Understanding Delayed Ejaculation and Medication

Here’s the good news: you’re definitely not. Premature ejaculation and other ejaculatory issues are more common than you think, though determining the underlying cause and best treatment options for your own needs can be hard to do without a professional. Seek out professional help, but in the meantime, keep the following in mind: Ejaculatory disorders and problems can be caused by a number of physiological and mental health conditions affecting your health and happiness. Ejaculatory disorders and problems can be caused by a number of physiological and mental health conditions affecting your health and happiness.

What Are the Symptoms of Delayed Ejaculation?

If you’re experiencing PE, DE or another ejaculatory problem, consider whether any of the below causes might help explain your circumstances — and then share that with a healthcare professional. Currently, experts don’t believe in a singular underlying cause of premature ejaculation. Instead, several physical and psychological factors may contribute to its occurrence: Likewise, increased penile sensitivity, the use of recreational drug use and other physical health conditions may bring about early ejaculation during sexual intercourse. Delayed ejaculation may stem from physical factors, psychological influences or pharmacologic effects. Sometimes, a combination of these factors can be to blame.

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Psychological causes of delayed ejaculation may include: Strong religious convictions that may cause sexual guilt Strong religious convictions that may cause sexual guilt Additionally, medications like antidepressants, SSRIs, antipsychotics, diuretics and alpha-blockers are other common causes of increasingly delayed ejaculation. Retrograde ejaculation may be caused by a number of factors. If you experience a tiny discharge or no discharge at all following orgasm, it may be linked to: Medications, such as alpha-blockers or psychotropic drugs Medications, such as alpha-blockers or psychotropic drugs Medical conditions like spinal cord injuries, diabetes and multiple sclerosis Medical conditions like spinal cord injuries, diabetes and multiple sclerosis A side effect of prostatectomy to treat benign prostatic hyperplasia (BPH) A side effect of prostatectomy to treat benign prostatic hyperplasia (BPH) A result of colorectal and aortic aneurysm surgeries A result of colorectal and aortic aneurysm surgeries Anejaculation’s potential causes largely overlap with those of delayed ejaculation. But typically, the reason for an inability to ejaculate falls into one of the following two categories: As a result of psychological causes, ranging from a lack of connection with your own body to performance anxiety or relationship problems As a result of psychological causes, ranging from a lack of connection with your own body to performance anxiety or relationship problems Due to physical causes, such as a lack of adequate sexual arousal, a spinal cord injury, diabetes or multiple sclerosis Due to physical causes, such as a lack of adequate sexual arousal, a spinal cord injury, diabetes or multiple sclerosis However, these causes are all theorized, as no single direct cause of the disorder has been pinpointed. As you may have already guessed from the above, seeking treatment for ejaculatory problems requires you to first understand the underlying cause (or causes) of your ejaculation issues.

More Information

After all, it makes little sense to treat someone with psychotherapy who experiences DE due to a spinal cord injury. However — and this is an important point — don’t rule out the possibility that multiple factors could be contributing to the sexual problems you’re dealing with. The treatments for premature ejaculation typically incorporate pharmacological, psychological and behavioral therapy to manage symptoms. A healthcare provider may prescribe a medication from the class of drugs known as selective serotonin reuptake inhibitors (SSRIs). SSRIs like sertraline, paroxetine and fluoxetine have been shown to have positive effects libido for women in lengthening ejaculation time, according to a study published in the journal Therapeutics and Clinical Risk Management. There may not be one definitive cause for any ejaculatory issue (premature, delayed, retrograde or otherwise). Luckily, that also means that a mixture of psychological, behavioral and pharmaceutical options can help treat symptoms and underlying conditions.

To make sure you get the treatment best-suited to you, consult a qualified healthcare provider to get started managing your condition.

• Selective Serotonin Reuptake Inhibitors (SSRIs) are commonly used for delaying ejaculation.
• Some pills are designed to extend the time before ejaculation, improving confidence.
• Pills might interact with other medications, so inform your healthcare provider.
• Results may take several weeks to become noticeable with some medications.
• Regular monitoring by a doctor is recommended when using sexual performance pills.

Our guides offer more information on a range of topics, including how to increase ejaculation, how to manage erectile dysfunction and which erectile dysfunction medications can best help you have the fulfilling sex life you deserve.

• Delayed ejaculation pills may help men with premature issues regain confidence.
• Not all pills are suitable for men with certain health conditions like cardiovascular issues.
• Combining medication with behavioral techniques can improve results.
• Some pills work better if taken with food or on an empty stomach.
• Long-term use of some medications requires medical supervision to prevent dependency.

Translational andrology and urology, 5(4), 475–481. A randomized study examining the effect of 3 SSRI on premature ejaculation using a validated questionnaire. Optimum usage of prilocaine-lidocaine cream in premature ejaculation. Premature ejaculation: An update on definition and pathophysiology.

Progresses in pharmaceutical and surgical management of premature ejaculation.

What Causes Delayed Ejaculation?

Occasionally, erectile dysfunction medications like sildenafil also can help some men increase their stamina. Topical creams and gels may also be recommended to reduce the sensitivity of the shaft during sex, according to an article published in the journal Andrologia. Our clockstopper benzocaine wipes and delay spray are great places to start if you’d like to explore these options. You may also consider different types of therapy. Talking to a sex therapist could address any negative thoughts or emotions that may cause a strain in a relationship and sex life and dampen your sexual desire.

The Risks of Unregulated “Herbal” Pills

Likewise, behavioral therapy may help to manage PE, as it can help in training the mind to delay ejaculation when it’s imminent. Our guide on how to stop premature ejaculation offers more details on medications (like premature ejaculation pills) and other strategies to help you combat PE, such as the squeeze technique. Psychological interventions like cognitive behavioral therapy, masturbatory training, couples' sex therapy or counseling targeted at reducing sexual anxiety all may be useful in treating delayed ejaculation. Though there is no FDA-approved medication to treat DE, off-label remedies can be prescribed to manage delayed ejaculation. Treatment options that fall into this category include drugs like testosterone, cabergoline, bupropion, oxytocin and bethanechol.

4. The stop-start method

Because RE is not a harmful condition, treatment may not be necessary — especially for men who do not wish to have any more children. That said, because retrograde ejaculation can sometimes cause infections and other complications, men may want to consider their options among retrograde ejaculation treatments. Certain drugs can help men dealing with retrograde ejaculation, including sympathomimetics like synephrine and pseudoephedrine hydrochloride, among others. These medications assist in closing the urethra sphincter to permit the regular flow of semen. Antimuscarinics, another class of medications used to treat bladder incontinence, may also be recommended to treat retrograde ejaculation. Chinese medical journal, 132(19), 2362–2372.

Premature ejaculation treatment resources

Anejaculation is a difficult ejaculatory issue to deal with, because in some cases there may not be effective treatments. This is particularly true when the cause is severe neurological damage or other types of physical trauma. Proven treatments for anejaculation include sex therapy and vibrator stimulation, as well as some of the delayed ejaculation treatments listed above. If you’ve been unable to ejaculate or reach orgasm for some time, it’s a good idea to reach out to a professional and explore your options. Navigating the management of an ejaculatory problem could leave you feeling a little alone. Cologne, Germany: Institute for Quality and Efficiency in Health Care (IQWiG); 2006-.

3. Blood pressure medications

As acquired DE, when issues begin to happen later in life or suddenly. Retrograde ejaculation is a form of ejaculatory dysfunction where, rather than traveling forward through the urethra during ejaculation, sperm instead moves backward into the bladder. If you live with this condition, you may notice only a small amount of sperm ejaculated when you reach orgasm, according to an article published in the journal, Translational Andrology and Urology. In some instances, no sperm may be produced at all, known as a dry orgasm. Though it’s very uncommon, this dysfunction can sometimes cause infertility in men.

How long should a man last before ejaculating?

Anejaculation, or the inability to ejaculate despite reaching orgasm, occurs in a smaller percentage of men. According to a study published in the Indian Journal of Psychological Medicine, over 12,000 new cases of anejaculation are reported annually. Men who suffer from this disorder can often still maintain normal and regular erections, and may even be able to ejaculate during masturbation but may have issues ejaculating when engaging with a partner. Sometimes, anejaculation occurs alongside a similar disorder, anorgasmia, which is the inability to achieve orgasm. Weak ejaculation occurs when reduced volumes of ejaculate are produced, and/or the ejaculate is propelled from the body with a reduced force.

The Psychological Component: Addressing the Mind

Although weak ejaculation is not technically a medical disorder, several of the previously discussed ejaculation problems can contribute to weak ejaculation during sex, including delayed ejaculation and retrograde ejaculation. Weak ejaculation also can be beginning signs of delayed or retrograde ejaculation, though it might also simply be the result of too many prior ejaculations over a small period of time. In other instances, there may be a more serious underlying cause. Causes of ejaculatory distress may be neurological or psychological, or they can result from a medication you’re taking or problems with the prostate gland, thyroid, testicles or other organs. Furthermore, for some ejaculatory issues, there isn’t a single explanation. The management of retrograde ejaculation: A systematic review and update.