What is the treatment for delayed ejaculation?

March 26, 2024

There is a false belief that taking a long time to ejaculate improves sexual relations and increases pleasure, but the truth is that when the orgasm is too long it can become very frustrating, both for the man and his partner.

Delayed ejaculation often causes conflicts in the relationship, generating great dissatisfaction in sexual life. If you suffer from this problem, you are likely to feel lonely and misunderstood or even embarrassed to seek help. Let's see what they are The characteristics and treatment of delayed ejaculation .

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What is delayed ejaculation?

Delayed ejaculation is a male orgasmic disorder that is characterized by the disappearance or delay of orgasm, after the normal excitement stage in the sexual act has occurred.

It is estimated that between 2 and 6% of men suffer delayed ejaculation .

Maybe you're interested: "The 9 main sexual and psychosexual disorders"

Types

Depending on the grade, you may find yourself in one of the following cases:

You get to ejaculate but delays too much the moment , probably because you care more about ejaculating than enjoying sex.
You can not ejaculate during intercourse and postpone it at a later time. In fact, approximately 85% of men with delayed ejaculation they only reach orgasm through masturbation .
It does not ejaculate almost never or never, in which case it refers to the anejaculation.

Delayed ejaculation is also classified according to the time of its appearance:

Primary delayed ejaculation, when you have never been able to ejaculate during intercourse.
Delayed secondary ejaculation, when before you could ejaculate during intercourse but after a certain moment you started having problems reaching orgasm .

Symptoms: how to know if you have it

Some men with delayed ejaculation need 30 minutes or more of sexual stimulation to reach orgasm and ejaculate.

However, the key to diagnosing delayed ejaculation does not lie in time but in the level of anguish, frustration or sexual fatigue caused by that lack of control over ejaculation. Therefore, it is not simply that you take longer than usual to ejaculate but that delay causes your sexual life and that of your partner to be unsatisfactory .

Causes

The main causes of delayed ejaculation are the following.

Psychological

Delayed ejaculation usually has a large psychological component. Perhaps you have received an excessively puritanical, restrictive and / or sanctioning education regarding sexuality based on the belief that the sexual act is "bad". It could also be because you exaggerate yourself too much in the relationship , so that it is hard for you to relax and enjoy yourself since you are very aware of your performance or you are so concerned about satisfying your partner that you forget your own pleasure.

In other cases, the problem may come from the fear of intimacy, the fear of an unwanted pregnancy, difficulties in the couple's relationship or an unresolved sexual identity conflict. However, often at the base of delayed ejaculation inappropriate masturbatory habits are found, especially if you exert a lot of pressure doing very fast movements, so that soon you will find it difficult, if not impossible, to get sufficient stimulation only with penetration.

Organic and / or psychological diseases

Some neurological problems, such as those caused by cerebrovascular accidents, spinal cord injuries or neuropathies ; Diseases such as diabetes, problems in the urinary tract and disorders such as depression can cause delayed ejaculation. The consumption of alcohol and / or drugs can also cause this problem.

Medicines

The consumption of some medications, including antidepressants, anxiolytics and antihypertensives can delay the ejaculatory response. Some drugs for erectile dysfunction They can also cause delayed ejaculation.

Consequences

When the sexual relationship is prolonged too much, it can become uncomfortable. It is likely that both you and your partner suffer pain and irritation in the genital area due to excessive stimulation. These problems can cause you to lose interest in sexual activity because, instead of pleasure, you causes frustration, anxiety and fatigue .

If the problem continues over time and you do not talk about it, your partner may end up harboring a deep insecurity because he or she will think that it is not attractive enough or that it is not able to stimulate you correctly to satisfy your sexual needs, which will generate problems of self-esteem and self-confidence.

In cases, if you have difficulty ejaculating during the sexual act, you are also likely to have difficulty conceiving, which it becomes a source of important tension when both of you want to have a child .

In the long run, if delayed ejaculation is not treated, it usually generates conflicts that end up breaking the relationship. In fact, this type of problem usually causes an affective flattening in both members of the couple, so that they end up distancing themselves emotionally.

Treatment

In El Prado Psychologists look for the causes of the problem to eliminate it at the root. Through techniques such as clinical hypnosis, we can access the unconscious of the patient to discover the negative beliefs and attitudes about sexuality that you probably drag from adolescence or even before and that are feeding that problem.

With techniques like EMDR and EFT we can release the emotional information recorded in your brain linked to past negative experiences that currently continue to feed that vicious circle of anxiety, tension and insecurity that prevents you from fully enjoying your sexuality.

We also use behavioral techniques and resort to sex therapy exercises to help you rediscover intimacy. The goal of some of these exercises is to match the thoughts with the sensations, since one of the main problems in delayed ejaculation is that the frequency of negative thoughts about the need to ejaculate ends up neutralizing your erotic fantasies and stimulation.

That cycle is broken when you learn to be fully present and get rid of worries and anxiety about performance. For that also we will work with relaxation and mindfulness techniques .

If the delayed ejaculation has its origin in a problem of couple, we will work with both to strengthen your relationship, solve the latent conflicts and make you enjoy a more satisfying sex life for both.

Given that the approach to psychological intervention must occur through different facets of the problem, in our center we have an area specialized in sexology and couples therapy with sexologists experts and couples therapists that help patients to improve their sexual life.

So ... What is achieved with the treatment?