Originally posted on *Medical News Today
Delayed ejaculation can cause psychological distress for the man who has the problem, and create stress between sex partners. The problem – a relatively rare sexual dysfunction of both medical and psychological causes – is often misdiagnosed, and it is relatively poorly addressed by research.
Use this page to find out what constitutes a true diagnosis of delayed ejaculation. Certain criteria need to be met, and these do not include an infrequent or non-troubling case of taking longer to reach orgasm, which many men may experience at some point.
Fast facts on delayed ejaculation
Here are some key points about delayed ejaculation. More detail and supporting information is in the body of this article.
- Delayed ejaculation is a form of sexual dysfunction affecting a man’s ability to reach an orgasm.
- The disorder is a form of ejaculatory dysfunction (others include premature ejaculation and anejaculation).
- Delayed ejaculation is not a diagnosis until certain factors have been met, including how persistent and troublesome the problem is.
- There is no strict figure on the “normal” time taken for men to ejaculate after penetration, and averages vary.
- Nor is a strict amount of time for penetrative sex diagnostic of delayed ejaculation – but researchers have identified around 20 mins after penetration to be an average length of time taken by men diagnosed with the problem.
- Delayed ejaculation can be present from the beginning of a man’s sexual activity, or can be acquired, often in certain situations.
- Most causes are psychological, but organic reasons are also possible and are ruled out first during diagnosis.
- Psychological causes are often complex, but can sometimes be obvious – such as to do with a couple’s mixed desire for pregnancy.
- Styles of masturbation can strongly influence the way a man goes on to experience sexual intercourse – certain behaviors are linked to delayed ejaculation.
- Medical cases may be more straightforward for doctors to treat than psychological ones – by addressing the underlying condition.
- Psychological issues are not treated in the same way for every man or couple – psychological therapists instead address individual concerns.
- Sex therapy, which can be arranged via doctors, may include the offer of practical tips to try at home during sexual activity.
- No pharmacological therapies are available for psychological causes of delayed ejaculation.
What is delayed ejaculation?
Delayed ejaculation is one of the ejaculatory dysfunctions (abbreviated to EjD in research papers) and probably the least understood.1 It is also the least common form of male sexual dysfunction, affecting an estimated 1-4% of men.
Men with a persistent problem of delayed ejaculation are likely to be distressed by it.
Compare this with how many men get premature ejaculation: based on estimates of how many at least think they have a problem with rapid ejaculation, the range for that condition is between 15-30%.
Delayed ejaculation falls in the middle of the spectrum of ejaculatory dysfunction:
- Premature ejaculation (ejaculation always, or nearly always happening before sexual penetration has been achieved, or within about a minute of penetration)
- Delayed ejaculation
- Anejaculation (inability to ejaculate, including “retrograde ejaculation” and “painful ejaculation”).
The term “delayed ejaculation” recently became the officially preferred name for what had once been labeled “male orgasmic disorder.”7 What was considered a derogatory meaning has also been conferred on the disorder: “retarded ejaculation.”1 And another term that is used for the condition is “ejaculatory insufficiency.”
In summary, delayed ejaculation is the difficulty or inability of a man to reach an orgasm and ejaculate semen.
The problem is diagnosed when a man is concerned about a problem during most sexual intercourse encounters over at least six months, with a marked delay or marked infrequency of achieving ejaculation – when other problems have been ruled out and in spite of a normal erection and sexual stimulation.