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DELAYED EJACULATION (DE) – ALL YOU NEED TO KNOW

INTRODUCTION

Delayed ejaculation is sometimes called impaired ejaculation —it is a condition within which it takes a long period of sexual stimulation for men to reach orgasm and release semen from the penis (ejaculate). Some men with DE are unable to ejaculate

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

It’s normal for men to experience delayed ejaculation from time to time. DE is barely an issue if it’s ongoing or causes stress for you or your partner.

SYMPTOMS OF DELAYED EJACULATION

Some men with DE need half-hour or more of sexual stimulation to own an orgasm and ejaculate. Other men may not even ejaculate with or without organs (anejaculation).

But, there is no definite time that indicates a diagnosis of delayed ejaculation. Instead, you’re probably experiencing DE if the delay is causing distress or frustration, or if you have to stop sexual intercourse due to fatigue, physical irritation, loss of erection or a NO-NO from your partner.

Delayed ejaculation symptoms

Often, men have difficulty reaching orgasm during sex or other sexual activities with a partner. Others can ejaculate only if masturbating.

CLASSIFICATION OF DE

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

  • Lifelong vs. acquired– With lifelong DE, the problem is present from the time of sexual maturity. Acquired DE occurs after a period of normal sexual functioning.
  • Generalized vs. situational- Generalized DE is not limited to certain sex partners or certain forms of stimulation. Situational DE occurs only under certain circumstances.

These categories help in diagnosing an underlying cause and determining what may well be the foremost effective treatment.

CAUSES OF DELAYED EJACULATION

DE may result from medications, certain chronic health conditions and surgeries. Or it can be caused by substance misuse or a mental state concern, like depression, anxiety or stress. In many cases, it is due to a mixture of physical and psychological concerns.

Psychological causes of DE include:

  • Depression, anxiety or other mental state disorders
  • Relationship problems due to stress, poor communication or other concerns
  • Anxiety about performance
  • Poor body image
  • Cultural or religious taboos
  • Differences between reality of sex with a partner and sexual fantasies

Medications and other substances can likewise cause DE include:

  • Some antidepressants
  • Certain high pressure level medications
  • Certain diuretics
  • Some antipsychotic medications
  • Some anti-seizure medications
  • Alcohol — particularly drinking an excessive amount (alcoholism)

Physical causes of DE include:

  • Certain birth defects affecting the male genital system
  • Injury to the pelvic nerves that control orgasm
  • Certain infections, like a tract infections
  • Prostate surgery, like 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, like low hormone level (hypothyroidism) or low testosterone level (hypogonadism)

Retrograde ejaculation, it is a condition in which the semen moves back into the bladder instead of 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 DE.

RISK FACTORS

A number of things can increase your risk of getting delayed ejaculation, including:

  • Older age — as men age, it is natural for ejaculation to take long
  • Psychological conditions, like depression or anxiety
  • Medical conditions, like diabetes or degenerative disorder
  • Certain medical treatments, like prostate surgery
  • Medications, particularly certain antidepressants, high blood pressure medications or diuretics
  • Relationship problems, like poor communication with your partner
  • Excessive alcohol use, especially if you are a chronic drinker

COMPLICATIONS OF DELAYED EJACULATION

Complications of DE can include:

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

DIAGNOSIS

A physical exam and medical history could be all that are needed to recommend treatment for delayed ejaculation. However, if DE appears to be caused by an underlying problem that may need treatment, you would possibly need further tests otherwise you might have to see a specialist.

Tests for underlying problems can include:

Physical exam– This might include careful examination of your penis and testicles. The doctor will use light to ensure that you have normal sensation in your genitals.

Blood tests– Your health care provider might take a blood sample and send it to a lab to test for signs of upset, diabetes, low testosterone level and other health problems.

Urine tests – are accustomed search for signs of diabetes, infection and other underlying health conditions.

HOW TO TREAT DELAYED EJACULATION

Delayed ejaculation treatment depends on the underlying cause, but might include taking drugs or making changes to medications you currently take, undergoing psychological counseling, or addressing alcohol or illegal drug use.

MEDICATIONS

If you are taking a medication which could be causing delayed ejaculation, reducing the dose of a drug or switching medications might fix the matter. Sometimes, adding a medication might help.

There are not any drugs that have been specifically approved for the treatment of delayed ejaculation. Medications used to treat delayed ejaculation are primarily also used to treat other conditions.

Medications sometimes used to treat delayed ejaculation include:

-Amantadine, a Parkinson’s medication

-Buspirone, an anti-anxiety medication

-Cyproheptadine, an allergy medication

-Psychological counseling (psychotherapy)

Psychotherapy can help by addressing underlying mental health problems resulting in delayed ejaculation, like depression or anxiety. It is also used to address psychological issues that directly affect your ability to ejaculate.

Counseling might involve seeing a psychologist or mental health specialist on your own or together with your partner. Depending on the underlying cause, you would possibly benefit most from seeing a sex therapist — a mental health specialist who focuses on talk therapy for sexual problems. The kind of counseling that’s best for you’ll depend upon your particular concerns.

WHEN TO SEE A DOCTOR 

Your doctor could be a good place to start from when you notice you have delayed ejaculation. See your doctor if:

-Delayed ejaculation is a problem for you or your partner.

-You have another known health issue which may be linked to delayed ejaculation, other.wise you take medications that would be causing the issue

-You have other symptoms alongside delayed ejaculation which may or won’t seem related.

I. O. Eriyo, MB.BS in view, certified content creator at PoliMed, licensed google writer and contributing writer at WikiMedia Foundation.

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