Delayed ejaculation may sound like a good time, but those who experience it often struggle with the physical and psychological side effects this symptom can create. The reason for it can stem from various different causes, and not all of them are physical. Sometimes psychological or emotional factors may play a role. Other times it may be a combination of all three.
Delayed ejaculation may also be called impaired ejaculation. It is defined by a man taking an extended period of sexual stimulation to reach a climax and release semen from the penis. In some cases, this may lead to the man being unable to ejaculate at all (anejaculation).
Delayed ejaculation can be a temporary or lifelong issue, depending on its cause. It’s important to note that men will experience delayed ejaculation from time to time. This is completely normal.
Delayed ejaculation doesn’t have a specific time frame that indicates whether you’re having this issue. While some men with delayed ejaculation require over 20 or 30 minutes to achieve an orgasm, it can be defined by any case where you find yourself stopping sexual activity prior to ejaculation due to fatigue, loss of erection, or physical irritation. You should see a doctor when delayed ejaculation is ongoing or it becomes stressful for you or your partner.
What Caused Delayed Ejaculation?
Pinpointing the reason for delayed ejaculation can sometimes be tricky. Doctors have actually separated delayed ejaculation into certain types based on the patient’s symptoms. Those types are:
- Lifelong: When delayed ejaculation is present since the patient’s sexual maturity
- Acquired: When delayed ejaculation occurs under certain circumstances
- Generalized: When delayed ejaculation is present only with certain partners or types of stimulation
- Situational: When delayed ejaculation is limited to specific situations
Each of these types have different causes. The act of sexual stimulation and orgasm requires the collaboration of brain, nerves, and muscles. When one of these is off, it can impact your ability to successfully have sexual intercourse.
Sometimes this can be caused by drugs or disease interfering with your physical ability to climax. Your nerves are the messengers between your brain and your muscles. If the instruction to orgasm never makes it from point A to point B, you won’t be able to ejaculate. Low hormones or testosterone levels can increase your risk, too.
There are also psychological causes, such as depression, anxiety, fear, or shame. These can be both a reason for your delayed ejaculation or a side effect, depending on when they occur. Psychological causes can also be coupled with physical ones.
Lastly, you may simply be struggling to find adequate stimulation. If your sexual partner isn’t able to achieve the stimulation you’re used to for achieving an orgasm, it can prevent you from having one.
If you find yourself struggling with delayed ejaculation, don’t try to diagnose and resolve it on your own. Seeking help from a qualified health professional can help you pinpoint the cause and find a solution that works best for you.
Gulfshore Urology is a Urology Office located in Southwest Florida. We have locations in Naples, Bonita Springs, and Marco Island. To set an appointment, please call 239-333-3200.