In men, sexual dysfunction is not just all about erectile dysfunction (ED). Delayed ejaculation is another sexual problem that plagues men, albeit only a small percentage of men are diagnosed with it. However, for those who do, it is actually a pressing problem. If you can imagine having vigorous sex for more than twenty or thirty minutes already and yet you are still unable to ejaculate, then you can imagine how frustrating that can be for you and your partner.
In fact, delayed ejaculation is listed as a mental disorder in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM). According to the DSM, there are two symptoms of delayed ejaculation. The first is that there is a significant delay or total absence of ejaculation in at least three out of four occasions where the man is engaged in sex with a partner, for a time period of at least 6 months. The second symptom is that this inability to ejaculate when expected is causing distress to the man.
Although prolonged sex without ejaculation may be enjoyable for many women, for both the man and his partner, it could actually be a painful experience. It could even lead to the man questioning his own sexual abilities while the woman could be questioning her attractiveness. Delayed ejaculation, if it happens too often, can cause considerable damage to a relationship.
Unfortunately, even up to now, there is still no fixed standard for diagnosing delayed ejaculation. This is despite the fact that there are already medications for the treatment of delayed ejaculation available in the market. What are the causes of delayed ejaculation and why is it so hard to diagnose? Here you’ll find ten things about delayed ejaculation that you should watch out for.
#1 Age Increases Risks Of Delayed Ejaculation
As men grow older, the level of sensitivity of the penis decreases. If while you were in your teens you only needed to stimulate yourself for five minutes or less and you would immediately climax and ejaculate, this is no longer the case when you reach your advanced years.
The nerves in your penis responsible for enabling you to feel sensations when your penis is stimulated may become damaged over time, causing you to feel less penile sensations. Other age-related factors such as diabetes can also damage your ejaculatory functions.
#2 Diabetic Men Have Higher Risks Of Ejaculatory Problems
In a study of 568 men, more than 26% of men who were diabetes suffered from the inability to ejaculate. On the other hand, only 15.9% of the men who did not have diabetes complained of the same problem. Moreover, 21% of men with diabetes were unable to achieve orgasms while masturbating, whereas only 14.9% of the men with no diabetes had the same issue.
#3 Insufficient Sexual Stimulation Can Cause Delayed Ejaculation
This one is not about your partner’s ability to sexually stimulate you. Rather this is about the decrease or loss of penile sensation. One study showed that out of 206 male patients who suffered from delayed ejaculation or were unable to ejaculate at all, 7% of the men had abnormally low penile sensations. Another research revealed that in men who had delayed ejaculation, it was the penile shaft and not the penis head that had low levels of sensitivity.
#4 Unusual Masturbation Styles Increase Risks of Delayed Ejaculation
Men who use a specially unique masturbation technique can experience delayed or no ejaculation at all if their partners are unable to copy their unusual masturbation style. This is also a case of expectations versus fantasy wherein a man’s masturbatory fantasy is just totally different from the reality. In this case, the man may be unable to climax at all, much less ejaculate, no matter how long the sexual stimulation is.
#5 Preferring Solo Masturbation Can Stop You From Ejaculating
This is considered as one of the psychological causes of delayed ejaculation wherein the man actually prefers to masturbate by himself rather than having sex with a partner. In this case, delayed ejaculation is caused by the man’s attitude and mindset towards sex with a partner. Although the problem lies with the man, this can also be emotionally and psychologically distressing for the partner.
#6 Guilt Can Prevent You From Ejaculating During Sex
When guilt is the cause of delayed ejaculation, the problem takes on a psychodynamic nature. For instance, the man may feel guilty for having sex because he has had a strict religious upbringing. When intense guilt is felt during sexual intercourse, it can actually prevent the man from achieving an orgasm and ejaculating.
#7 Thyroid Hormone Can Cause Ejaculatory Problems
Hormone-related problems can also cause delayed ejaculation. For example, hypothyroidism is linked to longer delays in ejaculation, whereas hyperthyroidism is associated with shorter delays in ejaculation during sex.
#8 Delayed Ejaculation Can Be Caused By Medications
The condition is called drug-induced delayed ejaculation which simply means that your inability to ejaculate when expected was caused by a medication that you have been taking. There are actually many types of medications that are associated with delayed ejaculation including certain antidepressants such as selective serotonin reuptake inhibitors (SSRIs). These drugs boost levels of serotonin, the neurotransmitter that makes us feel good. Unfortunately, that’s not the only effect of SSRIs in the body.
Increased serotonin levels lead to increased ejaculatory threshold which refers to the amount of sexual stimulation you receive before you reach that point where you can’t hold it in anymore and climax. Because the threshold is increased, it leads to orgasm and ejaculation are also delayed.
#9 Increased Exposure To Radiation Lead To Higher Risks Of Delayed Ejaculation
One study showed that 40% of prostate cancer patients who received radiation therapy experienced delayed ejaculation, while 11% of the same sample suffered from anejaculation or not being able to ejaculate at all.
#10 Anejaculation Becomes More Prevalent Years After Radiation Therapy
One study showed that only 16% of men reported anejaculation during the first year after receiving radiation therapy. This number increased to 69% during the third year after radiation therapy and further increased to 89% five years after radiation therapy.