Delayed ejaculation

Delayed ejaculation
Synonyms	Impaired ejaculation, Ejaculatory incompetence
Pronounce	N/A
Specialty	N/A
Symptoms	Difficulty or inability to ejaculate despite adequate sexual stimulation
Complications	Infertility, Sexual frustration, Relationship problems
Onset	Can occur at any age, often becomes more common with age
Duration	Can be temporary or chronic
Types	N/A
Causes	Psychological factors, Neurological disorders, Endocrine disorders, Medication side effects, Substance use
Risks	Diabetes, Multiple sclerosis, Spinal cord injury, Depression, Anxiety
Diagnosis	Medical history, Physical examination, Psychological evaluation
Differential diagnosis	Erectile dysfunction, Premature ejaculation, Anorgasmia
Prevention	N/A
Treatment	Psychotherapy, Behavioral therapy, Medication adjustment, Sex therapy
Medication	Bupropion, Amantadine, Buspirone
Prognosis	N/A
Frequency	Estimated to affect 1-4% of men
Deaths	N/A

Delayed ejaculation is a medical condition in which a man cannot ejaculate, either during sexual intercourse or by manual stimulation with a partner. This condition can be either lifelong or acquired, and either global or situational. It can cause distress and problems in relationships.

Causes

Delayed ejaculation can be caused by psychological issues, medical problems, or medication side effects. Psychological causes can include depression, anxiety, and relationship problems. Medical causes can include diabetes, neurological disease, and hormonal disorders. Medications that can cause delayed ejaculation include antidepressants, antipsychotics, and high blood pressure medications.

Symptoms

The main symptom of delayed ejaculation is the inability to ejaculate or very delayed ejaculations despite having a sexual desire and sexual stimulation. This can occur in all sexual situations, including masturbation.

Diagnosis

Delayed ejaculation is diagnosed through a medical examination and a detailed discussion of sexual history. A physical examination and laboratory tests may be needed to rule out medical causes.

Treatment

Treatment for delayed ejaculation depends on the underlying cause. It may include psychotherapy, medication changes, or treating any underlying medical conditions.

See also

• Erectile dysfunction
• Premature ejaculation
• Sexual dysfunction