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What Does Delayed Ejaculation Mean?

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17 February, 2023
Meaning Of Delayed Ejaculation
What Is Delayed Ejaculation?

What Is Delayed Ejaculation?

couple facing issues due to Delayed Ejaculation

Delayed ejaculation (DE) refers to a condition when a male is only able to climax or ejaculate after extended durations of sexual stimulation – a type of ejaculatory disorder. It is sometimes referred to as the absence of ejaculation or anorgasmia. In some severe cases, they are unable to ejaculate at all. The condition falls under the sexual dysfunction umbrella and can be the result of various causes – both physical and psychological. However, it is also important to remember that some men sporadically experience DE and it could only be a handful of instances that cause no discomfort in the individual’s life or that of his partners.


There isn’t an agreed-upon consensus when it comes to a specific ejaculation time that would diagnose Delayed Ejaculation. It has been suggested that if a man requires more than 10 minutes to ejaculate, it is considered to be a symptom of DE. The condition can affect sexual performance, yes, but also has an impact on sexual and mental health.

Prevalence Of Delayed Ejaculation

Studies have shown that the prevalence of delayed ejaculation (or absence of ejaculation) in India is higher than in other countries. One study found that 26.5% of Indian men between the ages of 18 and 59 years old reported experiencing delayed ejaculation. Another study found that the prevalence of DE among Indian men was as high as 31%.


One of the most common is psychological factors such as stress, anxiety, and depression. These mental disorders conditions can interfere with a man’s ability to relax and enjoy sexual activity, which can lead to difficulty ejaculating.


Physical factors such as hormonal imbalances, neurological conditions, and certain medications can also contribute to DE. In addition, lifestyle factors such as smoking, alcohol consumption, and poor diet can also play a role.


The good news is that DE is a treatable condition. Men who are experiencing this problem can seek help from a urologist or a sexologist. Treatment options may include medications, counseling, and behavioral therapy.

Delayed Ejaculation Causes

Delayed ejaculation (DE) is a sexual dysfunction that affects men and can be caused by a variety of physical, psychological, and lifestyle factors.

  • Physical causes of DE include certain medical conditions such as diabetes, multiple sclerosis, and spinal cord injury. Certain medications can also cause DE, such as antidepressants, blood pressure medications, and antihistamines. In addition, certain surgical procedures, such as prostate or bladder surgery, can also cause DE.

  • Psychological causes of DE include stress, anxiety, depression, and relationship issues. These can cause a man to become distracted during sexual activity and make it difficult for him to ejaculate.

  • Lifestyle factors that can contribute to DE include smoking, excessive alcohol consumption, and a lack of physical exercise. These can all impact a man’s overall health and sexual function.

In order to address DE, it is important to first identify the underlying cause. This can be done through a combination of medical examination and psychological evaluation. Treatment options vary depending on the cause of DE and may include medication, therapy, or lifestyle changes.

Delayed Ejaculation Symptoms

Delayed ejaculation, also known as impaired ejaculation is a condition in which a man takes a prolonged time to ejaculate during sexual activity. This can cause frustration and difficulty for both partners and can affect the man’s self-esteem and overall quality of life.


Here are some symptoms that those experiencing DE have:

  • Physical symptoms of DE may include a lack of sensation in the penis, difficulty achieving and maintaining an erection, and difficulty reaching orgasm. These symptoms can be caused by a variety of factors, including nerve damage, hormonal imbalances, and certain medications.

  • Psychological symptoms of DE may include anxiety, stress, and depression. The condition can also cause feelings of shame and low self-esteem, which can further exacerbate the problem.

  • Lifestyle factors can also contribute to DE. For example, men who engage in excessive alcohol or drug use may experience difficulty ejaculating. Additionally, men who lead sedentary lifestyles and have a poor diet may be at risk for developing this condition.

Delayed Ejaculation Potential Risk Factors

It is important to understand the risk factors that can contribute to its development of DE.

  • Medications: Some medications, such as antidepressants, anti-anxiety drugs, and blood pressure medications, can affect the nervous system and cause delayed ejaculation.

  • Hormonal imbalances: Low levels of testosterone or other hormones.

  • Psychological factors: Stress, anxiety, depression, and relationship problems can all affect sexual function 

  • Neurological conditions: Conditions such as multiple sclerosis, spinal cord injuries, or nerve damage can affect the nerves that are responsible for ejaculatory function and control

  • Pelvic infections: Prostatitis or epididymitis, bacterial infections of the prostate or epididymis, can cause damage to the nerves and muscles responsible for ejaculatory control

  • Substance abuse: Alcohol and drug abuse can affect sexual function 

  • Age: As men age, it may take longer for them to ejaculate.

  • Surgery: Certain types of surgery, such as prostate surgery, can damage the nerves that have control over ejaculation

  • Genetic Risk Factors

Delayed Ejaculation Diagnosis

doctor treating the patient with delayed ejaculation

There are several potential causes of DE, and a proper diagnosis is essential in order to determine the best course of treatment. The following is a list of some of the most common causes of DE and how they are diagnosed:

  • Psychological causes: Psychological factors such as anxiety, depression, and stress can contribute to DE. A mental health professional can help to diagnose these causes and provide therapy to address them.

  • Neurological factors: DE can also be caused by neurological conditions such as multiple sclerosis, spinal cord injury, and Parkinson’s disease. A neurologist can perform tests and imaging to diagnose these causes.

  • Medications: Certain medications, such as antidepressants and blood pressure medications, can contribute to DE. A doctor can review a patient’s medication list and make adjustments as needed.

  • Hormonal causes: Low levels of testosterone can contribute to DE. A blood test can be used to measure levels of testosterone levels and determine if hormone replacement therapy is needed.

  • Chronic health conditions: Chronic illnesses such as diabetes and heart disease can contribute to DE. A primary care physician can diagnose and manage these conditions.

  • Substance abuse: Substance abuse, particularly alcohol and drug use, can contribute to DE. A substance abuse counselor can help to address these issues.

Delayed Ejaculation Treatment

There are several treatment options available to help men with DE.


  • Behavioral therapy

  • Medications

  • Hormone therapy

  • Psychological counseling

  • Couples therapy

If you are experiencing symptoms of Delayed Ejaculation and sexual dissatisfaction, we encourage you to reach out to a healthcare provided – this could be sexual health expert. A healthcare provider will be able to determine the causes behind your symptoms and provide you with a treatment plan that is customised to your needs.


The ability to have control over ejaculation while experiencing DE can be hard, but a professionals will help you understand how to use treatment tools to overcome your symptoms – this could include psychological interventions, and medications – a holistic treatment plan is the best way to approach in helping with ejaculatory function.


Furthermore, professionals can help identify potential risk facts – such as neurological factors, genetic factors etc. These conditions can have an impact on ejaculatory function, and therefore ejaculatory control. It’s important to asses the risk factors, as the treatment plan will depend on that. We also want to stress that there is no set ejaculation times, however, a health care provided will be able to diagnose DE based on the patents medical history. Addressing your sexual dysfunction can be daunting, but we hope that with this information you are able to make an informed decision about you sexual health.

Sexual health is as important as physical and mental health. In most cases, one consultation can go a long way. Personalised, discreet, and judgement-free treatment at your fingertips – book an online consultation with one of Allo’s leading experts.