What is Retarded Ejaculation?

Retarded ejaculation, also called delayed or impaired ejaculation, is a condition where it takes you a prolonged period of sexual stimulation to reach climax and ejaculation. Some men with this condition are unable to ejaculate at all.

Delayed ejaculation may be a temporary or lifelong issue. While it is normal for you to have delayed ejaculation from time to time, it can become a problem if it is ongoing or causes stress for you or your partner.

Symptoms of Retarded Ejaculation

If you require a prolonged period of sexual stimulation to reach an orgasm and ejaculate, retarded ejaculation may be the issue. While there is no specific time that indicates a diagnosis, if you are dealing with distress or frustration due to delayed ejaculation, you should seek treatment.

Oftentimes, men with this condition have difficulty reaching orgasm during sex, and some men can only ejaculate when masturbating.

Lifelong vs Acquired Retarded Ejaculation

Lifelong retarded ejaculation occurs when the issue is present from the time of sexual maturity. It may be due to an underlying neurologic problem or it may simply reflect how the man is “wired”.  In other words, it may be a result of how the nerves in the penis are structured.  Retarded ejaculation may also be due to an unresolved psychiatric conflict that is preventing you from functioning normally. 

Acquired retarded ejaculation occurs after a period of normal sexual functioning. It may be due to stress or problems that you are experiencing in your relationships.  Certain medications such as anti-depressants may contribute to this problem.  Pelvic surgery can also be a cause. 

Treatment for Retarded Ejaculation

The treatment for retarded ejaculation will depend on the underlying cause and may include medications, psychological counseling, or addressing alcohol or illegal drug use.

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Medications

If you are currently taking a medication that may be the cause of delayed ejaculation, such as an anti–depressant, speak to your doctor.  Maybe your doctor can switch your medications or reduce the dose.

While there are not any drugs that have been approved specifically for the treatment of delayed ejaculation, medications that are used to treat other underlying conditions may help to treat delayed ejaculation.  Speak to your doctor.  

Psychological Counseling

Psychological counseling may help to address any underlying mental health issues that lead to delayed ejaculation, such as anxiety or depression. It can also be used to address psychological issues that directly affect your ability to ejaculate.

Counseling may involve seeing a mental health counselor, such as a psychologist or a psychiatrist. You may be encouraged to bring your partner to these sessions.   

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Contact Us

If you are experiencing any of the symptoms of delayed ejaculation and are looking for answers, contact our Brooklyn, New York office today. We would be happy to answer any questions that you may have. Dr. Lazare is a board-certified urologist and skilled surgeon that takes the time to create a custom treatment plan just for you.