January 13th, 2016
When the sexual climax in men is achieved after extended period of sexual stimulation; the condition is referred to as ejaculatory dysfunction or impaired ejaculation. It is a fairly common condition that may be temporary (transient) or permanent (chronic).
Men experiencing delayed ejaculation requires sexual stimulation for 30 minutes or more to get an orgasm and/or to ejaculate; sometimes anejaculation can also occur. But unfortunately, no one can define a time period of sexual stimulation necessary, to establish the diagnosis of delayed ejaculation. Research and clinical data indicates that stress and frustration due to the delayed ejaculation can further worsen this issue.
In men with ejaculatory dysfunction, males experiences difficulty in attaining orgasm during sexual intercourse or other sexual activities. Some men are only able to ejaculate during masturbation. The symptoms of delayed ejaculation can be mainly described as:
These types helps in the exploration of pathophysiology and appropriate treatment to address ejaculatory dysfunction in males.
If you are experiencing delayed ejaculation in the following scenario, it is highly recommended that you see a doctor at earliest convenience:
Certain health problems, medications and surgeries can cause delayed ejaculation.
The physical causes include:
Some psychological causes include:
Medications and other causes (2):
Investigators and healthcare professionals advise proper investigation and optimal management to minimize the risk of following complications.
To find the best possible treatment, the two most important elements required are medical history and physical examination. Further tests and diagnostic modalities may be needed if there are underlying causes behind the delayed ejaculation.
Some tests required for delayed ejaculation include:
The penis and testicles needs to be examined carefully. Doctors test the sense of touch in genitals by sensory tests.
Detection of health issues such as diabetes, heart problem, lower level of testosterones and other health issues is made by sending a sample of blood to the laboratory.
Signs of acute urinary tract infection, diabetes and other health problems are assessed by urological testing; depending upon the associated symptoms.
If you or your partner is experiencing delayed ejaculation, it is very important to see a doctor for early management.
1. Althof, S. E. (2012). Psychological interventions for delayed ejaculation/orgasm. International journal of impotence research, 24(4), 131-136.
2. Waldinger, M. D., Berendsen, H. H., Blok, B. F., Olivier, B., & Holstege, G. (1998). Premature ejaculation and serotonergic antidepressants-induced delayed ejaculation: the involvement of the serotonergic system. Behavioural brain research, 92(2), 111-118.
3. Kirby, M., Chapple, C., Jackson, G., Eardley, I., Edwards, D., Hackett, G., … & Wylie, K. (2013). Erectile dysfunction and lower urinary tract symptoms: a consensus on the importance of co‐diagnosis. International journal of clinical practice, 67(7), 606-618.