What is Delayed Ejaculation?

A man can be sufficiently aroused, have a vigorous enough erection but finds it difficult to ejaculate in a timely manner. In other words, he finds it’s taking him longer than he would like to ejaculate.

Delayed ejaculation (DE) is also called “impaired ejaculation,” this condition occurs when it takes a prolonged period of sexual stimulation for a man to ejaculate.

In some cases, ejaculation cannot be achieved at all. Most men experience DE from time to time, but for others it may be a lifelong problem.

While this condition does not pose any serious medical risks, it can be a source of stress and may create problems in your sex life and personal relationships. However, treatments are available.

Delayed Ejaculation

A man may be adequately aroused and have a strong enough erection, but ejaculating in a timely manner is difficult for him. To put it another way, ejaculating is taking him longer than he would like.

Up to 4% of men experience delayed ejaculation.

Primary and secondary delayed ejaculation are the two forms of delayed ejaculation. Primary delayed ejaculation occurs when a man has had delayed ejaculation for as long as he can recall, dating back to when he first began sexual activity. Secondary delayed ejaculation affects men who previously had no problems with intercourse yet developed a problem with delayed ejaculation along the way.

Sometimes it may be circumstantial. Meaning it only happens in a particular situation, such as with specific sex partners or during sexual intercourse with a partner but not during masturbation.

What causes it?

It’s important to realise that physical and psychological factors may contribute to delayed ejaculation. There could also be more than one contributing factor.

Physical factors include:

  • Adverse effect of medication such as antidepressants
  • Alcohol and illicit drug usage
  • Nerve injury
  • Injury to pelvic area
  • Hormonal deficiencies such as diminished testosterone level

Psychological factors also can contribute such as:

  • Mood disorders
  • Relationship difficulties
  • Performance anxiety
  • Inherent beliefs about sex – cultural or religious taboos

Don’t Keep Your Ejaculation Problems To Yourself

If you’re struggling with ejaculation issues, don’t keep it to yourself and don’t continue to engage in intercourse that distresses you. Talk to us together with your partner so that the issue can be identified and addressed early.

The journey to recovery begins with undergoing Delayed Ejaculation Treatment and treating the underlying cause, which may include assessment of:

Medication History
Relationship
Masturbation Habits
Hormonal Imbalance

Delayed Ejaculation Treatment

Delayed Ejaculation Treatment will depend on the underlying cause. Of course, this entails addressing the underlying issue. This may include modifying masturbation behaviors, involving a partner in sex therapy to assess sex beliefs and determine if the threshold of stimulation can be met, a review of all medications taken, whether prescription or over-the-counter, and possibly testosterone replacement if required.

If you’ve had lifelong problems or you’ve never ejaculated, a doctor can determine if you have a structural birth defect. Your physician can determine if a medication is the cause. If so, adjustments will be made to your medication regimen and your symptoms will be monitored.

Some treatments have been used to help DE, these includes :​​

TESTOSTERONE
REPLACEMENT
THERAPY(TRT)
  • Low Testosterone can contribute to DE and low testosterone supplements could help fix your DE issue.
MEDICATIONS
  • Cyproheptadine (Periactin), which is an allergy medication
  • Amantadine (Symmetrel), which is a drug used to treat Parkinson’s disease
  • Buspirone (Buspar), which is an antianxiety medication
Frequently Asked Questions

There is a spectrum of delayed ejaculation (DE) disorders ranging from increased latency (time from penetration to ejaculation) to absent ejaculation, retrograde ejaculation, and anorgasmia. While there is no firm criteria for the diagnosis of DE, men with latencies more than 25-30 minutes are considered having DE.

DE can be tempororay or a lifelong problem. Similarly to Premature ejaculation (PE), DE is also divided into lifelong vs acquired DE. With lifelong DE, the problem is present from the time of sexual maturity. Acquired DE is preceeded by a period of normal sexual functioning.

DE can result from medications, certain chronic health conditions, and surgeries. It can even be cause by substance abuse or a mental issue, such as anxiety or depression. In many cases, it is a combination of many factors, leading to DE.

Medication

Oral medications is a method to reverse erectile dysfunction by enhancing the effects of nitric oxide, a natural chemical your body produces that relaxes muscles in the penis.

Although they work in similar ways, each oral medication has a slightly different chemical makeup. These minor differences affect the way each medication works, such as how quickly it takes effect and wears off, and the potential side effects. Your doctor will consider these factors as well as other conditions you have and possible interactions with other medications you take.

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Sildenafil (Viagra)

This medication is most effective when taken on an empty stomach one hour before sex. It's effective for four to five hours or more if you have mild to moderate erectile dysfunction.

Duration of effectiveness/half-life: 4 hours Dosage: 25mg, 50mg, 100mg Common side effects: Hot flushing, headache, abnormal vision (changes in colour vision), muscle pain, uncomfortable stomach
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Tadalafil (Cialis)

Duration of effectiveness/half-life: 17.5 hours Dosage: 2.5mg, 5mg, 10mg, 20mg Common side effects: Hot flushing, headache, stomach upset, back pain, stuffy nose, dizziness

Duration of effectiveness/half-life:
17.5 hours

Dosage:
2.5mg, 5mg, 10mg, 20mg

Common side effects:
Hot flushing, headache, stomach upset, back pain, stuffy nose, dizziness

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Vardenafil (Levitra)

Duration of effectiveness/half-life: 4.5 hours Dosage: 2.5mg, 5mg, 10mg, 20mg Common side effects: Hot flushing, headache, stomach upset, back pain, stuffy nose, dizzines, flu-like symptoms

Duration of effectiveness/half-life:
4.5 hours

Dosage:
2.5mg, 5mg, 10mg, 20mg

Common side effects:
Hot flushing, headache, stomach upset, back pain, stuffy nose, dizzines, flu-like symptoms

Treatment

Oral medications is a method to reverse erectile dysfunction by enhancing the effects of nitric oxide, a natural chemical your body produces that relaxes muscles in the penis.

Although they work in similar ways, each oral medication has a slightly different chemical makeup. These minor differences affect the way each medication works, such as how quickly it takes effect and wears off, and the potential side effects. Your doctor will consider these factors as well as other conditions you have and possible interactions with other medications you take.

Men's Health

Extracorporeal Shockwave Therapy (ESWT)

Principle of therapy:
Using mechanical shockwave to improve blood flow + formation of new blood vessels.

Duration of therapy:
16-17minutes per session.

Frequency of therapy: Recommended frequency of therapy would be 2-3 times per week, however flexible.

Pre-procedure preparation:
None.

Side effects:
Mild tingling sensation during procedure. Zero downtime post procedure.

Men's Health

Priapus Shot (P-shot)

Principle of therapy:
Using Platelet Rich Plasma (PRP) from our blood that contains proteins involved in healing and growth

Duration of therapy:
30 minutes per session.

Frequency of therapy: Recommended frequency of once a week

Pre-procedure preparation:
None.

Side effects:
Blood will be taken from arm via syringe and needle. PRP will be extracted from blood and injected back into penis. Mild pain or discomfort may be observed over site of injection, however not lasting as small needle is used for injection.

Men's Health

EMkegel

Principle of therapy:
Using electromagnetic waves to simulate kegel exercise, strengthening perineal muscles- muscles involved during erection and intercourse.

Duration of therapy:
30 minutes per session.

Frequency of therapy: Recommended frequency of therapy would be 2-3 times per week, however flexible.

Pre-procedure preparation:
None.

Side effects:
Mild tingling sensation during procedure. Zero downtime post procedure.

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