Medikoe Health Expert
Koramangala, bengaluru, karnataka, india, Bengaluru Feb 14, 2017
What is Delayed Ejaculation?
Delayed ejaculation, also called impaired ejaculation, refers to a condition in which it takes a prolonged time of sexual stimulation for a man to ejaculate and reach orgasm. The problem of delayed ejaculation should not be confused with erectile dysfunction or low sex drive, although both can contribute to it.
It can be a short-term or long-lasting problem. Nearly all men will experience delayed ejaculation at some point in their lives. Some of the possible causes leading to difficulty ejaculating quickly include medications, surgeries, or other chronic health conditions.
Well, it is normal for men to have difficulty ejaculating from time to time and becomes a problem only when it is causing stress for you or your partner.
Keep reading this article to know about the causes, symptoms, complications, diagnosis, and treatment of delayed ejaculation.
What are the Causes of Delayed Ejaculation?
Delayed ejaculation can be caused due to various causes such as pathologic, hormonal, pharmaceutical, psychological, or neurological causes. However, in some cases, there may be an overlap between all these causes that can lead to erectile dysfunction.
Some of the causes of delayed ejaculation include:
Alcohol consumption or drug abuse
Recent prostate surgery
Neurological causes such as neuropathy, spinal cord injury, or stroke
Hormonal causes such as Cushing's disease, thyroid problems, hypogonadism etc.
Pathologic causes like diabetes, urinary tract infection, and heart diseases
Side effects of medications
In addition to the causes mentioned above, there are several other factors such as anxiety, depression, financial stress, work stress, or stress in personal life, that may lead to delayed ejaculation.
Delayed Ejaculation Symptoms
Delayed ejaculation is self-evident, especially for those who are affected by this problem. In some cases, a man may feel that he is close to ejaculation but is unable to reach orgasm. Besides, sometimes there may be an erection but no sense of reaching orgasm.
Following are the classifications of delayed ejaculation, which is done based on the severity of dysfunction:
Mild - In this, a man can ejaculate during sexual intercourse but only under specific conditions.
Moderate - In moderate severity, a man cannot ejaculate during sexual intercourse but with masturbation or oral sex.
Severe - In this, a man can ejaculate only when he is alone.
Very Severe - If the condition is very severe, a man is unable to ejaculate.
However, with these classifications, the cause of DE cannot be diagnosed, but sometimes, it can help the doctor to create the right treatment plan.
Complications of Delayed Ejaculation
If the condition of delayed ejaculation is left untreated, certain complications may take place. The complexities of delayed ejaculation include:
Inhibited sexual desire
Stress within the relationship
Avoidance of sexual contact
Difficulty in conception
Delayed Ejaculation Diagnosis
Delayed ejaculation can be diagnosed by performing a physical exam and knowing medical history. If delayed ejaculation is caused by an underlying problem that might need to be treated, there are specific tests that you might need. Some of the tests for identifying the underlying issues that are leading to delayed ejaculation include:
Physical exam - The physical exam of your testicles and penis is needed to identify the root cause of delayed ejaculation. During this exam, the doctor will touch your penis lightly to make sure that the sensations in your genitals are normal.
Urinalysis - Your healthcare provider will perform a urine test to look for the signs of any infection, diabetes, or other health problems.
Blood Tests - Your doctor might take your blood sample and send it to a laboratory to look for the signs of diabetes, a low testosterone level, cardiovascular diseases, or other health-related issues.
Treatments for Delayed Ejaculation
Well, treatment for delayed ejaculation entirely depends on the actual underlying cause, but it might include the intake of medications or making specific changes to the medications you are currently taking. Further, it may also include psychological counselling or addressing whether you are consuming alcohol or illegal drugs.
Psychological counselling, also called psychotherapy, can help if you are facing difficulty ejaculating. In psychological counselling, your doctor will address the underlying mental health problems resulting in delayed ejaculation. Some of the common mental health problems include anxiety, depression, stress, etc.
If you are on pills that might be one of the causes of delayed ejaculation, reducing the dosage or switching the pills might help in fixing the problem. However, there are not any drugs that have been approved for treating delayed ejaculation, but they can be used primarily to treat other health problems.
Coping with Delayed Ejaculation
Delayed ejaculation is not only stressful but also a frustrating medical condition for both you as well as your partner. Overcoming this problem of ejaculation might take time and require commitment from both of you to deal with it.
If you are struggling with the problem of delayed ejaculating, consult your doctor to diagnose the hidden cause. This would help him decide what might be the most effective treatment.