Delayed ejaculation, also called retarded ejaculation or inhibited ejaculation, is a man's inability for or persistent difficulty in achieving orgasm, despite typical sexual desire and sexual stimulation. Generally, a man can reach orgasm within a few minutes of active thrusting during sexual intercourse, whereas a man with delayed ejaculation either does not have orgasms at all or cannot have an orgasm until after prolonged intercourse which might last for 30–45 minutes or more. In most cases delayed ejaculation presents the condition in which the man can climax and ejaculate only during masturbation, but not during sexual intercourse.

Causes of delayed ejaculation could be physical or psychological in nature.

Psychological causes:

  • stress, depression, anxiety
  • a strict religious background that makes the person view sex as sinful
  • lack of attraction for a partner

Physical causes:

  • certain birth defects affecting the male reproductive system such as neural tube defects, hypospadias (a defect of the urethra)
  • injury to the pelvic nerves that control orgasm
  • prostate surgery, such as transurethral resection of the prostate (TURP) or prostate removal
  • heart disease that affects blood pressure to the pelvic region
  • prostate infection or urinary tract infection
  • neurological diseases, such as diabetic neuropathy (a nerve damaging disorders associated with diabetes mellitus), stroke or nerve damage to the spinal cord
  • hormone-related conditions, such as low thyroid hormone (hypothyroidism) or low testosterone

Ejaculatory disorders

Male sexual function depends on the complex interaction of multiple dimensions of human sexuality: arousal, sexual desire, orgasm, erectile function, and ejaculation. Sexual dysfunction is often multi- dimensional that occurs as a spectrum of disorders involving any or a combination of these factors.

Ejaculatory dysfunction, which includes a spectrum of disorders such as premature ejaculation, delayed ejaculation, an ejaculation, painful ejaculation, retrograde ejaculation, and diminished volume or force of ejaculation, is an important public health problem that is often comorbid with erectile dysfunction and orgasmic dysfunction.

Idiopathic male infertility

Unexplained infertility is infertility that is idiopathic in the sense that its cause remains unknown. Male infertility contributes to half of these cases.

Men with delayed ejaculation have no demonstrable neurological reason and through by most to have a functional or psychogenic condition. Idiopathic delayed ejaculation may be associated with unusual patterns masturbation.

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