A Guide to Delayed Ejaculation: Symptoms, Causes, and Treatments

A lot of men face the problem of Delayed Ejaculation(DE). It may happen at any point of time in their life.

You may identify the problem when you need sexual stimulation for a long time to orgasm and ejaculate.

The problem can result from multiple physical and psychological causes. 

Delayed Ejaculation generally goes away on its own. But you may need treatment if it persists for a long time or starts to bother you.

This article highlights the symptoms, causes, and treatment for Delayed Ejaculation.

What is Delayed Ejaculation

Delayed Ejaculation occurs when a man needs sexual stimulation for a long period to have an orgasm and ejaculate.

It can be a chronic or temporary problem, depending on its cause. It is one of the least studied and understood male sexual dysfunction.

It has an estimated worldwide prevalence of 1-4% of the male population.

Delayed Ejaculation can cause mental distress to you and your partner and lead to relationship problems.

Delayed Ejaculation symptoms

A typical symptom of DE is when you take 30 minutes or more to orgasm and ejaculate. There is a chance that some men may not ejaculate.

A 2016 study mentions that at least one of the following two symptoms should exist to diagnose DE.

  • There should be a significant delay in ejaculation, or
  • There should be infrequency or absence of ejaculation 75-100% of the time for at least six months.

Yet it is not necessary for everyone to have these particular symptoms to have a DE diagnosis.

Doctors may diagnose DE even in cases where delay in ejaculation is causing frustration or distress to you or your partner.

They may also diagnose it when you have to stop sex due to fatigue, physical irritation, request from your partner, or loss of erection. 

Causes of Delayed Ejaculation

According to research, Delayed Ejaculation can have multiple physical and psychological causes.

Physical causes may include aging and underlying health conditions like Diabetes and Multiple Sclerosis. It may also result from injuries such as spinal cord injury or surgery.

Psychological causes may include Anxiety, Depression, and stress.

Talk to your doctor to identify the cause of your ejaculation problems to receive cause-specific treatment.

Treatment options

There is no particular Delayed Ejaculation treatment due to the absence of FDA-approved medications.

Treatment of DE for each individual may differ depending on the cause of the problem. Talk therapy may help in cases where the problem arises from psychological causes.

In cases where DE results from physical causes, you may need medications or exercise.

Let’s discuss these treatment options in detail.

Talk therapy

Talk therapySource: mixetto_from_Getty_Images
Talk therapy

Talk therapy can help address the psychological causes of Delayed Ejaculation. 

Mainly talking to a sex therapist may help resolve your sex problems as they specialize in sex therapy.

But if the cause of your problems is talking to a psychiatrist may be more suitable. They can help you resolve those issues and get back in the game.


There is no particular Delayed Ejaculation treatment that works for everyone. The treatment depends on the cause of the problem.

As per 2013 research, several drugs may lead to DE. They include antidepressants, antipsychotic drugs, and high blood pressure medicines.

The first step in DE treatment should be to stop or reduce the consumption of medicines that may lead to DE.

Now, let us talk about drugs that can help treat DE.

Firstly, there are no FDA-approved medications for DE. This is because the development of a successful drug treatment for DE is still in its infancy.

Yet there are several medicines that doctors prescribe for Delayed Ejaculation treatment. 

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

  • 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 prescribing a drug for a different purpose than what the FDA approved.


For people facing this problem occasionally, therapy or medicines may seem a little extreme.

Doctors usually suggest exercise for Delayed Ejaculation along with other treatments.

According to Cleveland Clinic, kegel or pelvic floor exercises may help treat DE. You need to find and target the right pelvic floor muscles.

Kegel exercises can help strengthen your pelvic floor and improve control over these muscles.

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

Final outlook

Delayed Ejaculation is a common problem among males. Doctors may diagnose the condition when you need sexual stimulation for a long time to orgasm and ejaculate.

DE can result from multiple physical and psychological causes. Delayed Ejaculation treatment depends on the cause of the problem.

There are no FDA-approved medicines for DE. For this reason, a particular treatment may not work for everyone and needs to be specially tailored for each case.

Generally, treatment may involve certain medications or therapy, depending on the cause. Doctors may suggest them along with exercises for Delayed Ejaculation.

Seek medical help if you have difficulty having an orgasm or ejaculation.

Quick Checkout:
Did your doctor suggest taking one of these medications for DE?
Buy them at CheapMedicineShop:

  • Cabgolin (Cabergoline)
  • Caberdost (Cabergoline)
  • Ciplactin (Cyproheptadine)
  • Frequently Asked Questions

    What Delayed Ejaculation feels like?

    A typical symptom of Delayed Ejaculation is that you may take 30 minutes or more to orgasm and ejaculate. 
    In other cases, you may feel physically tired or feel pain after some time and may have to stop in between.

    What’s the most common cause of Delayed Ejaculation?

    Delayed Ejaculation can result from certain medications, surgeries, or health conditions. It may even result from psychological conditions such as Depression, Anxiety, or stress.

    Will Viagra help with Delayed Ejaculation?

    Viagra is an Erectile Dysfunction medicine. It can help you achieve and maintain erections more easily. 
    But it cannot impact the time of your orgasm and ejaculation. Therefore it may not help with Delayed Ejaculation.

    What are the benefits of not ejaculating for 30 days?

    Possible benefits of not ejaculating for an extended period may include more intense orgasms, improved fertility, and help with Premature Ejaculation.
    But it is not necessary that everyone may experience similar benefits.

    What is the disadvantage of not ejaculating?

    According to Medical News Today, possible risks of not ejaculating may include Epididymal hypertension and the development of ejaculation problems.
    Epididymal hypertension or blue balls may result when you are sexually aroused but do not orgasm. It may lead to pain or aching in the testicles.

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    Janet Fudge is a highly skilled and experienced pharmacologist who serves as a contributing writer for CheapMedicineShop.com. 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 CheapMedicineShop.com, 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.