Delayed ejaculation: Underlying causes and symptoms of this sexual health problem – Indiatimes.com

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Delayed ejaculation, also known as impaired ejaculation, is a sexual disorder characterized by persistent difficulty or inability to ejaculate despite adequate sexual stimulation and arousal. It can cause distress and frustration for both the affected individual and their partner. Let’s explore the underlying causes, symptoms, and treatment options for delayed ejaculation.

Although not releasing sperm is typically not harmful, it can have an impact on sexual satisfaction and close relationships. A person may have a medical problem, such as an infection, if they are unable to discharge sperm. Fertility may also be impacted due to inability to release sperms.

• Psychological factors: Anxiety, depression, stress, performance anxiety, and relationship issues can contribute to delayed ejaculation.
• Medical conditions: Dr. Chirag Bhandari, Founder of Institute of Andrology and Sexual Health (IASH) says, “Certain medical conditions, such as diabetes, multiple sclerosis, spinal cord injuries, hormonal imbalances, and prostate issues, can affect ejaculation.”
• Medications: Certain medications, including antidepressants, antipsychotics, and blood pressure medications, may interfere with ejaculation.
• Substance abuse: Excessive alcohol consumption or substance abuse can impact sexual functioning.

• Difficulty or inability to ejaculate during sexual activity, despite prolonged stimulation.
• Need for excessive or intense stimulation to reach ejaculation.
• Frustration, distress, or negative impact on relationships due to the inability to ejaculate.
• Reduced sexual satisfaction or pleasure.

• Psychological therapy: According to Dr. Bhandari “Counseling, cognitive-behavioral therapy, and sex therapy can help address underlying psychological factors contributing to delayed ejaculation.”
• Medication adjustment: If medications are causing delayed ejaculation, a doctor may adjust the dosage or prescribe alternative medications with fewer sexual side effects.
• Hormone therapy: In cases where hormonal imbalances are the cause, hormone replacement therapy may be recommended.
• Behavioral techniques: “Techniques such as the “stop-start” or “squeeze ” method can be employed to improve ejaculatory control,” ,” says Dr. Bhandari.
• Couples therapy: Involving the partner in therapy sessions can help improve communication and reduce anxiety or performance pressure.
• Vibratory stimulation: This technique uses a device that provides focused vibration to enhance penile sensations and facilitate ejaculation.

According to Dr. Bhandari, “It is important for individuals experiencing delayed ejaculation to seek professional help from a healthcare provider or a qualified therapist. They can assess the underlying causes, provide appropriate treatment options, and offer guidance and support throughout the process. With the right approach, delayed ejaculation can be effectively managed, allowing individuals and couples to regain sexual satisfaction and intimacy.”

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