OVERVIEW

Most men ejaculate after several minutes of thrusting during sexual intercourse. However, men with delayed ejaculation may take 30 minutes or longer to ejaculate. Delayed ejaculation may not be perceived as a problem until it leads to relationship problems, diminished sexual pleasure or concern about sexual performance.

Delayed ejaculation may be categorized as lifelong (occurring since sexual maturity) or acquired (occurring after a period of normal sexual functioning). It is further categorized as generalized or situational. This is important to identify as it will help in determining which treatment options are most effective.

CAUSES of Delayed Ejaculation

Delayed ejaculation can be caused by chronic medical problems, certain medications or surgery. It may also have psychological causes. In some instances, it is a combination of both physical and psychological causes.

Physical Causes

Physical causes include nervous system disease (i.e. stroke), injury to the back or spine, endocrine disease (i.e. diabetes), prostate disease or surgery and heart surgery. Certain types of medication may also cause delayed ejaculation. These medications can include antidepressants, antipsychotics and antihypertensives. Delayed ejaculation may also occur with excessive alcohol use or recreational drug use.

Psychological Causes

Psychological causes of delayed ejaculation include relationship problems, anxiety, depression and other mental health problems, fatigue, performance anxiety, conditioning caused by a history of unusual masturbating and cultural or religious issues.

Other Factors

Other risk factors for delayed ejaculation include older age and erectile dysfunction.

INITIAL VISIT

A first appointment should last between 45 and 60 minutes. Your initial visit will consist of a thorough history and physical exam including extensive blood work to help identify a cause of your delayed ejaculation. Treatment may consist of medication to help increase dopamine levels, testosterone levels or improve erections. You can read more about What To Expect during your initial visit with us.