What is Delayed Ejaculation and How Do You Fix it?

December 14, 2023

4 mins

Finishing too quickly is an issue we typically hear about when discussing sexual issues concerning men. But, not being able to finish within a reasonable timeframe is also a condition that affects men in the bedroom. This is known as delayed ejaculation (DE). 

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What is Delayed Ejaculation?

Delayed ejaculation refers to the persistent difficulty or inability to achieve ejaculation, even under optimal sexual conditions. Unlike premature ejaculation, where climax occurs too quickly, delayed ejaculation prolongs the time it takes for a man to ejaculate – if he can do so at all. 

It is essential to note that occasional delays are not uncommon, and only consistent, recurrent issues fall under the category of delayed ejaculation.

Types of Delayed Ejaculation

Delayed ejaculation is not a one-size-fits-all condition; it manifests in different ways. There are primarily two types of DE:

• Lifelong (primary) delayed ejaculation: Those with lifelong DE have experienced this difficulty throughout their sexual lives. This form of DE is often rooted in psychological factors, such as early conditioning or traumatic experiences.

• Acquired (secondary) delayed ejaculation: Acquired DE occurs when a man develops the condition after a period of normal sexual functioning. This can be triggered by various factors, including medical conditions, medication side effects, or changes in mental health.

Understanding the specific type of DE is crucial for tailoring an effective treatment plan.

Causes and Factors That Affect DE

Delayed ejaculation can be attributed to a combination of psychological, physical, and environmental factors. 

Psychological factors

High levels of stress or anxiety can interfere with the sexual response cycle, including ejaculation. 

Mental health conditions, particularly depression, can also contribute to sexual dysfunction. 

In addition, the fear of not meeting sexual expectations or the pressure to perform can lead to delayed ejaculation.

Physical factors

Conditions affecting the nervous system – such as diabetes or multiple sclerosis – can result in nerve damage that disrupts the signals necessary for ejaculation.

In addition, hormonal imbalances or particularly low levels of testosterone can have an impact on sexual function. 

Certain medications, including antidepressants or antipsychotics, may have delayed ejaculation listed as a side effect. Consult a licensed medical professional when starting new medications if you’re concerned about DE. 

Environmental factors

Strained relationships or unresolved conflicts can contribute to sexual difficulties. Past sexual trauma or abuse may result in psychological barriers to ejaculation.

Signs and Symptoms of Delayed Ejaculation

Recognizing the signs and symptoms of delayed ejaculation is essential for seeking timely intervention. Common indicators include:

• Regular difficulty in achieving ejaculation or an extended time taken to reach climax

• Emotional distress or frustration due to the inability to ejaculate

• Strain in intimate relationships due to sexual dissatisfaction

Diagnosis and Seeking Help From a Healthcare Professional

If someone suspects they are experiencing delayed ejaculation, seeking the guidance of a healthcare professional is necessary. Diagnosis typically involves:

• Medical history and examination: Healthcare providers will inquire about the individual's sexual history, medical history, and conduct a physical examination.

• Psychological assessment: Understanding the psychological aspects contributing to DE through discussions about mental health and any potential trauma.

• Laboratory tests: Blood tests to check hormone levels and rule out underlying medical conditions.

Once diagnosed, a healthcare professional can offer guidance on suitable treatment options.

Treatment Options

The treatment approach for delayed ejaculation depends on the underlying causes. Possible interventions include:

Psychological therapy

Addressing psychological factors through therapy can be effective. Cognitive-behavioral therapy (CBT) operates on the premise that thoughts, feelings, and behaviors are interconnected, and by modifying negative thought patterns, one can positively impact behaviors.

Specialized sex therapy can help both individuals and couples in exploring and addressing issues related to their sexual experiences, guiding them to develop tailored strategies for improvement.

Medication adjustments

If delayed ejaculation is a side effect of medication, healthcare providers adopt a comprehensive approach, evaluating and potentially adjusting the treatment plan. This strategy involves a thorough examination of the medication regimen, with a focus on exploring options such as dosage adjustments or transitioning to an alternative medication with a potentially lesser impact on sexual function.

Self-Help Strategies

In addition to professional interventions, those experiencing delayed ejaculation can explore self-help strategies to improve their condition. This can involve honest communication with a partner about sexual concerns and preferences. Seeking counseling together to address intimacy issues can strengthen the relationship. 

Mind-body techniques such as deep breathing or mindfulness can also be helpful in managing anxiety and stress. 

Gradual desensitization to sexual stimuli through touch exercises can help in overcoming delayed ejaculation. 

Making lifestyle changes, such as engaging in regular exercise, maintaining a balanced diet, and getting sufficient sleep, can contribute to overall well-being, including sexual health.

It is also important to limit alcohol and substance use, as they can have an impact on sexual function.

How Rex MD Can Help

Addressing delayed ejaculation requires a holistic approach that considers the physical and  psychological aspects of sexual health. 

If you’re looking for more strategies and techniques to help you reach ejaculation and orgasm faster, we’ve got you covered. Rex MD’s parent company LifeMD can connect you with a licensed medical professional who can provide you with additional guidance on your sexual health.

And if you’re in need of other ways to get where you want to be in the bedroom, Rex MD offers ED medications like Viagra® and Cialis®. Once prescribed, they will be sent directly to your door quickly and discreetly. The entire process is virtual, giving you a convenient and private way to address your needs and get back into the bedroom confidently.

Get started today with your free consultation.