What is delayed ejaculation?

Delayed ejaculation is when you have difficulties reaching orgasm and ejaculating. Ejaculation either takes much longer than desired or does not happen at all.

You may find that you can only reach orgasm and ejaculate after long periods of stimulation, even though you have normal desire and erections.

Delayed ejaculation may happen only with sexual intercourse with a partner. Or it may happen all the time, including when you masturbate.

Delayed ejaculation can be a temporary or a lifelong problem. It's normal to experience it from time to time, and is only a problem if it is worrying you or your partner.

What are the symptoms related to delayed ejaculation?

You may have delayed ejaculation if you:

• have a significant delay before ejaculating
• cannot ejaculate at all, even when you want to and when your erection is normal
• cannot ejaculate at least half the times you have sex

What causes delayed ejaculation?

The causes of delayed ejaculation are different for everyone and can be complicated.

Many different types of medicines can cause delayed ejaculation, including:

• antidepressants
• some strong pain-relief medicines
• some medicines for high blood pressure and heart disease

Alcohol and some recreational drugs can also cause delayed ejaculation.

There can be physical reasons for delayed ejaculation, such as:

• surgery or trauma to your pelvis or genitals
• problems with your reproductive system
• problems with your nerves or spinal cord
• some hormonal conditions
• chronic (ongoing) illnesses, such as diabetes or multiple sclerosis
• ageing

Mental health conditions and psychological factors can also be related to delayed ejaculation. These can include:

• anxiety
• depression
• relationship issues
• performance anxiety
• fears of pregnancy or intimacy
• stress

How is the cause of delayed ejaculation diagnosed?

Your doctor will ask about your symptoms and sexual history. They may do a physical examination.

Your doctor may also recommend tests for some people, including:

• blood tests
• urine tests
• an ultrasound scan

When should I see my doctor?

You should talk to your doctor if you have delayed ejaculation and it is bothering you.

Your doctor can:

• provide reassurance
• assess you to identify the cause
• recommend treatments

It can also help to talk to your partner and include your partner when you talk to a health professional.

How is delayed ejaculation treated?

The treatment for delayed ejaculation depends on the cause.

If any medicines you take could be causing delayed ejaculation, you should discuss with your doctor if it is possible to change your medicines. Never change your medicines without talking to your doctor.

Your doctor will be able to give specific advice and treatment options. They may refer you to a specialist if needed.

Your doctor will discuss the benefits and potential side effects of all treatment options.

Self-care at home

It's important to remember that ejaculation problems are common, and nothing to be embarrassed or shy about.

It's important to communicate openly and honestly with your partner about your condition. Treatment is often more successful if couples work together as a team.

Medicines for delayed ejaculation

Your doctor may recommend medicines, depending on the cause of your delayed ejaculation. They will discuss the risks and benefits, including the side effects of any medicines.

Other treatment options

Vibrator stimulation of your penis can be used to treat delayed ejaculation.

Counselling or sexual health therapy may also help.

Can delayed ejaculation be prevented?

Delayed ejaculation can't be prevented if the cause is physical, such as nerve damage. But you can avoid things that might make delayed ejaculation worse, such as alcohol and recreational drugs.

Complications of delayed ejaculation

Delayed ejaculation might make it more difficult to conceive a baby. But there are treatments available.

Delayed ejaculation might also:

• increase stress
• lead to anxiety or depression
• contribute to low self-esteem
• lead to relationship issues

Talk with your doctor if you are worried about the effects of delayed ejaculation.

If you need to talk to someone about your mental health, call Beyond Blue on 1300 22 4636.

Resources and support

Healthy male has health information on health issues affecting males.

You can also call the healthdirect helpline on 1800 022 222 (known as NURSE-ON-CALL in Victoria). A registered nurse is available to speak with 24 hours a day, 7 days a week.