What is delayed ejaculation?
Delayed ejaculation is when ejaculation takes too long, is difficult to achieve despite sufficient sexual stimulation, or causes distress to the individual. It can occur occasionally in any man; it becomes a problem when it recurs and affects the individual or the relationship.
What are the possible causes?
Certain antidepressants and medications, diabetes, nervous system diseases, history of prostate or pelvic surgery, alcohol use, stress, performance anxiety, and relationship problems can be associated with delayed ejaculation.
How is it evaluated?
The evaluation considers how long the symptom has been present, whether it occurs in all situations or specific ones, medications used, co-occurring erectile dysfunction, and overall health status.
When to see a doctor
Tests used for diagnosis
- Hormone tests
- Urinalysis
- Physical examination
Frequently asked questions
Can delayed ejaculation be psychological?
Yes. Stress, anxiety, relationship dynamics, and performance pressure can play a role in delayed ejaculation. However, physical causes should also be evaluated.
Do medications cause delayed ejaculation?
Yes. Some medications can affect ejaculation time. Medications used should be reviewed with a physician.


