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The Ins and Outs of Delayed Ejaculation Treatment

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Delayed Ejaculation or impaired ejaculation is the inability of a man to achieve an orgasm and ejaculate. 

The cause of Delayed Ejaculation can be organic or psychological. Delayed Ejaculation treatment depends on the cause of the sexual problem.

Treatment may be possible where the problem arises due to organic causes, such as underlying health conditions.

Treatment for psychological causes of Delayed Ejaculation may not be possible in most cases.

Let us discuss the ins and outs of Delayed Ejaculation in detail. 

What is Delayed Ejaculation

Delayed Ejaculation can be a chronic or temporary ejaculation problem. Delayed Ejaculation occurs when a man has difficulty having an orgasm and ejaculating. 

Some males may need continuous sexual stimulation for an extended period to ejaculate, while others may not ejaculate at all.

Delayed Ejaculation is one of the least understood and studied male sexual dysfunction. It has an estimated prevalence of 1-4% of the male population.

How long this problem lasts is going to depend on the cause. Some causes of Delayed Ejaculation may include underlying health conditions, surgery, and medications.

Delayed Ejaculation can cause mental distress in the form of sexual performance anxiety or result in relationship problems.

The following section will discuss possible solutions or treatments for this problem affecting male ejaculation

Retrograde ejaculation is another type of ejaculation problem in which you do not ejaculate but have an orgasm. Do not confuse retrograde ejaculation for Delayed Ejaculation due to lack of ejaculation.

Treatment for Delayed Ejaculation

Treating Delayed Ejaculation can be tricky. There are no approved medicines for the problem. For this reason, one particular treatment does not work for everyone.

According to doctors, treatment for Delayed Ejaculation needs to be specially tailored for each case. This is because the cause of the sexual dysfunction may differ in each case.

Though no pharmacological therapies are available for psychological causes of Delayed Ejaculation. Psychologic therapy may help reduce or treat Delayed Ejaculation in some cases.

Treatment for organic causes of the problem may help in treating the condition. 

Treating an underlying health condition or stop taking the medicine that causes Delayed Ejaculation may help treat it.


Psychotherapy sessionSource: vadimguzhva_from_Getty_Images
Psychotherapy session

Psychotherapy may help address mental health issues leading to Delayed Ejaculation.

Mainly talking to a sex therapist may help tackle these sexual problems effectively. This is because sex therapists specialize in talk therapy for sex problems.

The kind of therapy that works best for you will depend on the concerns that you may have.


If you are taking any medicines or drugs that might cause Delayed Ejaculation, reducing the dosage of those drugs might help.

There are no FDA-approved medicines to treat Delayed Ejaculation. This is because the development of successful drug treatment is still in its infancy.

According to 2016 research, the off-label use of the following drugs may help treat Delayed Ejaculation.

  • Cyproheptadine (Periactin), an allergy medication
  • Amantadine (Symmetrel), a drug used to treat Parkinson’s disease
  • Buspirone (Buspar), an antianxiety medication
  • Cabergoline (Dostinex), a dopaminergic medication
  • Oxytocin (Pitocin), a type of hormone

Off-label use means that they are not FDA-approved for Delayed Ejaculation treatment, but doctors think that they can help with the problem.

Are you looking for detailed information on medicines for Delayed Ejaculation? Read Understanding Delayed Ejaculation Pills: Treatment Options and Benefits.


Man doing workoutSource: Joshua_Ortiz_from_Pexels
Man doing exercise

Medicines and talk therapy are not always the answers to our sex problems. In some cases, exercising may also help by strengthening our muscles.

But are there any Delayed Ejaculation treatment exercises?

According to the Cleveland Clinic, pelvic floor exercises or kegel exercises may help. You may need to figure out the right muscle to target for these exercises. 

Exercising may strengthen the pelvic floor and improve control over these muscles.

Besides kegel exercises, there are various other home remedies for DE. To know more, refer to Are there any Home Remedies for Delayed Ejaculation?

Cyproheptadine and Cabergoline are off-label drugs for Delayed Ejaculation. Consult a doctor before taking them to avoid potential side effects.


Delayed Ejaculation is a common problem among men. At least once in their life, a man may have difficulty achieving an orgasm and ejaculating.

They may need sexual stimulation for an extended period to have an orgasm. Depending on the cause of this sexual problem, it can be chronic or temporary.

Treating the underlying cause of this sexual dysfunction may help. The causes can be psychological or organic.

Delayed Ejaculation treatment may involve talk therapy for its psychological causes. 

Other causes, such as surgeries, medications, and underlying health conditions, may need a different approach.

If you think a medication you take is the reason for your sex problems, consider reducing the dosage.

Treating underlying health conditions with the help of exercise and medications may also help. 

You should know that currently, no pharmacological drugs are available to treat Delayed Ejaculation. 

However, doctors often suggest medicines like Cyproheptadine and Cabergoline for Delayed Ejaculation treatment. This is an off-label use of these medicines.

For this reason, treatment for Delayed Ejaculation may differ for each individual. Consult a doctor if you have difficulty having an orgasm or ejaculate.

Frequently Asked Questions

How to fix Delayed Ejaculation?

Talk therapy and kegel exercises may help you overcome Delayed Ejaculation.
Though there are no FDA-approved pills for it. Yet doctors may suggest Cyproheptadine and Cabergoline.

Can Viagra help with Delayed Ejaculation?

Viagra is an Erectile Dysfunction medicine that may also treat Premature Ejaculation. But it is unlikely for Viagra to help with Delayed Ejaculation.

What is the best medicine for Delayed Ejaculation?

Currently there are no FDA-approved medicines for Delayed Ejaculation. But doctors may prescribe medicines like Cyproheptadine and Cabergoline as an off-label treatment.

What causes Delayed Ejaculation?

Delayed Ejaculation can have several physical and psychological causes. 
Physical causes may include surgery, using recreational drugs, and chronic illnesses like Diabetes. Mental conditions like Stress and Depression may also play a role. 

Is lasting 6 minutes good?

According to a study, it takes an average of 5 to 7 minutes for a man to have an orgasm and ejaculate. So, if you last 6 minutes, it should be good.

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Photo of author Janet Fudge
Janet Fudge is a highly skilled and experienced pharmacologist who serves as a contributing writer for With a strong academic background from a premier US University and a passion for helping others, Janet has become a trusted voice in the pharmaceutical world. After completing her Doctor of Pharmacy degree, Janet embarked on a successful career in the pharmaceutical industry, working with various clients, including hospitals, retail pharmacies, and drug manufacturers. Her in-depth knowledge of pharmacology and dedication to patient-centered care has led her to excel in her field. As a writer for, Janet uses her wealth of expertise to provide readers with accurate, reliable, and up-to-date information on various topics related to medicine and healthcare. Her engaging writing style and ability to break down complex topics into easily digestible content make her a valuable resource for healthcare professionals and the general public.
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