Delayed ejaculation is also known as retarded ejaculation. It is when a man experiences persistent delay or absence of orgasm and ejaculation, despite adequate sexual stimulation, erection and desire to orgasm. Often a man can still orgasm when masturbating or with oral stimulation, just not with penetrative sex.
Causes:
1. Emotional, psychological or relationship problems:
* Often intimacy issues, anger or resentment may be involved.
* Absence of sexual thoughts/fantasies while sexual active
* Anxiety/Trying to hard for build up to orgasm to not drop off
* Arousal difficulties with the partner.
2. Organic Causes are:
* Spinal cord or neurological injury
* Major pelvic cancer surgery
* Diabetes Mellitus
* Age related penile hypoanaestesia
* Intracavernous self injection
3. Side Effects of some medications:
* SSRI anti-depressants
* Anti-psychotic medication
4. Idiosyncratic Masturbatory Style
* Desensitisation of the penis through habituation:
Idiosyncratic Masturbatory Style is when a man is used to rubbing his penis against rough surfaces while masturbation, which has desensitised his penis.
Treatment:
1) modification of antidepressant or change of antidepressant
2) sex therapy / counseling
3) vibrator stimulation of the penis or via the rectum. This is mostly done for men who want a baby and who are unable to ejaculate.
