Delay ejaculation,causes, symptoms, and solution.

HEALTH

Overview
Delayed ejaculation — sometimes called impaired ejaculation — is a condition in which it takes an extended period of sexual stimulation for men to reach sexual climax and release semen from the penis (ejaculate). Some men with delayed ejaculation are unable to ejaculate at all.

Delayed ejaculation can be temporary or a lifelong problem. Possible causes of delayed ejaculation include certain chronic health conditions, surgeries and medications. Treatment for delayed ejaculation depends on the underlying cause.

It’s normal for men to have delayed ejaculation from time to time. Delayed ejaculation is only a problem if it’s ongoing or causes stress for you or your partner.

Symptoms
Some men with delayed ejaculation need 30 minutes or more of sexual stimulation to have an orgasm and ejaculate. Other men might not be able to ejaculate at all (anejaculation).

But, there’s no specific time that indicates a diagnosis of delayed ejaculation. Instead, you are probably experiencing delayed ejaculation if the delay is causing distress or frustration, or if you have to stop sexual activity due to fatigue, physical irritation, loss of erection or a request from your partner.

Often, men might have difficulty reaching orgasm during sexual intercourse or other sexual activities with a partner. Some men can ejaculate only when masturbating.

Delayed ejaculation is divided into the following types based on symptoms:

Lifelong vs. acquired. With lifelong delayed ejaculation, the problem is present from the time of sexual maturity. 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.
These categories help in diagnosing an underlying cause and determining what might be the most effective treatment.

When to see a doctor
Your primary care doctor is a good place to start when you have delayed ejaculation. See your doctor if:

Delayed ejaculation is an issue for you or your partner
You have another known health problem that might be linked to delayed ejaculation, or you take medications that could be causing the problem
You have other symptoms along with delayed ejaculation that might or might not seem related

Causes
Delayed ejaculation can result from medications, certain chronic health conditions and surgeries. Or it might be caused by substance misuse or a mental health concern, such as depression, anxiety or stress. In many cases, it is due to a combination of physical and psychological concerns.

Psychological causes of delayed ejaculation include:

Depression, anxiety or other mental health conditions
Relationship problems due to stress, poor communication 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
Medications and other substances that can cause delayed ejaculation include:

Some antidepressants
Certain high blood pressure medications
Certain diuretics
Some antipsychotic medications
Some anti-seizure medications
Alcohol — particularly drinking too much (excessive alcohol use or alcoholism)
Physical causes of delayed ejaculation include:

Certain birth defects affecting the male reproductive system
Injury to the pelvic nerves that control orgasm
Certain infections, such as a urinary tract infection
Prostate surgery, such as transurethral resection of the prostate or prostate removal
Neurological diseases, such as diabetic neuropathy, stroke or nerve damage to the spinal cord
Hormone-related conditions, such as low thyroid hormone level (hypothyroidism) or low testosterone level (hypogonadism)
Retrograde ejaculation, a condition in which the semen goes backward into the bladder rather than out of the penis
For some men, a minor physical problem that causes a delay in ejaculation might cause anxiety about ejaculating during a sexual encounter. The resulting anxiety might worsen delayed ejaculation.

Risk factors
A number of things can increase your risk of having delayed ejaculation, including:

Older age — as men age, it’s normal for ejaculation to take longer
Psychological conditions, such as depression or anxiety
Medical conditions, such as diabetes or multiple sclerosis
Certain medical treatments, such as prostate surgery
Medications, particularly certain antidepressants, high blood pressure medications or diuretics
Relationship problems,
such as poor communication with your partner
Excessive alcohol use, especially if you’re a long-term heavy drinker
Complications
Complications of delayed ejaculation can include:

Diminished sexual pleasure for you and your partner
Stress or anxiety about sexual performance
Marital or relationship problems due to an unsatisfactory sex life
Inability to get your partner pregnant (male infertility)

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