Delayed ejaculation (DE) is a common medical condition. Also called “impaired ejaculation,” this condition occurs when it takes a prolonged period of sexual stimulation for a man to ejaculate. In some cases, ejaculation cannot be achieved at all. Most men experience DE from time to time, but for others this may be a lifelong problem.


There are many potential causes of DE, including psychological concerns, chronic health conditions, and reactions to medications.
Psychological causes for DE can occur due to a traumatic experience. Cultural or religious taboos can give sex a negative connotation. Anxiety and depression can both suppress sexual desire, which may result in DE as well.
Relationship stress, poor communication, and anger can make DE worse. Disappointment in sexual realities with a partner compared to sexual fantasies can also result in DE. Often, men with this problem can ejaculate during masturbation but not during stimulation with a partner.

Age is also a factor.  Most men take longer to achieve orgasm as they age.  This is normal.

Unprotected sex using the "pull out method" has been shown to be correlated to DE.  Men concentrate so hard on avoiding ejaculating inside their partner that it increases their time to achieve ejaculation.
Certain chemicals can affect the nerves involved in ejaculation. This can affect ejaculation with and without a partner. These medications can all cause DE:

  • antidepressants, such as fluoxetine (Prozac)
  • antipsychotics, such as thioridazine (Mellaril)
  • medications for high blood pressure, such as propranolol (Inderal)
  • diuretics
  • alcohol​

Surgeries or trauma may also cause DE. The physical causes of DE may include:

  • damage to the nerves in your spine or pelvis
  • certain prostate surgeries that cause nerve damage
  • heart disease that affects blood pressure to the pelvic region
  • infections, especially prostate or urinary infections
  • neuropathy (nerve damage) or stroke
  • low thyroid hormone 
  • low testosterone levels
  • birth defects that impair the ejaculation process

A temporary ejaculation problem can potentially cause anxiety and depression. These conditions can cause the problem to recur, even when the underlying physical cause has been resolved.


Changing Masturbation Techniques.  Clinical results have shown that in 53 percent of the cases, masturbating with a condom on will increase sensitivity and decrease time to orgasm for normal vaginal sex.  Masturbating with a condom while using the "other than normal" hand will generally increase the effectiveness of this technique.

​Sensation Therapy.  This therapy typically involves discussions and a series of "Homework Assignments" to increase sensitivity.

​Drug Therapy.  The following drugs have proven effective in treating Delayed Ejaculation:

  • ​​cyproheptadine (Periactin), which is an allergy medication
  • amantadine (Symmetrel), which is a drug used to treat Parkinson’s disease
  • buspirone (Buspar), which is an anti-anxiety medication