Delayed Ejaculation

Delayed ejaculation is classed as either:

experiencing a significant delay before ejaculation
being unable to ejaculate at all, even though the man wants to and his erection is normal

You may have delayed ejaculation if:

you experience a repeated and unwanted delay before ejaculation lasting for 30 to 60 minutes
you’re unable to ejaculate at least half the times you have sex

Causes of delayed ejaculation

Like premature ejaculation, delayed ejaculation can be caused by psychological and physical factors.

Possible psychological causes of delayed ejaculation are similar to those of premature ejaculation – for example, early sexual trauma, strict upbringing, relationship problems, stress or depression.

Possible physical causes of delayed ejaculation include diabetes (usually only type 1 diabetes), spinal cord injuries, multiple sclerosis, surgery to the bladder or prostate gland and increasing age

Many medicines are known to cause delayed ejaculation, including antidepressants, particularly selective serotonin reuptake inhibitors (SSRIs), medicines to treat high blood pressure, such as beta-blockers, antipsychotics, used to treat episodes of psychosis, muscle relaxants such as baclofen and powerful painkillers, such as methadone.

Delayed ejaculation can suddenly start to happen after previously having no problems, orless commonly the man may have always experienced it.

It can occur in all sexual situations, or only in certain situations. For example, you may be able to ejaculate normally when masturbating, but not during sex. When ejaculation only occurs in certain situations, there’s usually a psychological cause.

Treating delayed ejaculation

Sex therapy: Sex therapy is a form of counselling that uses a combination of psychotherapy and structured changes in your sex life. This can help to increase your feeling of enjoyment during sex, and help make ejaculation easier.

During sex therapy, you’ll have the opportunity to discuss any emotional or psychological issues related to your sexuality and relationship, in a non-judgemental way.

Activities may also be recommended for you to try at home while you are having sex with your partner. These may include:

viewing erotic videos and magazines before having sex to increase the feeling of stimulation
erotic fantasies to make your lovemaking more exciting
using lubricating creams, or jellies, to make the physical act of sex more comfortable and relaxing
using sexual aids, such as vibrators, to increase pleasure

Switching medicine: There are a number of medicines that can be used if it’s thought SSRIs are responsible for causing delayed ejaculation. These help block some of the chemical effects of SSRIs that may contribute towards delayed ejaculation.

Alcohol and drugs: Alcohol misuse and drug use can be separate underlying causes of delayed ejaculation.

Medications: Tricyclic antidepressants are tried, but to use in caution due to their side effects.

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What Our Client Say

We love that our patients feel inspired to write about the care they received here at Vishvas Fertility! Here are some of the wonderful letters and comments we have recently received.

pramod kr

2023-11-07

We visited Dr. Basavaraj for our treatment. We had to visit for over an year and couple of procedures. Doctor is very knowledgeable and has vast experience. Nurses and other lab staff are good. Initially the wait time was less ,however off kate the wait time is on higher side since doctor does scan and procedures in parallel. The wait time doesn't change even with prior appointment . This is especially true in Marathahalli centre. This can be improved. I feel cost here for treatment is much lesser than any corporate hospitals or other centres. Doctor is mostly straight forward and not verbose. Also doctor prescribes just enough medication which might or might not be good, hard to judge.

Rajeev Kothamachu

2020-11-12

I highly recommend the doctor if there any complications. I visited him and we got very good results. He has very good patience and listen all the problems. Doc is not that commercial he is collecting the same from last 4 years. We are now visiting him again for 2nd pregnancy..

Divya Sharma

2020-09-08

Dr Basavaraj is amazing and genuine person. Report asked by him are only needed one, no additional like many other place. All clinic staff are even good n helpful, Appointment recommended Over all very good Dr for fertility.

Vinay K

2019-05-16

Very good doctor , provides good information about the procedures ,

Abhijit Sarkar

2019-05-14

We worship God and many says that Doctors are possibly the one. We (me and my wife) evident that in our difficult time. Thank you Dr. Basavraj for your treatment and care. You will always be there in our heart and any word of gratitude is not enough. We have blessed with a baby boy and he is doing great. we were struggling from almost 3 years and finally we have been blessed. We (me and my wife) can never forgot what you did for us. When in difficult time people goes away, you have been our hope and belief. we were really very lucky enough that we got a chance to meet you in person and got the treatment. Our Best wishes to you Doctor and may you help many more people who are suffering from fertility issues. We were really amazed that even after such a busy schedule doctor finds the time to respond whenever it was required (in panic situations). Thank you once again doctor for your personal attention. Our best wishes for you and your family. We will surely come and meet you very soon, I am sure my son also will be blessed by just seeing you. You have given us the reason to Smile 🙂

Bharath Konegadde

2019-05-06

Dr Basavaraj Shetty take care and advice till 3 months pregnancy . One of the best doctor in hsr

Dr Chetan Kumar N.G

2019-04-16

Dr Devarshetty has a midas touch in his treatment apart from his knowledge skills as a infertility specialist. I recommend all patients to be open minded while consulting him. My wife had a very difficult phase in conceiving after getting ectopic pregnancy twice in 2015-16 because of her PCOD . Being a Dr myself i couldn't cope up with the stress with which i and my wife underwent during those times,later in 2016-17 after Dr Devarshetty advise and treatment we finally became parents and it was the most joyous moment of our married life. Now we have a healthy baby girl 10m old..posted mother and baby image.

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