• #36 Delayed ejaculation: Causes & treatment | Healthy Male

  https://healthymale.org.au/mens-health/delayed-ejaculation

  Delayed ejaculation is diagnosed if you take a long time to reach orgasm or do not reach orgasm at all, even though you want to and are trying, and you are upset or having relationship problems because of it. […] Delayed ejaculation can make you depressed or anxious and can have negative effects on your relationship with your partner. […] Delayed ejaculation can be successfully treated but, because its such a complex problem, its difficult to know how long it might take and exactly how successful your treatment will be.

• #37 Delayed ejaculation: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/article/001954.htm

  If the problem is not treated, the following may occur: Avoidance of sexual contact, Inhibited sexual desire, Stress within the relationship, Sexual dissatisfaction, Difficulty with conception and getting pregnant. […] Having a healthy attitude about your sexuality and genitals helps prevent delayed ejaculation.

• #38 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/

  The psychological definition of delayed ejaculation refers to the inability to have an ejaculation during sexual intercourse. […] Problems of delayed ejaculation tend to be somewhat rare and not well understood by psychologists and sex therapists. […] In many cases, the man himself may tend to delay treatment or to minimize the distress of the situation. […] Unfortunately however, problems such as delayed ejaculation seldom disappear without professional intervention. […] In spite of the lack of information regarding delayed ejaculation, the most successful approach, for sex therapists, is to engage both members of the couple into addressing the problem. […] Ejaculatory problems can have a devastating affect on self-esteem. […] Ejaculation problems may also contribute to a low libido and lack of interest in sexual activity.

• #39 The drug treatment of delayed ejaculation

  https://pmc.ncbi.nlm.nih.gov/articles/PMC5001980/

  Delayed ejaculation (DE) is an uncommon and a challenging disorder to treat. It is often quite concerning to patients and it can affect psychosocial well-being. […] DE is not easy to treat because it is poorly understood. Treatment should be etiology specific, and may include patient and their partner psychosexual therapy, drug therapy or integrated treatment. Drug treatment of DE includes many agents with varying degrees of success. Currently, no drug has been approved by FDA for DE. […] DE was shown to be associated with significant reduction in health-related quality of life as well as self-esteem, anxiety, and depression and has been linked to reduced sexual satisfaction and relationship dissatisfaction and discord. […] Although there are many pharmacological treatment options, the evidence is still limited to small trials, case series or case reports. Review of literature showed that evidence level 1 (Double blind randomized clinical trial) studies were performed with testosterone, oxytocin, buspirone or bethanechol treatment. It is concluded that successful drug treatment of DE is still in its infancy. […] Various drugs are available to address such problem, however their evidence of efficacy is still limited and their choice needs to be individualized to each specific case.

• #40 Characteristics of Men Who Report Delayed Ejaculation Symptoms – ISSM

  https://www.issm.info/sexual-health-headlines/characteristics-of-men-who-report-delayed-ejaculation-symptoms

  Importantly, these definitions both involve: 1) a problem with the timing of ejaculation during sex (i.e., it taking too long), 2) a lack of self-efficacy in being able to achieve the desired ejaculatory response, and 3) bother or distress related to the situation. […] Ultimately, 5 face-valid diagnostic variables emerged from the data: The men with DE reported significantly longer estimated average ejaculatory latency times during partnered sex than the men without DE. […] The men with DE reported a significantly longer estimated minimum ejaculatory latency time during partnered sex than the men without DE. […] Regarding the percentage of sexual episodes ending in orgasm/ejaculation during partnered sex, the men with DE reported a significantly lower percentage of sexual events ending in orgasm than the men without DE.

• #41 Characteristics of Men Who Report Delayed Ejaculation Symptoms – ISSM

  https://www.issm.info/sexual-health-headlines/characteristics-of-men-who-report-delayed-ejaculation-symptoms

  Importantly, these definitions both involve: 1) a problem with the timing of ejaculation during sex (i.e., it taking too long), 2) a lack of self-efficacy in being able to achieve the desired ejaculatory response, and 3) bother or distress related to the situation. […] Ultimately, 5 face-valid diagnostic variables emerged from the data: The men with DE reported significantly longer estimated average ejaculatory latency times during partnered sex than the men without DE. […] The men with DE reported a significantly longer estimated minimum ejaculatory latency time during partnered sex than the men without DE. […] Regarding the percentage of sexual episodes ending in orgasm/ejaculation during partnered sex, the men with DE reported a significantly lower percentage of sexual events ending in orgasm than the men without DE.

• #42 Characteristics of Men Who Report Delayed Ejaculation Symptoms – ISSM

  https://www.issm.info/sexual-health-headlines/characteristics-of-men-who-report-delayed-ejaculation-symptoms

  In general, the men with DE reported less orgasmic pleasure/satisfaction during partnered sex than the men without DE. […] Overall, the men with DE reported more bother and distress related to partnered sexual activity than the men without DE. […] The results of this study affirmed the previously stated elements of the DE definition and diagnostic criteria. For example, the longer estimated average and estimated minimum ejaculatory latency times for men with DE indicate a problem with the timing of ejaculation during sex. The percentage of sexual episodes leading to orgasm showed a lack of self-efficacy in being able to achieve the desired ejaculatory outcome. Lastly, the lower levels of pleasure/satisfaction as well as the higher levels of bother/distress clearly indicate vexation related to sexual activity. These findings provide strong support for the 5 face-valid measures of DE and may help shed light on the experiences of men with this condition.

• #43 SMSNA – Delayed Orgasm and Delayed Ejaculation

  https://www.smsna.org/patients/conditions/delayed-ejaculation

  In some circumstances, delayed orgasm/ejaculation occurs in both situations. This problem can be frustrating and may cause distress for both patients and their partners. […] Many experts believe that the majority of delayed orgasm/ejaculation problems do not have an underlying physical abnormality present. This is based on the fact that 85% of men with either primary or secondary delayed orgasm/ejaculation are able to achieve orgasm through masturbation. Therefore, it is likely that these men have a behavioral or psychological issue which needs to be addressed. […] Delayed orgasm/ejaculation is diagnosed during the history-taking process. The provider may ask for an estimate of the usual time between starting sexual stimulation and orgasm/ejaculation. […] There are several treatments for delayed orgasm/ejaculation. Treatment is mainly determined by the suspected cause of the problem.

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

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

  An acquired case is usually determined as having a psychological cause if it only happens in specific situations. […] For example, it is more likely that delayed ejaculation has a psychological basis if a man is able to ejaculate normally when masturbating but experiences a delay during sex with a partner. […] The specialist observed that most men with delayed ejaculation reported no problems reaching an orgasm or ejaculating via masturbation. […] Some men with the condition needed to employ an idiosyncratic form of self-manipulation to reach an orgasm, such as rubbing the penis against the bedsheets or masturbating with pressure on a particular spot while looking at erotic materials. […] Delayed ejaculation is diagnosed when a person is concerned about a marked delay or infrequency of achieving ejaculation during most sexual encounters over a period of 6 months or more, and when other problems have been ruled out. […] Successful treatment of delayed ejaculation depends on the cause of the delayed ejaculation and the type of treatment. Each individual will have different needs and outcomes.

• #45 Symptoms and Causes of Premature Ejaculation – ROC Clinic

  https://rocclinic.com/en/premature-ejaculation/symptoms-and-causes/

  The first symptom is a lack of control over the timing of orgasm, usually associated with low intercourse time. It usually occurs in most sexual relations, although many men explain that in some situations or with some practices they are able to acquire more control than with others. This lack of control leads to performance anxiety. […] Second, it is common for many men with premature ejaculation to have psychological erectile dysfunction. The mechanism that produces this is performance anxiety, which shifts the focus of attention from the erotic to the worry and negative feelings that accompany performance anxiety. […] Finally, in very advanced cases, when anxiety becomes generalized, it is even possible that behaviors are generated in which the man avoids sexual relations with his partner or the approach to people he believes may have a sexual interest in him and reduces his sexual desire due to anxiety and the „fear of failure”.

• #46

  https://london-mens-clinic.com/ejaculation-disorders-types-and-treatment/

  The two types of delayed ejaculations are Primary and Secondary delayed ejaculation. […] Similarly to PE, primary delayed ejaculation happens to men who have always had difficulty ejaculating. […] Secondary delayed ejaculation, on the other hand, happens to who have previously no issues with intercourse but have newly developed this. The causes to this can be divided into physical and psychological factors. […] Physical factors include: Side effects from medications, in particular anti-depressants, Alcohol and illegal drug use, Nerve damage or mechanical pelvic injury, Hormonal deficiencies such as low testosterone. […] Psychological factors include: Mood disorders, Relationship problems, Performance anxiety, Existing culture or religious taboos regarding sexual intercourse.

• #47 Delayed ejaculation – Wikipedia

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

  Delayed ejaculation (DE) is a man’s inability or persistent difficulty in achieving orgasm, despite typical sexual desire and sexual stimulation. Generally, a man can reach orgasm within a few minutes of active thrusting during sexual intercourse, whereas a man with delayed ejaculation either does not have orgasms at all or cannot have an orgasm until after prolonged intercourse which might last for 30-45 minutes or more. […] Delayed ejaculation is closely related to anorgasmia. […] In the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, the definition of DE requires 1 of 2 symptoms: either a marked delay in or a marked infrequency or absence of ejaculation on 75% to 100% of occasions for at least 6 months of partnered sexual activity without the individual desiring delay, and causing significant distress to the individual. […] DE is meant to describe any and all of the ejaculatory disorders that result in a delay or absence of ejaculation.

• #48 Delayed ejaculation – Wikipedia

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

  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 and lifestyle factors have been discussed as potential contributors, including insufficient sleep, distraction due to worry, distraction from the environment, anxiety about pleasing their partner and anxiety about relationship problems. […] According to the DSM-5-TR, „Delayed ejaculation is associated with highly frequent masturbation, use of masturbation techniques not easily duplicated by a partner, and marked disparities between sexual fantasies during masturbation and the reality of sex with a partner.”

• #49 Delayed Ejaculation

  https://labs.la.utexas.edu/mestonlab/male-orgasmic-disorder/

  Researchers have suggested that the rate of DE will rise due to age-related ejaculatory decline as well as widespread use of SSRIs, which have been implicated in increased ejaculation latency. […] A number of biological and psychological factors have been shown to play an important role in delayed ejaculation. […] Chronic medical conditions, such as multiple sclerosis and diabetes, are correlated with DE. […] According to Segraves (2010), there is conflicting evidence regarding the effect of age on ejaculatory function. […] As DE is more common in older males the disorder may be related to low penile sensitivity, which is associated with aging. […] Men with DE may have a diminished ability to experience penile sensations, as they have been shown to experience less sexual arousal than men without the disorder.

• #50 Characteristics of Men Who Report Delayed Ejaculation Symptoms – ISSM

  https://www.issm.info/sexual-health-headlines/characteristics-of-men-who-report-delayed-ejaculation-symptoms

  Importantly, these definitions both involve: 1) a problem with the timing of ejaculation during sex (i.e., it taking too long), 2) a lack of self-efficacy in being able to achieve the desired ejaculatory response, and 3) bother or distress related to the situation. […] Ultimately, 5 face-valid diagnostic variables emerged from the data: The men with DE reported significantly longer estimated average ejaculatory latency times during partnered sex than the men without DE. […] The men with DE reported a significantly longer estimated minimum ejaculatory latency time during partnered sex than the men without DE. […] Regarding the percentage of sexual episodes ending in orgasm/ejaculation during partnered sex, the men with DE reported a significantly lower percentage of sexual events ending in orgasm than the men without DE.

• #51 Delayed Ejaculation: Symptoms, Causes & Treatment | hims

  https://www.forhims.co.uk/blog/delayed-ejaculation-causes-treatment

  If you’re taking 25 to 30 minutes to ejaculate and it’s causing distress for you or your partner, you should see a healthcare provider, such as someone specializing in urology or sexual medicine. […] Delayed ejaculation can happen to men of all ages, but studies show it’s more common in older men. Some researchers attribute this problem to a loss of penile receptors and sensory axons (nerves that respond to sexual stimuli) that occurs with age, leading to decreased sensitivity. […] You may struggle with delayed ejaculation if you suffer from depression, anxiety, or another mental health condition. […] If left untreated, this sexual health problem can lead to numerous complications like low self-esteem, relationship conflicts, infertility, and low sexual satisfaction.

• #52 Delayed Ejaculation DSM-5 302.74 (N53.11)

  https://www.theravive.com/therapedia/delayed-ejaculation-dsm–5-302.74-(n53.11)

  According to the DSM-5, delayed ejaculation is defined by four symptoms with a choice of seven specifiers. 1. an inability to climax during sex with a partner about 75-100% of the time, with either a delay in ejaculation or infrequent or absent ejaculation. 2. The symptoms described above have persisted for at least six months, 3. the symptoms produce marked distress in the individual, and 4. The delayed ejaculation is not better accounted for by another mental disorder, use of a medication known for causing ejaculatory delay or failure, or due to stressors within or external to the relationship. […] The DSM-5 notes that normal age related changes in men include loss of genital sensitivity and decline of testosterone, which can be causal in delayed ejaculation. Most men, and their partners will find that increased sexual endurance is a desirable quality. It becomes problematic when it is personally distressing, and sexual activity becomes an exercise in frustration rather than an enjoyable process. For other men, it occurs in their youth, at the onset of sexual activity, or is acquired after a period of normal sexual function.

• #53 Delayed ejaculation | Beacon Health System

  https://www.beaconhealthsystem.org/library/diseases-and-conditions/delayed-ejaculation/

  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. […] The following can increase the risk of having delayed ejaculation: Older age. With aging, ejaculation takes longer. Psychological conditions, such as depression or anxiety. Medical conditions, such as diabetes or multiple sclerosis. Certain medical treatments, such as prostate surgery. Medicines, such as certain antidepressants, high blood pressure medicines or water pills, called diuretics. Relationship problems, such as not being able to talk to your partner. Excessive alcohol use, especially long-term heavy drinking.

• #54 Ejaculation problems

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

  Delayed ejaculation (male orgasmic disorder) is classed as either: […] You may have delayed ejaculation if you’re unable to ejaculate more than half the times you have sex. […] 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.

• #55 Delayed ejaculation: what is it, symptoms and treatment | Top Doctors

  https://www.topdoctors.co.uk/medical-dictionary/delayed-ejaculation

  Delayed ejaculation may be caused by physical or psychological reasons. Physical problems may include neurological problems such as diabetic neuropathy, stroke, multiple sclerosis or damage to the spinal cord. Hormone-related issues such as low thyroid hormone level or low testosterone levels also cause delayed ejaculation. The psychological causes of delayed ejaculation include depression, anxiety (about sexual performance) and poor body image. Medications such as some antidepressants, high blood pressure and anti-seizure medication, as well as excessive alcohol consumption can cause delayed ejaculation. […] Complications of delayed ejaculation may make sex less pleasurable for a couple and put a strain on the relationship. There may also be frustration if the couple is trying to conceive and start a family due to male infertility.

• #56 Premature or Delayed Ejaculation | Urology | Kelsey-Seybold Clinic

  https://www.kelsey-seybold.com/medical-services-and-specialties/urology/male-sexual-dysfunction/premature-delayed-ejaculation

  Physical causes may include: Certain birth defects, Injury to the pelvic nerves that control orgasm, Certain infections, such as a urinary tract infection, Prostate surgery or prostate removal, Neurological diseases, Hormone-related conditions, Retrograde ejaculation, a condition in which the semen goes backward into the bladder rather than out of the penis. […] Psychological causes may include: Depression, anxiety, or other mental health conditions, Relationship problems, Anxiety about performance, Poor body image, Cultural or religious taboos, Unrealistic sexual expectations. […] Substances that can contribute to delayed ejaculation include: Some antidepressants, Certain high blood pressure medications, Certain diuretics, Some antipsychotic medications, Some anti-seizure medications, Alcohol abuse.

• #57 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. […] 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

• #58 Delayed ejaculation – Wikipedia

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

  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 and lifestyle factors have been discussed as potential contributors, including insufficient sleep, distraction due to worry, distraction from the environment, anxiety about pleasing their partner and anxiety about relationship problems. […] According to the DSM-5-TR, „Delayed ejaculation is associated with highly frequent masturbation, use of masturbation techniques not easily duplicated by a partner, and marked disparities between sexual fantasies during masturbation and the reality of sex with a partner.”

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

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

  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. Pharmacological agents that have been associated with DE/AE include tricyclic antidepressants, SSRIs, monoamine oxidase inhibitors, neuroleptics, diuretics, narcotics, alpha 1-blockers, antiepileptics, 5-alpha reductase inhibitors, alcohol, and others. […] Unfortunately, there is currently no single gold standard for diagnosing DE/AE, as operationalized criteria do not exist. The history is the key to the diagnosis of DE/AE.

• #60 Delayed Ejaculation

  https://labs.la.utexas.edu/mestonlab/male-orgasmic-disorder/

  Researchers have suggested that the rate of DE will rise due to age-related ejaculatory decline as well as widespread use of SSRIs, which have been implicated in increased ejaculation latency. […] A number of biological and psychological factors have been shown to play an important role in delayed ejaculation. […] Chronic medical conditions, such as multiple sclerosis and diabetes, are correlated with DE. […] According to Segraves (2010), there is conflicting evidence regarding the effect of age on ejaculatory function. […] As DE is more common in older males the disorder may be related to low penile sensitivity, which is associated with aging. […] Men with DE may have a diminished ability to experience penile sensations, as they have been shown to experience less sexual arousal than men without the disorder.

• #61 Delayed ejaculation | Beacon Health System

  https://www.beaconhealthsystem.org/library/diseases-and-conditions/delayed-ejaculation/

  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. […] The following can increase the risk of having delayed ejaculation: Older age. With aging, ejaculation takes longer. Psychological conditions, such as depression or anxiety. Medical conditions, such as diabetes or multiple sclerosis. Certain medical treatments, such as prostate surgery. Medicines, such as certain antidepressants, high blood pressure medicines or water pills, called diuretics. Relationship problems, such as not being able to talk to your partner. Excessive alcohol use, especially long-term heavy drinking.

• #62 Delayed Ejaculation: Symptoms, Causes, & Treatment

  https://www.rishabhbhola.com/delayed-ejaculation-counseling

  Delayed ejaculation is often multifactorial, involving psychological, relational, and sometimes physical factors. […] Psychological Factors: […] Anxiety, particularly performance anxiety or fear of ejaculation failure. […] Depression or low self-esteem. […] Sexual trauma or past negative sexual experiences. […] Fear of pregnancy or guilt related to sex. […] Cultural or religious beliefs that create internal conflict about sexuality. […] Relational Factors: […] Lack of emotional intimacy or unresolved conflicts within a relationship. […] Communication barriers between partners about sexual desires and expectations. […] Fear of intimacy or vulnerability. […] Behavioral Factors: […] Habitual masturbation patterns that condition the body to respond only under certain circumstances. […] Lack of adequate arousal due to insufficient foreplay or misunderstanding of one’s own sexual preferences.

• #63 What is Delayed Ejaculation? Symptoms, Causes & Treatment – Modern Intimacy

  https://www.modernintimacy.com/what-is-delayed-ejaculation-symptoms-causes-treatment/

  Delayed Ejaculation (DE) occurs in about 1-4% of men. According to the DSM-5, it is required that DE must be present for at least 6 months and be causing significant distress in areas of the individuals life. […] Delayed ejaculation is defined as the difficulty or inability of a man to reach orgasm or ejaculation, which can be detected either by physical or psychological explanations. […] Delayed ejaculation can prove to be difficult to measure, due to each man having normal variations of time it takes for him to ejaculate and reach orgasm. […] Some underlying mental health problems may be causing your inability to reach orgasm. […] Inability to reach orgasm may be due to certain lifestyle changes, such as abusing drugs and alcohol, lack of exercise, and unhealthy eating. […] One thing to keep in mind is that delayed ejaculation is something that can be difficult to diagnose.

• #64 Delayed ejaculation – Wikipedia

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

  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 and lifestyle factors have been discussed as potential contributors, including insufficient sleep, distraction due to worry, distraction from the environment, anxiety about pleasing their partner and anxiety about relationship problems. […] According to the DSM-5-TR, „Delayed ejaculation is associated with highly frequent masturbation, use of masturbation techniques not easily duplicated by a partner, and marked disparities between sexual fantasies during masturbation and the reality of sex with a partner.”

• #65 Delayed Ejaculation: Symptoms, Causes, & Treatment

  https://www.rishabhbhola.com/delayed-ejaculation-counseling

  The Impact of Pornography on Ejaculation Time: […] Excessive consumption of pornography can influence ejaculation time, particularly if a person becomes accustomed to intense visual stimulation that may not be replicated during partnered sex. […] Habitual use of pornographic material can condition the brain to respond to certain scenarios or images, potentially making real-life intimacy feel less arousing or satisfying. […] Unrealistic expectations created by pornography can also contribute to anxiety or dissatisfaction during sex, further complicating ejaculation issues. […] Addressing problematic pornography use through therapy can be a crucial step in overcoming delayed ejaculation. […] Delayed ejaculation is a common challenge, but it doesn’t have to define your sexual experiences or relationships. By understanding the causes, debunking myths, and exploring effective solutions, you can take control and improve both your confidence and satisfaction.

• #66 What is Delayed Ejaculation? Symptoms, Causes & Treatment – Modern Intimacy

  https://www.modernintimacy.com/what-is-delayed-ejaculation-symptoms-causes-treatment/

  Delayed Ejaculation (DE) occurs in about 1-4% of men. According to the DSM-5, it is required that DE must be present for at least 6 months and be causing significant distress in areas of the individuals life. […] Delayed ejaculation is defined as the difficulty or inability of a man to reach orgasm or ejaculation, which can be detected either by physical or psychological explanations. […] Delayed ejaculation can prove to be difficult to measure, due to each man having normal variations of time it takes for him to ejaculate and reach orgasm. […] Some underlying mental health problems may be causing your inability to reach orgasm. […] Inability to reach orgasm may be due to certain lifestyle changes, such as abusing drugs and alcohol, lack of exercise, and unhealthy eating. […] One thing to keep in mind is that delayed ejaculation is something that can be difficult to diagnose.

• #67 Delayed Ejaculation DSM-5 302.74 (N53.11)

  https://www.theravive.com/therapedia/delayed-ejaculation-dsm–5-302.74-(n53.11)

  According to the DSM-5, 75% of men report always reaching orgasm during sex. The DSM-5 also notes it is the least common male sexual complaint. Perelman, also notes that DE is both the least common and poorly understood male sexual dysfunction. Some sources believe the prevalence is higher than reported. It can be speculated that this is due to the perception that delaying orgasm is a desirable quality and a sign of sexual maturity, and self control. […] According to the DSM-5, The aging process as noted above, will inevitably produce predictable sexual changes, including delay of ejaculation, or ejaculatory failure. An IMS (Ideosyncratic Masturbation Style) may cause ejaculatory delay or failure, as sexual expectations may not be met when a partner is present. Men may masturbate with a speed and pressure which their partner may not be able to duplicate correctly. Men may also fear impregnating a woman, which will produce psychic tension and inhibit ejaculation. There is a growing body of evidence which suggests excessive exposure to pornography may reduce sexual desire, impair arousal, and otherwise produce sexual dysfunction though a stimuli overexposure and desensitization process. One will develop tolerance for sexual activity, so to speak, with increased amounts of stimulation required for performance, which an actual may not be able to provide. Men’s sexual trauma is a topic which tends to be avoided and under reported, but this is another possible cause of delayed ejaculation, and other sexual dysfunctions. It is noted that cultural and religious prohibitions against certain sexual activities can be a contributing factor to sexual impairment, including ED.

• #68 Epidemiology of delayed ejaculation – Sante – Translational Andrology and Urology

  https://tau.amegroups.org/article/view/10793/11774

  The true incidence of RE is also difficult to estimate. It ranges from 0.3% to 2% of patients attending fertility clinics, but it may increase in patients with diabetes. […] Anejaculation occurs in 0.14% of the general population, according to Kinsey. […] The incidence of anejaculation is highest in men with spinal cord injury (SCI), diabetes mellitus, myelitis or multiple sclerosis, with the first being the most common cause. […] The lack of a consistent definition of DE and variations in the research methodology accounts for the different prevalence rates reported. […] There seems to be a general agreement that the prevalence of DE is low and ranges from 1% (lifelong DE) to 4% (acquired DE) of sexually active men. […] However, contrary to old reported percentages, more recent population surveys and cross-sectional observations have reported that, like erectile dysfunction (ED) and premature ejaculation (PE), DE and other diminished ejaculatory dysfunctions are common forms of male sexual dysfunction.

• #69 Epidemiology of delayed ejaculation – Sante – Translational Andrology and Urology

  https://tau.amegroups.org/article/view/10793/11774

  The true incidence of RE is also difficult to estimate. It ranges from 0.3% to 2% of patients attending fertility clinics, but it may increase in patients with diabetes. […] Anejaculation occurs in 0.14% of the general population, according to Kinsey. […] The incidence of anejaculation is highest in men with spinal cord injury (SCI), diabetes mellitus, myelitis or multiple sclerosis, with the first being the most common cause. […] The lack of a consistent definition of DE and variations in the research methodology accounts for the different prevalence rates reported. […] There seems to be a general agreement that the prevalence of DE is low and ranges from 1% (lifelong DE) to 4% (acquired DE) of sexually active men. […] However, contrary to old reported percentages, more recent population surveys and cross-sectional observations have reported that, like erectile dysfunction (ED) and premature ejaculation (PE), DE and other diminished ejaculatory dysfunctions are common forms of male sexual dysfunction.

• #70 Delayed Ejaculation DSM-5 302.74 (N53.11)

  https://www.theravive.com/therapedia/delayed-ejaculation-dsm–5-302.74-(n53.11)

  According to the DSM-5, 75% of men report always reaching orgasm during sex. The DSM-5 also notes it is the least common male sexual complaint. Perelman, also notes that DE is both the least common and poorly understood male sexual dysfunction. Some sources believe the prevalence is higher than reported. It can be speculated that this is due to the perception that delaying orgasm is a desirable quality and a sign of sexual maturity, and self control. […] According to the DSM-5, The aging process as noted above, will inevitably produce predictable sexual changes, including delay of ejaculation, or ejaculatory failure. An IMS (Ideosyncratic Masturbation Style) may cause ejaculatory delay or failure, as sexual expectations may not be met when a partner is present. Men may masturbate with a speed and pressure which their partner may not be able to duplicate correctly. Men may also fear impregnating a woman, which will produce psychic tension and inhibit ejaculation. There is a growing body of evidence which suggests excessive exposure to pornography may reduce sexual desire, impair arousal, and otherwise produce sexual dysfunction though a stimuli overexposure and desensitization process. One will develop tolerance for sexual activity, so to speak, with increased amounts of stimulation required for performance, which an actual may not be able to provide. Men’s sexual trauma is a topic which tends to be avoided and under reported, but this is another possible cause of delayed ejaculation, and other sexual dysfunctions. It is noted that cultural and religious prohibitions against certain sexual activities can be a contributing factor to sexual impairment, including ED.

• #71 Delayed Ejaculation DSM-5 302.74 (N53.11)

  https://www.theravive.com/therapedia/delayed-ejaculation-dsm–5-302.74-(n53.11)

  According to the DSM-5, 75% of men report always reaching orgasm during sex. The DSM-5 also notes it is the least common male sexual complaint. Perelman, also notes that DE is both the least common and poorly understood male sexual dysfunction. Some sources believe the prevalence is higher than reported. It can be speculated that this is due to the perception that delaying orgasm is a desirable quality and a sign of sexual maturity, and self control. […] According to the DSM-5, The aging process as noted above, will inevitably produce predictable sexual changes, including delay of ejaculation, or ejaculatory failure. An IMS (Ideosyncratic Masturbation Style) may cause ejaculatory delay or failure, as sexual expectations may not be met when a partner is present. Men may masturbate with a speed and pressure which their partner may not be able to duplicate correctly. Men may also fear impregnating a woman, which will produce psychic tension and inhibit ejaculation. There is a growing body of evidence which suggests excessive exposure to pornography may reduce sexual desire, impair arousal, and otherwise produce sexual dysfunction though a stimuli overexposure and desensitization process. One will develop tolerance for sexual activity, so to speak, with increased amounts of stimulation required for performance, which an actual may not be able to provide. Men’s sexual trauma is a topic which tends to be avoided and under reported, but this is another possible cause of delayed ejaculation, and other sexual dysfunctions. It is noted that cultural and religious prohibitions against certain sexual activities can be a contributing factor to sexual impairment, including ED.

• #72 Delayed ejaculation

  https://johnsonmemorial.org/jmh-health/disease-conditions/con-20371342

  Often, there’s trouble reaching orgasm during sexual intercourse or other sexual activities with a partner. Some people can ejaculate only when masturbating. But others may not be able to ejaculate by masturbating. […] Delayed ejaculation is divided into the following types based on symptoms: Lifelong versus acquired. With lifelong delayed ejaculation, the problem is present from the time of sexual maturity. Acquired delayed ejaculation happens after a period of typical sexual functioning. Generalized versus situational. Generalized delayed ejaculation isn’t limited to certain sex partners or certain kinds of arousal. Situational delayed ejaculation happens only under certain conditions. […] Complications of delayed ejaculation can include: Less sexual pleasure for you and your partner. Stress or anxiety about having sex. Marital or relationship problems due to a poor sex life. Not being able to get your partner pregnant, called infertility.

• #73 Delayed Ejaculation: Symptoms and Causes

  https://gainswave.com/delayed-ejaculation/

  Left untreated, delayed ejaculation can lead to various complications, including: Fertility Issues: In some cases, delayed ejaculation can hinder the ability to conceive due to the prolonged time required for ejaculation. […] Relationship Strain: The frustration and stress associated with delayed ejaculation can strain intimate relationships. […] Sexual Dissatisfaction: Both partners may experience sexual dissatisfaction, which can negatively impact their overall quality of life. […] Yes, delayed ejaculation can be a lifelong condition for some individuals. It may require ongoing treatment and management. […] Delayed ejaculation is relatively rare compared to other sexual disorders, but it can still affect a significant number of men. […] Yes, delayed ejaculation can sometimes indicate an underlying medical issue, such as hormonal imbalance or nerve damage. […] Yes, delayed ejaculation is treatable, and many individuals find relief through therapy, medication adjustment, or other interventions.

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

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

  Every so often, men might face difficulty in reaching orgasm during sexual intercourse or while engaged in other sexual activity with a partner. Some men can ejaculate only when masturbating. […] Delayed ejaculation is divided into 2 types based on symptoms: Lifelong vs. acquired: With lifelong delayed ejaculation, the issue is present from the time of puberty. Acquired delayed ejaculation occurs after a period of normal sexual functioning. […] Generalized vs. situational. Generalized delayed ejaculation isn’t limited to certain sex partners or certain kinds of stimulation. Situational delayed ejaculation occurs only under certain circumstances. […] Delayed ejaculation negatively impacts self-esteem and creates feelings of inadequacy, insufficiency, disappointment, and negativity. Men who suffer from the disorder might avoid intimacy with others due to the fear of failure. […] Other complications may include: Absent or minimal sexual pleasure, Anxiety about sex, Male infertility, Lower libido, Stress and Depression. […] Delayed ejaculation can also give rise to conflicts in relationships, often stemming from misinterpretations on the part of both partners.

• #75 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. […] In some cases, ejaculation cannot be achieved at all. Most men experience DE from time to time, but for others it may be a lifelong problem. […] A lifelong problem with DE is very different from a problem that develops later in life. Some men have a generalized problem in which DE occurs in all sexual situations. […] In rare cases, DE is a sign of a worsening health problem such as heart disease or diabetes. […] A temporary ejaculation problem can cause anxiety and depression. This can lead to recurrence, even when the underlying physical cause has been resolved. […] DE can cause problems with self-esteem in addition to feelings of inadequacy, failure, and negativity. Men who experience the condition may avoid intimacy with others due to frustrations and fear of failure.

• #76 Delayed ejaculation: Causes & treatment | Healthy Male

  https://healthymale.org.au/mens-health/delayed-ejaculation

  Delayed ejaculation is diagnosed if you take a long time to reach orgasm or do not reach orgasm at all, even though you want to and are trying, and you are upset or having relationship problems because of it. […] Delayed ejaculation can make you depressed or anxious and can have negative effects on your relationship with your partner. […] Delayed ejaculation can be successfully treated but, because its such a complex problem, its difficult to know how long it might take and exactly how successful your treatment will be.

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

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

  DE can also cause conflicts in your relationships, often stemming from misunderstandings on the part of both partners. […] There are many possible causes of DE. Regardless of the cause, treatments are available. […] 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, dont stop taking any medication without your doctors recommendation.

• #78 Delayed ejaculation: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/article/001954.htm

  If the problem is not treated, the following may occur: Avoidance of sexual contact, Inhibited sexual desire, Stress within the relationship, Sexual dissatisfaction, Difficulty with conception and getting pregnant. […] Having a healthy attitude about your sexuality and genitals helps prevent delayed ejaculation.

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

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

  DE is not only frustrating to men but can complicate the sex lives of their partners as well. Whereas a male orgasm can normally be achieved within several minutes, DE prolongs ejaculation time by at least five to seven minutes. During that time, the partner may lose vaginal or anal lubrication or simply lack the energy or will to sustain sex. […] Delayed ejaculation is a frustrating condition for both you and your partner. Overcoming DE can take time and require commitment from both of you as a team. Central to this is open and honest communication, not only about what you are experiencing but also what is working or not working in bed. […] Delayed ejaculation is type of male sexual dysfunction that causes difficulty reaching orgasm. It can have a number of causes, including medical conditions like heart disease and diabetes, hormonal problems, and medication side effects. […] Delayed ejaculation treatment depends on the underlying cause. Certain medications can help, and therapy may also be useful.

• #80 Delayed Ejaculation DSM-5 302.74 (N53.11)

  https://www.theravive.com/therapedia/delayed-ejaculation-dsm–5-302.74-(n53.11)

  According to the DSM-5, delayed ejaculation is defined by four symptoms with a choice of seven specifiers. 1. an inability to climax during sex with a partner about 75-100% of the time, with either a delay in ejaculation or infrequent or absent ejaculation. 2. The symptoms described above have persisted for at least six months, 3. the symptoms produce marked distress in the individual, and 4. The delayed ejaculation is not better accounted for by another mental disorder, use of a medication known for causing ejaculatory delay or failure, or due to stressors within or external to the relationship. […] The DSM-5 notes that normal age related changes in men include loss of genital sensitivity and decline of testosterone, which can be causal in delayed ejaculation. Most men, and their partners will find that increased sexual endurance is a desirable quality. It becomes problematic when it is personally distressing, and sexual activity becomes an exercise in frustration rather than an enjoyable process. For other men, it occurs in their youth, at the onset of sexual activity, or is acquired after a period of normal sexual function.

• #81 What is delayed ejaculation? – myDr.com.au

  https://mydr.com.au/sexual-health/delayed-ejaculation/

  Delayed ejaculation can be the result of: diabetes; spinal cord injuries; multiple sclerosis (MS); and pelvic nerve damage following surgery or injury. […] Delayed ejaculation can be a side effect of certain medicines. […] Complications of delayed ejaculation can include: reduced satisfaction with your sex life; feelings of frustration, embarrassment or reduced confidence; and relationship issues that can further impact on your sex life. […] If you are experiencing anejaculation (inability to ejaculate) and you and your partner would like to have a baby, there are treatments available.

• #82 Delayed Ejaculation: Symptoms and Causes

  https://gainswave.com/delayed-ejaculation/

  Left untreated, delayed ejaculation can lead to various complications, including: Fertility Issues: In some cases, delayed ejaculation can hinder the ability to conceive due to the prolonged time required for ejaculation. […] Relationship Strain: The frustration and stress associated with delayed ejaculation can strain intimate relationships. […] Sexual Dissatisfaction: Both partners may experience sexual dissatisfaction, which can negatively impact their overall quality of life. […] Yes, delayed ejaculation can be a lifelong condition for some individuals. It may require ongoing treatment and management. […] Delayed ejaculation is relatively rare compared to other sexual disorders, but it can still affect a significant number of men. […] Yes, delayed ejaculation can sometimes indicate an underlying medical issue, such as hormonal imbalance or nerve damage. […] Yes, delayed ejaculation is treatable, and many individuals find relief through therapy, medication adjustment, or other interventions.

• #83 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. […] Traditional behavioral sex therapy for delayed ejaculation is as follows: the man begins by masturbating, then starts intercourse when he is almost ready to ejaculate; the procedure continues with the man beginning intercourse earlier and earlier. […] Delayed ejaculation carries with it issues of inability to achieve orgasm and infertility. […] 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 is is probably psychologic; if it is generalized the problem is probably biologic.

• #84 Delayed Ejaculation: Causes, Diagnosis & Treatment

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

  Delayed ejaculation can affect anyone. It can affect some men for their entire lives. For others, it only happens once in a while, or it starts to occur more regularly as they get older. […] A healthcare provider may offer several different delayed ejaculation treatments. […] If delayed ejaculation affects your ability to have a biological child, a provider may suggest procedures to retrieve sperm from your testicles that they can use for insemination. […] Age-related delayed ejaculation may not improve, even with treatment. […] Talk to a healthcare provider when you first notice an inability to ejaculate, especially if its frustrating or troubling for you or your partner.

• #85 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. […] In some cases, ejaculation cannot be achieved at all. Most men experience DE from time to time, but for others it may be a lifelong problem. […] A lifelong problem with DE is very different from a problem that develops later in life. Some men have a generalized problem in which DE occurs in all sexual situations. […] In rare cases, DE is a sign of a worsening health problem such as heart disease or diabetes. […] A temporary ejaculation problem can cause anxiety and depression. This can lead to recurrence, even when the underlying physical cause has been resolved. […] DE can cause problems with self-esteem in addition to feelings of inadequacy, failure, and negativity. Men who experience the condition may avoid intimacy with others due to frustrations and fear of failure.

• #86 Delayed Ejaculation – Dr Ben Medical – Men’s Health Clinic | Women’s Health Singapore

  https://dbclinic.com.sg/delayed-ejaculation/

  Delayed ejaculation, or impaired ejaculation, occurs when a man is consistently unable to get an orgasm and ejaculate even with sufficient sexual stimulation and arousal. […] Delayed ejaculation can happen from time to time, for some men, it is a lifelong issue. […] You may have impaired ejaculation if you take more than 30 minutes of sexual stimulation and activity to ejaculate. If you cannot ejaculate at all, you have a condition known as anejaculation. […] Though rare, sometimes delayed ejaculation can be a sign of a worsening health condition such as diabetes or heart disease. […] If you dont address your delayed ejaculation problem, you are highly likely to experience several complications such as male infertility, stress and anxiety brought about by poor sexual performance concerns as well as relationship issues.

• #87 What Does Delayed Ejaculation Mean? Causes, Symptoms, & Solutions | Allo Health

  https://www.allohealth.com/blog/sexual-dysfunction/delayed-ejaculation/what-is-delayed-ejaculation

  Delayed ejaculation (DE) can be seen in many ways, and men suffering from it feel frustrated and uncertain. One of the main symptoms of this disorder is that men are unable to ejaculate most of the time or always, despite being in a prolonged sexual activity or getting enough stimulation. For some men, it might take a longer time to ejaculate which makes them and their partner lose interest during intimacy. Others might struggle to ejaculate only at the time of penetrative sex and may not have the same problem with other forms of stimulation. […] Men Might Have a Problem Reaching Climax: Men with DE take an unusually long time to ejaculate, even with sufficient arousal and stimulation. […] Not Being Able to Ejaculate: Men not being able to ejaculate at all during sexual intercourse. May only be able to ejaculate through other forms of stimulation like masturbation.

• #88 Delayed ejaculation – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/delayed-ejaculation/symptoms-causes/syc-20371358

  Delayed ejaculation is a condition in which it takes a long period of sexual arousal to reach climax and release semen from the penis, called ejaculate. Some people with delayed ejaculation can’t ejaculate at all. […] Delayed ejaculation can be a brief or lifelong problem. Possible causes of delayed ejaculation include certain ongoing health conditions, surgeries and medicines. Treatment for delayed ejaculation depends on the cause. […] There’s no set time that means a diagnosis of delayed ejaculation. Some people with delayed ejaculation need many minutes of sexual stimulation to have an orgasm and ejaculate. Others might not be able to ejaculate at all, called anejaculation. […] In delayed ejaculation, the delay causes upset. Also delayed ejaculation might mean stopping sex due to tiredness, physical irritation, loss of erection or because the partner wants to stop.

• #89 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. […] If a person with a penis takes longer than 30 minutes to ejaculate, despite a typical erection, it is considered delayed ejaculation. […] Delayed ejaculation affects around 14% of the male population. […] Most men will experience delayed ejaculation at some point in their lives, but for some, it is a lifelong problem. […] 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. […] However, more commonly, delayed ejaculation occurs after a period of typical function.

• #90 Epidemiology of delayed ejaculation – Sante – Translational Andrology and Urology

  https://tau.amegroups.org/article/view/10793/11774

  Delayed ejaculation (DE) is one of the diminished ejaculatory disorders, which range from varying delays in ejaculatory latency to a complete inability to ejaculate. […] DE can be defined as lifelong, from the first sexual experience, or acquired, i.e., subsequent to a normal period of sexual functioning. […] The prevalence of DE appears to be moderately and positively related to age, which is not surprising in view of the fact that ejaculatory function as a whole tends to diminish as men age. […] The results of a community-based study of 1,688 men in the Netherlands showed that the prevalence of ejaculatory dysfunctions (defined as ejaculation with a decreased amount of semen or anejaculation) increased from 3% in men aged 50-54 years to 35% in those aged 70-78 years. […] Ejaculatory dysfunction can exhibit a slow progressive decline from a DE-RE to anejaculation, depending on the degree of sympathetic autonomic neuropathy involved.

• #91 Delayed Ejaculation: Causes, Diagnosis & Treatment

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

  Delayed ejaculation can affect anyone. It can affect some men for their entire lives. For others, it only happens once in a while, or it starts to occur more regularly as they get older. […] A healthcare provider may offer several different delayed ejaculation treatments. […] If delayed ejaculation affects your ability to have a biological child, a provider may suggest procedures to retrieve sperm from your testicles that they can use for insemination. […] Age-related delayed ejaculation may not improve, even with treatment. […] Talk to a healthcare provider when you first notice an inability to ejaculate, especially if its frustrating or troubling for you or your partner.

• #92 Delayed Ejaculation: Causes, Diagnosis & Treatment

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

  Delayed ejaculation can affect anyone. It can affect some men for their entire lives. For others, it only happens once in a while, or it starts to occur more regularly as they get older. […] A healthcare provider may offer several different delayed ejaculation treatments. […] If delayed ejaculation affects your ability to have a biological child, a provider may suggest procedures to retrieve sperm from your testicles that they can use for insemination. […] Age-related delayed ejaculation may not improve, even with treatment. […] Talk to a healthcare provider when you first notice an inability to ejaculate, especially if its frustrating or troubling for you or your partner.

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

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

  Every so often, men might face difficulty in reaching orgasm during sexual intercourse or while engaged in other sexual activity with a partner. Some men can ejaculate only when masturbating. […] Delayed ejaculation is divided into 2 types based on symptoms: Lifelong vs. acquired: With lifelong delayed ejaculation, the issue is present from the time of puberty. Acquired delayed ejaculation occurs after a period of normal sexual functioning. […] Generalized vs. situational. Generalized delayed ejaculation isn’t limited to certain sex partners or certain kinds of stimulation. Situational delayed ejaculation occurs only under certain circumstances. […] Delayed ejaculation negatively impacts self-esteem and creates feelings of inadequacy, insufficiency, disappointment, and negativity. Men who suffer from the disorder might avoid intimacy with others due to the fear of failure. […] Other complications may include: Absent or minimal sexual pleasure, Anxiety about sex, Male infertility, Lower libido, Stress and Depression. […] Delayed ejaculation can also give rise to conflicts in relationships, often stemming from misinterpretations on the part of both partners.

• #94 Delayed ejaculation: Causes & treatment | Healthy Male

  https://healthymale.org.au/mens-health/delayed-ejaculation

  Delayed ejaculation is diagnosed if you take a long time to reach orgasm or do not reach orgasm at all, even though you want to and are trying, and you are upset or having relationship problems because of it. […] Delayed ejaculation can make you depressed or anxious and can have negative effects on your relationship with your partner. […] Delayed ejaculation can be successfully treated but, because its such a complex problem, its difficult to know how long it might take and exactly how successful your treatment will be.

• #95 Delayed ejaculation – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/delayed-ejaculation/diagnosis-treatment/drc-20371363

  A physical exam and medical history might be all that are needed to suggest treatment for delayed ejaculation. But there might be a problem causing delayed ejaculation that needs treatment. Then you might need more tests, or you might need to see a specialist. […] Delayed ejaculation treatment depends on the cause. Treatment might include taking medicine or making changes to medicines you take. It might involve psychological counseling or addressing alcohol or illicit drug use. […] Ongoing delayed ejaculation can cause mental and emotional stress for you and your partner. If you have delayed ejaculation only sometimes, try not to assume that you have a lasting problem or to expect it to happen again the next time you have sex. […] Talk openly with your partner about your condition. Treatment often is more successful if couples work together as a team. You might want to see a counselor with your partner. This can help you address concerns you both might have about delayed ejaculation.

Zobacz więcej