Tag Archives: delayed ejaculation

delayed ejaculations

Ten keys on delayed ejaculation

1. What is delayed ejaculation?

Although it is something that is not talked about much, the truth is that it is not uncommon for men (or their partners) to consult a sexologist in Delhi for an ejaculation time that they consider excessive. They usually consult because the penetrations (or other genital stimulation practices) are prolonged in time, causing themselves, or their partners, to get tired or start to feel discomfort.

It is known as “delayed ejaculation” or “problems from an ejaculation time that is considered excessive”. In cases in which ejaculation fails to occur, we speak of anejaculation, absence of ejaculation, or ejaculatory inability.

Men with this difficulty often feel some degree of arousal and pleasure, but it is not enough to trigger an orgasm.

Difficulty ejaculating usually occurs mainly during penetration; it is estimated that 85% of these men can ejaculate without problems with masturbation and 50% also ejaculate with oral or manual stimulation from their partner (Masters and Johnson, 1966).

2. Is there a specific time to talk about delayed ejaculation?

Many sexologists in Delhi do not speak of a specific time. It must be taken into account that each man is different, and if there is a partner, each couple is different too. There are men who take 30 minutes to ejaculate from the start of penetration and are satisfied, and so are their partners, because of their particular tastes, because of how their erotic relationships are (possibly they alternate penetration with other relationships), or because of how they manage ejaculation times. Other men with the same time are dissatisfied and so are their partners.

Men who have times of 45 minutes or more, or who never ejaculate, tend to be the most dissatisfied, as are their partners.

In short, it is dissatisfaction that mainly defines whether a man suffers from a sexual problem or not, rather than the specific time.

3. Is it frequent or is it a very unusual erotic difficulty?

Most studies place its incidence between 4 and 11% of the population.

In our sexologist clinic in Delhi, we have noticed a clear increase in consultations about this erotic difficulty from 20 years to now, although this increase may be due to the fact that there are more men with this difficulty or that the men with this difficulty are the same but now they feel less embarrassed when it comes to seeking help to improve their erotic life.

4. What specialist should be consulted?

If the man never ejaculates, neither in solo masturbation, nor in shared masturbation, nor in penetration, nor in any erotic practice, the ideal thing would be for him to go to the urologist in Delhi first, to rule out an organic pathology as the cause of the ejaculation.

If the man ejaculates without problems alone, but has difficulties with a partner, the cause is most likely psychological or relational, and our advice would be to visit the best sexologist in Delhi.

It is not uncommon to work in coordination, that is, that different professionals (medicine, urology, sexology…) evaluate the person from their different areas, to offer better care together.

5. How does delayed ejaculation affect the quality of the erotic relationship?

Each case is different, but to offer some general keys, it must be taken into account that some penetrations last 30 or 45 minutes, or even more, without the man having ejaculated. This can cause some couples (both heterosexual and homosexual) tiredness, boredom, or even discomfort that can become important.

When the problem continues over time and occurs in practically every sexual relationship, it sometimes translates into a lack of desire from the partner, a lack of desire from the man himself, who feels frustrated and anguished by his difficulty in reaching orgasm, and that they are also afraid of the image they may give to their partner, what the other person may think or how they will react. Some men even end up having erection problems, if they are very worried and stressed by the absence of ejaculation. And sometimes it can lead to disagreements with the couple.

6. How do the partners of men with this difficulty usually react?

Couples, whether they are women or other men, tend to react worse when they relate the lack of ejaculation, or their partner’s ejaculation difficulties, with a low desire for them.

In other words, if the partner of this man who finds it difficult to ejaculate, attributes this difficulty to the fact that his partner does not find her attractive or exciting, or that the erotic life they have in common bores him, that he does not like his body… he usually Reacting negatively affects her self-esteem and she is less understanding of her partner’s ejaculation times.

It should be noted that on many occasions men’s ejaculation difficulties are NOT caused by a lack of attraction or desire towards their partner. When the problem is not attraction or desire, and this is made clear to both partners (sometimes with help from sexologist doctor in Delhi), the problem is much more easily resolved.

7. What are usually the physical causes?

Certain drugs can delay ejaculation or even prevent it (antidepressants, antihypertensives, antipsychotics, etc.). For example, it is estimated that people who are taking certain antidepressants (SSRIs) or antipsychotics present ejaculation disorders in 50% of cases. Therefore it is important to see what drugs the person is taking and their possible side effects.

Also certain chronic diseases (such as diabetes, multiple sclerosis…), spinal cord injuries, genital surgeries (prostate, for example), trauma, stroke, hormonal disorders, alcohol or drug abuse… can cause difficulties with ejaculation, among other physical factors.

It should be noted that with increasing age, the time required to ejaculate tends to increase as well.

8.  Does it usually have a psychological or sexological cause?

It is the most frequent. Some men who find it difficult to ejaculate in penetrative relationships are excessively concerned about their partner’s pleasure, about the possible image they may give, even about the fear of not ejaculating, and all of this makes it difficult for them to abandon themselves, become aroused and ejaculate.

In other cases, some men who do not have difficulties to ejaculate alone, with a partner, by matching their movements, the type of stimulation and the rhythm of said stimulation to the partner, manage to enjoy but they lack a plus of excitement to achieve orgasm.. Both causes can occur separately or together.

9. What advice could be offered to couples with this difficulty?

If there is a partner, dialogue with the partner is essential. If the man finds his partner attractive and that is not the cause of his difficulty in ejaculating, he should make this clear to her. When the people who make up a couple understand the motivations and causes of the behavior of the other party, it is much easier for difficulties to be addressed with serenity, assertiveness and patience.

It is usually useful not to be obsessed that the man with this difficulty reaches orgasm at all costs, there are relationships that can be given with excitement and pleasure for him and assume that he may not reach orgasm on some occasion. It is also useful not to focus everything on penetration and to carry out practices such as manual stimulation (by the partner or himself), oral sex, caresses and massages, etc.

10. How is it usually approached in the sexology consultation?

First, an evaluation is carried out to clarify the causes of delayed ejaculation and the dissatisfaction of the couple.

If the causes are psychological or sexological, they are frequently addressed by offering guidelines for improving sexual life in the stable couple or with occasional partners.

Generally, keys are offered to improve arousal and abandonment in erotic encounters and that the rhythm, stimulation, and movements adapt to those that the man needs to achieve orgasm, ensuring that this also translates into an improvement of the relationship with the partner.

It is also favored that erotic relationships are not reduced to penetration, but that the range of erotic techniques is expanded. And work is done to improve the man’s self-esteem, the image of him as a man and as a capable lover, as a way to facilitate going relaxed and confident to meetings, and therefore, to achieve orgasm.

If there is a partner, you always try to work with your partner as a system, as a team, to achieve the best results.

delayed ejaculation

What is delayed ejaculation? Discover its causes and impact on male sexual health

What is delayed ejaculation? This is a question that has increasingly come to the office of medical professionals specializing in men’s health.

Although it is considered a low prevalence condition (which affects about 5% of men), it is believed that many more patients may suffer from the symptoms of delayed ejaculation, as many do not report this complaint to their doctors.

But what exactly is delayed ejaculation? How is this condition developed and, above all, how to treat it? That’s the question we’re going to answer in this article!

What is delayed ejaculation?

Delayed ejaculation is the name given to the clinical condition in which a man takes a long time to ejaculate during sexual intercourse.

It is also the name given to the condition in which the man cannot ejaculate, even with the presence of erection and sexual desire.

It is known that the average time for a man to reach ejaculation is about four to five minutes.

However, with time and experience, many are able to consciously prolong this period to increase the time of sexual practice and the pleasure of the partner.

However, for men with delayed ejaculation, the delay is unconscious and can have a big impact on their emotional health and on their relationships with their partners.

We often hear about how premature ejaculation damages a couple’s sex life and satisfaction. Perhaps this is why many people associate delayed ejaculation with an advantage.

However, this is not what happens. As intercourse becomes too long, it can cause pain and discomfort to the partner, due to the loss of natural lubrication.

In addition, if the man cannot reach orgasm, he is also not satisfied with the sexual relationship, since he does not reach the climax of pleasure.

What causes delayed ejaculation?

Once you know what delayed ejaculation is, it is important to understand what causes this condition.

Delayed ejaculation is often caused by some organic conditions. Among them, we can highlight:

  • Chronic diseases such as diabetes;
  • Abusive use of drugs or alcohol;
  • Hormonal disorders;
  • Obstruction of channels that lead to the exit of sperm;
  • Aging;
  • Neurological injuries;
  • Degenerative diseases such as multiple sclerosis and the like.

In other cases, it is possible to affirm that this clinical picture is a consequence of psychological factors that can also significantly worsen it.

Sexual insecurity, religious reasons, stress, trauma in adulthood or childhood and fear of getting the partner pregnant are some of the emotional factors that influence the development of this condition.

There are also cases in which delayed ejaculation is caused by excessive masturbation practice. Thus, he begins to have difficulty stimulating himself during the sexual act.

How is this disorder diagnosed?

First, it is important to understand that the diagnosis only happens if the disorder does not occur on time.

It is understood that delayed ejaculation can be diagnosed when the patient is unable to ejaculate during intercourse for at least 6 months. However, many of them manage to climax during masturbation.

It is also understood that taking more than 25 minutes to reach climax, as well as sexual delay in at least 75% of relationships, are important signs that point to the presence of a disorder.

The diagnosis of delayed ejaculation involves much more than finding the problem. The sexologist needs to understand what causes this condition in order to treat it properly.

After all, the difficulty to ejaculate is a symptom of another clinical condition that the patient is manifesting, whether for organic or psychological causes.

The sexologist doctor specializing in men’s health raises possible suspicions of cause. In some cases, the patient already has a previous diagnosis, such as diabetes or multiple sclerosis.

However, in others, it is necessary to investigate the health condition through examinations. By elimination, evaluating the complaints and making an extensive account of the patient’s life, the doctor finds the factor that leads to the diagnosis of the condition.

What are the types of ejaculation delay?

Sexologists generally classify delayed ejaculation into three types, according to their manifestation. Know the ranking:

Congenital delayed ejaculation

This diagnosis applies to men who have always had difficulty reaching ejaculation in their intercourse.

However, only 1% of cases of delayed ejaculation are congenital. In these cases, the man had his sex life affected from the beginning.

Acquired delayed ejaculation

In the case of acquired delayed ejaculation, the problem began to manifest itself from a certain point in sexual life.

Prior to that time, the patient had a healthy sex life without any ongoing abnormalities.

Situational delayed ejaculation

For some men, the delay to ejaculate does not happen continuously. Thus, in some moments they manage to have a normal ejaculation, but in others the problem manifests itself.

Delayed ejaculation can occur randomly without any reason, but it can also be linked to specific factors.

Thus, some men realize that the difficulty to ejaculate happens when he is with a certain partner, in a specific environment or even in situations that he can identify.

In cases of situational delayed ejaculation, the cause is more likely to be psychological. However, in other cases, the cause tends to be organic.

What is the treatment for delayed ejaculation?

The treatment of delayed ejaculation, as well as that of premature ejaculation, must be carried out under the supervision of a multidisciplinary team.

After all, as we have already stated, it arises as a consequence of other clinical conditions. Its treatment, likewise, involves a number of factors.

Endocrinologists, cardiologists and neurologists are among the professionals required to treat the patient when the cause of the problem has a biological origin.

However, when the delay in ejaculation involves psychological factors, the treatment needs the performance of a professional in the field of psychology.

It is very important to treat delayed ejaculation as soon as symptoms appear. After all, in addition to preventing the worsening of the condition, the problem can cause a great psychological impact.

Therefore, even if a man finds it difficult to ejaculate due to organic factors, the suffering that this causes can lead to anxiety that worsens the delay in ejaculation and generates other sexual dysfunctions.

Now that you know what delayed ejaculation is, do you think you might be suffering from a similar condition?

Then book an appointment with best sexologist in Delhi, clear all your doubts and find an effective solution to achieve full sexual satisfaction!