Why Do I Have Problems Ejaculating?

Did you experience either marked delay in ejaculation or marked infrequency or absence of ejaculation, on approximately 75%-100% of occasions of partnered sexual activity and without desiring delay?

Have the symptoms described in the first question persisted for a minimum duration of approximately 6 months?

Do the symptoms described in the first question cause significant distress?

Based on your answers, it is very unlikely that you have a serious problem with ejaculating. It is normal for a man to have delayed ejaculation once in a while and also it’s not uncommon for men to have difficulties reaching orgasm during sexual activities with a partner. There are even males who are only able to ejaculate when masturbating. Delayed ejaculation is considered a problem if it’s continuous or if it causes distress for you or your partner. Delayed ejaculation can be the result of medications, health conditions, psychological issues, surgeries, or substance abuse. If it happens only on occasion, don’t be worried that you have a permanent problem. It may be caused by temporary stress factors.

You may experience one or more signs related to ejaculation problems. Ejaculation problems in which the ejaculation is delayed, can have several causes. If the delayed ejaculation is continuous, causing frustration or if you have to stop sexual activity because you are tired or experience a loss of erection, then it may be important to talk with your doctor. Psychological and physical factors can cause delayed ejaculation. Depression, relationship issues, and poor body image are examples of psychological factors. Physical causes may include prostate surgery, infections, and birth defects. Also, medications can cause delayed ejaculation. Make sure to tell your doctor your medical history.

Unfortunately, you are displaying the symptoms typically seen among individuals who have delayed ejaculation. It may be essential to seek medical attention for your symptoms. Delayed ejaculation can cause other complications, such as less pleasure for you and your partner and stress about sexual performance. Your doctor will determine the underlying cause for the delayed ejaculation, and based on that, the right treatment will be chosen. Treatment may include psychological counselling or maybe taking alternative medications. Make sure to openly communicate with your partner about what’s going on.