Delayed ejaculation may also be known as retarded ejaculation and is a diminished ejaculatory disorder. It is defined as a man’s inability to ejaculate or orgasm even with typical sexual desire and stimulation. This means that a man may be unable to ejaculate or orgasm at all or there may be a protracted period of time before ejaculation. For a diagnosis to be made, the symptom needs to be accompanied by distress along with a desire to orgasm or ejaculate sooner. Other diminished ejaculation disorders include painful ejaculation and retrograde ejaculation.

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Men who experience Delayed Ejaculation may also have feelings of anxiety, relationship and sexual dissatisfaction and lower sexual desire and arousal. Sometimes men can feel like inadequate lovers, particularly if their partner has reached orgasm and he has not. Factors that may contribute to Delayed Ejaculation are low self esteem, poor body image and anxiety. Over time, men with Delayed Ejaculation may avoid physical intimacy with their partner, resulting in relationship dissatisfaction.

Reasons

Some possible reasons for Delayed Ejaculation are as follows:

  • Frequent masturbation
  • Masturbation style significantly different to sexual style
  • Masturbation fantasies very different to reality of sex with partner
  • Some anti-depressant medications
  • Spinal cord injury
  • Multiple sclerosis
  • Diabetes mellitus

Treatment

Delayed Ejaculation caused for non-biological or medical reasons is best treated in sex therapy. Integrating therapy with behavioural masturbatory retraining may yield successful results. Exploring ways in which martubation styles influence arousal and orgasm is a good first step towards overcoming Delayed Ejaculation.

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References

  • Perelman, M. A. (2014). Delayed ejaculation. Principles and Practice of Sex Therapy, 138.