- Ejaculation is the top-most point of pleasure during intercourse. Penis reaches orgasm and releases semen in the form of a jet spray.
- To reach the level of ejaculation; it is essential to have sufficient stimulation before penetration. In the ideal scenario, ejaculation is achieved within a minute or two.
- Delayed ejaculation or impaired ejaculation as it is normally referred as is a condition where a man needs a prolonged period of sexual stimulation to reach the maximum level.
- In some cases, ejaculation is not reached at all.
- Though the problem doesn’t possess any medical risk as such, it indeed becomes a cause of stress and psychological issues.
- There could be a problem in the relationship with the partner. Since it happens in men who are more cautious about their sexual performance, it is a direct hit to the self-esteem.
What is a delayed ejaculation in medical terms?
- Despite normal erection and sufficient sexual stimulation if it takes more than 30 minutes of penetrative sex to ejaculate, then the condition is called ‘delayed ejaculation’.
- Medical statistics reveal that up to five percent of men experience it. As stated earlier, a fear of rejection may be the result of it.
- For the most men, it is a time-being problem, but for a few, it is a lifelong problem.
Some key points about delayed ejaculation
- It is a sexual dysfunction that affects the ability to reach the orgasm in men.
- The average time taken for ejaculation depends on several factors, and nothing can be called ‘normal’. However, if ejaculation takes more than 30 minutes, then there is a reason for worry.
- Reasons are mostly psychological, but organic reasons can’t be ruled out fully. A detailed diagnosis reveals the fundamental cause.
- Counseling, discussion and morale-boosting can handle psychological reasons.
Causes for delayed ejaculation
- The causes can be classified into two categories; psychological and biological. Sometimes, there can be an overlap of causes as well.
- It is a challenge for experts to isolate the exact reason and give treatment for it. However, expert sexologists reach there and cure the problem.
Physiological or biological reasons
- It could be a result of taking antidepressant medicines. Doctors say that some specific drug type such as SSRI (Selective Serotonin Reuptake Inhibitors), a few painkillers, medications to control high blood pressure, and anti-anxiety drugs can cause delayed ejaculation.
- Prolonged alcohol abuse may cause delayed ejaculation as it affects the nerves system which plays a vital role in orgasm.
- Some recreational drugs can also be a reason for it.
- Surgeries, spinal cord injuries, stroke, and nerve damage are some medical conditions that have delayed ejaculation one of the aftereffects.
- Multiple sclerosis or severe diabetes can also be responsible for the problem.
- Aging is a common cause. Increasing age reduces the sensitivity of the penis. Thus, sexual stimulation doesn’t reach the optimum level.
- Excessive masturbation is also one of the probable reasons. The habit of getting stimulated in a specific pattern causes delayed ejaculation if the same is not matched during the intercourse.
Psychological reasons
- Acquired delayed ejaculation is a condition when a man can ejaculate while masturbating but can’t do the same while having sex with the partner.
- Aman having a persistent problem of delayed ejaculation feels distressed. As a result, he can’t perform well during the sexual relationship. It causes further stress. Thus, it is a vicious circle.
- Unexpressed anger or unwillingness to enjoy sexual pleasure can also create a psychological barrier that stops sexual stimulation. Thus, ejaculation gets delayed.
- Early life history of sexual abuse, upbringing issues cause mental problems that are deeply rooted in the body. They come to the surface during the sexual stimulation. Sexologists say that in such cases, delayed ejaculation is the reflex reaction against the grudges.
- Loss of confidence becomes a reason for it. When there is performance anxiety, ejaculation gets delayed.
- Unprotected sex may result in fear of pregnancy. In such case, the mind tries to delay the ejaculation as much as possible. Though it is a one-off reason, the possibility is always there.
- Fantasies something during masturbation that can’t be replicated during the intercourse, become a reason for delayed ejaculation. There is no sufficient stimulation.
Conclusion
- Since the causes of delayed ejaculation are varied, doctors need to check every possibility before giving treatment.
- The presence of biological reasons would be easier to diagnose and treat. By removing the cause, it is possible to treat the problem.
- However, psychological reasons take a long time to resolve. At times, doctors combine medication and counseling to eradicate the problem.
- The behavior therapists discuss the problem with the patient whereas the doctors give medicines that support the psychological condition.
- It is a long-term treatment which required a great patience. The person affected must co-operate with the doctors to reach the fundamental cause.
- Complete transparency is solicited during the treatment.
