Delayed Ejaculation (DE)

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Delayed ejaculation (DE) is when a man becomes aroused and achieves a firm erection, yet finds it difficult to ejaculate in a reasonable time — or sometimes not at all. This condition can occur during intercourse or masturbation. While occasional delay may be normal, persistent inability to ejaculate can lead to frustration, stress, and impact intimacy and relationships. 

DE can affect men intermittently or as a lifelong condition. For some, it always has been a challenge; for others, the problem develops later after previously normal sexual function. 

• Primary (Lifelong): EJACULATION delay has been present since the onset of sexual maturity.
   
• Secondary (Acquired): DE develops after a period of normal sexual performance.
   

Sometimes, DE occurs only under certain conditions — with some partners, or only during intercourse, but not during masturbation.

DE often arises from a mix of physical and psychological factors. Understanding the root cause is essential to selecting effective treatment. 

Physical contributors may include:

• Side effects from medications (e.g., certain antidepressants or other medications)
   
• Excessive alcohol use or recreational drug use
   
• Nerve damage (e.g., pelvic injury, spinal issues, chronic diseases affecting nerves)
   
• Hormonal imbalances (for example, low testosterone or other endocrine issues)
   

Psychological or psychosocial factors may include:

• Stress, anxiety, or depression
   
• Relationship difficulties or poor communication with partner
   
• Performance anxiety, guilt, or negative feelings about sex (sometimes influenced by cultural or religious beliefs)
   

Because multiple factors often overlap, a careful and holistic evaluation is key.

It’s natural for ejaculation timing to vary occasionally. But if you consistently find ejaculation difficult, delayed, or absent — and this causes distress, reduces sexual satisfaction, or affects your relationship — it’s important to seek professional consultation.