Delayed ejaculation, also known as retarded ejaculation and ejaculation incompetence, is the inability to ejaculate or persistent difficulty in achieving orgasm despite the presence of normal sexual desire and sexual stimulation. Normally a man achieves orgasm within 2-4 minutes of active thrusting during sexual intercourse,^[1] whereas a man with delayed ejaculation either does not orgasm at all or orgasms after prolonged intercourse which might last 30-45 minutes or more. In most cases delayed ejaculation presents the condition in which the man can climax and ejaculate only during masturbation, but not during sexual intercourse. Ejaculation is the ejecting of semen from the penis, and is usually accompanied by orgasm. ... // An orgasm (sexual climax) is the conclusion of the plateau phase of the sexual response cycle, and is experienced by both males and females. ... The word lust means sexual desire (this meaning is sometimes metaphorically extended to other forms of desire, e. ... This article or section does not cite its references or sources. ... The word intercourse refers to: Look up intercourse in Wiktionary, the free dictionary. ... Woman masturbating, 1913 drawing by Gustav Klimt. ...

Causes

Psychological causes of delayed ejaculation

Psychological causes of delayed ejaculation might include numerous factors that prevent a man from achieving orgasm during sexual intercourse. One cause could be watching pornography to the extent that one becomes dependent on visual stimulation. The absence of these vivid and explicit images during regular intercourse could make ejaculation difficult or impossible.

Physical causes

One of the main causes of delayed ejaculation is adaptation to a certain masturbatory technique. The sensations a man feels when masturbating may bear little resemblance to the sensations he experiences during intercourse. Both pressure, angle and grip during masturbation can make for an experience so different from sex with a partner that the ability to ejaculate is reduced or eliminated.

Physical causes of delayed ejaculation may imply some diseases and conditions which affect a man's ability to orgasm.. These include many neurological (for example stroke or damage to the back or spinal cord) and endocrine diseases (diabetes), prostate problems, some allergies and high blood pressure. As well difficulty in achieving orgasm can result from pelvic surgery that involved trauma to pelvic nerves which are responsible for orgasm. Among the hundreds of endocrine diseases (or endocrinological diseases) are: Adrenal disorders: Adrenal insufficiency Addisons disease Congenital adrenal hyperplasia (adrenogenital syndrome) Mineralocorticoid deficiency Conns syndrome Cushings syndrome Pheochromocytoma Adrenocortical carcinoma Glucose homeostasis disorders: Diabetes mellitus Hypoglycemia Idiopathic hypoglycemia Insulinoma Metabolic bone disease: Osteoporosis Osteitis deformans (Pagets... This article is about the disease that features high blood sugar. ... The prostate is a compound tubuloalveolar exocrine gland of the male mammalian reproductive system. ... Allergy is an abnormal reaction to a substance foreign to the body that is acquired, predictable and rapid. ... A sphygmomanometer, a device used for measuring arterial pressure. ... Human male pelvis, viewed from front Human female pelvis, viewed from front The pelvis is the bony structure located at the base of the spine (properly known as the caudal end). ... “Surgeon” redirects here. ... In medicine, a trauma patient has suffered serious and life-threatening physical injury resulting in secondary complications such as shock, respiratory failure and death. ...

Delayed ejaculation might be a side effect of some medications, usually of some antidepressants. Another reason for delayed ejaculation is excessive use of alcohol. In this case physical and psychological causes might co-exist. Alcohol addiction often implies psychological disorders which cause a man to become nervous and jealous without any reason^{[citation needed]}. Thus two causes join and deepen the problem. Side-effect can mean: Side-effect (computer science), a state change caused by a function call Adverse drug reaction, an unintended consequence specifically arising from drug therapy Therapeutic effect (medicine), a desirable consequence of any kind of medical treatment, even though resulting as an unintended, unexpected consequence of the treatment... A medication is a drug or substance taken to reduce symptoms or cure an illness or medical condition. ... An antidepressant is a medication used primarily in the treatment of clinical depression. ... This article does not cite any references or sources. ...

Complications

Delayed ejaculation causes a great deal of complications for a man who suffers from it as well as for his partner. To be precise in some cases delayed ejaculation can even contribute to sexual satisfaction of female partner who can orgasm for a few times during long lasting intercourse. However, after some time this is likely to become annoying for both a woman and a man who in spite of all efforts cannot achieve orgasm or achieves it after very long time. With the course of time the situation gets worse: both partners begin avoiding sex contacts which do not result in orgasm. Consequently, both partners suffer from sexual dissatisfaction and become likely to lose sexual desire. Divorces and breakups are especially widespread among those couples who plan to have children but cannot conceive due to the male partner's inability to ejaculate inside the vagina. Divorce or dissolution of marriage is the ending of a marriage before the death of either spouse. ...

Treatment

Treatment of delayed ejaculation depends on severity of the disorder and on its causes.

If a man has never had ejaculation through any kind of sexual stimulation (such as vaginal or anal intercourse, oral sex, masturbation, wet dreams) then he should consult a urologist in order to find out whether there is a physical abnormality and then get necessary treatment which depends on the abnormality revealed. Anal sex or anal intercourse is human sexual behavior involving the anus and rectum, especially, but not limited to, the insertion of the erect penis into the anus. ... Oral sex consists of all sexual activities that involve the use of the mouth, which may include use of the tongue, teeth, and throat, to stimulate genitalia. ... A nocturnal emission is an ejaculation of semen experienced by males during sleep. ... Urology is the field of medicine that focuses on the urinary tracts of males and females, and of the male reproductive system. ...

If the disorder is not so severe and a man can ejaculate through some form of stimulation, he should apply to a sex therapist specializing in this area. This is very important in cases when a man can ejaculate through any form of stimulation but intercourse. Usually treatment for this disorder includes both partners. Sex therapy is the treatment of sexual dysfunction, such as non-consumation, premature ejaculation or erectile dysfunction, problems commonly caused by stress, tiredness and other environmental and relationship factors. ...

Therapy usually involves homework assignments and exercises intended to help a man get used to orgasm through vaginal intercourse i.e through the way he is not accustomed to. Commonly the couple is advised to go through three stages.^[2] At the first stage a man masturbates in the presence of his partner. Sometimes this is not an easy matter as a man might be used to orgasm alone. After a man learns to ejaculate in the presence of his partner, the couple gets to another stage where the man's hand is replaced with the hand of his partner. Step by step a man learns to ejaculate closer and closer to the vagina. In the final stage a woman inserts her partner's penis into her vagina as soon as she realizes he is about to ejaculate. Thus a man gradually learns to ejaculate inside the vagina. The penis (plural penises, penes) is an external male sexual organ. ...

The therapy described above clearly applies to a treatment of this problem within a heterosexual context. Since especially young men often are ashamed of acknowledging their problem, or anyway do not have a partner yet, some authors recommend alternatives to this start-stop technique. By training the ischiocavernosus muscle, young men can quickly train to hold an erection on their own. The ischiocavernosus muscle is a muscle just below the surface of the perineum, present in both men and women. ...

If relationships in a couple are found problematic, therapy intended to enhance emotional intimacy might be required as preliminary step.

Some sexologists recommend sex toys such as the fleshlight to train the patient to respond to vaginal stimulation. This is especially effective in cases where the masturbatory technique is the source of the problem. Wikipedia does not yet have an article with this exact name. ... Pink Non-Descript, Mouth, Lady and Butt. ...

In some cases hypnosis can help with the problem, especially if a partner does not want to participate in therapy. For the novel by Lucas Hyde, see Hypnosis (novel). ... The word counseling or counselling comes from the Middle English counseil, from Old French conseil, from Latin cōnsilium; akin to cōnsulere, to take counsel, consult. ...

Naturally, if delayed ejaculation is caused by a disease, the disease is first of all treated. In those cases when delayed ejaculation is a side effect of medication the man's physician is to review other medication options.

In the case of alcohol addiction a man should get necessary treatment intended to help treat his addiction. This article needs cleanup. ...

For many people it has proven to be the case that overly frequent masturbation on the part of the man is the root cause of his delayed vaginal ejaculation. Ceasing masturbation for a few days is often an effective and easy way to achieve more rapid orgasm during intercourse, because doing this will stop sensitization of the nerves in the penis. Also, different positions and rates of pelvic motion on the part of the female can be instrumental in achieving simultaneous orgasm.^{[citation needed]}

Prognosis

The following factors are signs of better outcome: having sexual desire, being in love with the sexual partner, being eager to get rid of the problem, absence of deep psychological problems, short duration of the disorder and having satisfying sexual experiences before.

Success of treatment for delayed ejaculation caused by medication recovery totally depends on whether the physician can discontinue the medication.

Prevention

First of all a man should have healthy attitude towards sexuality and his sexual response. He should be fully aware of the fact that anxiety and fears cannot contribute to a normal and satisfying sexual experience. Human male sexuality encompasses a broad range of issues, behavior and processes, including male sexual identity and sexual behavior, the physiological, psychological, social, cultural, political, and spiritual or religious aspects of sex. ...

A man who wants to avoid ejaculation problems should concentrate on the pleasure he gets rather than worrying about when and whether his ejaculation is going to occur. The partner should also be tactful and should not put pressure on the man by asking him whether he has ejaculated or not. Instead a partner should create a relaxed atmosphere in which a man will feel free and enjoy sexual pleasure without worrying about ejaculation. And of course, open discussing of anxieties and fears contribute to better sexual relationships and normal sexual satisfaction.

See also

• Premature ejaculation

This article or section is in need of attention from an expert on the subject. ...

References

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External links

• Medline Plus Medical Encyclopedia - Delayed ejaculation.
• Delayed ejaculation