Delayed Ejaculation Clinic

What is Delayed Ejaculation?

Delayed ejaculation (DE) is a condition where it takes an extended period of sexual stimulation for men to reach sexual climax and ejaculate.

Some men with DE are unable to ejaculate at all.

Delayed ejaculation can be temporary or a lifelong problem.

Possible causes of DE include certain chronic health conditions, surgeries and medications, and treatment for it depends on the underlying cause.

It’s normal for men to have delayed ejaculation from time to time and it is only a problem if it’s ongoing or causes stress for you or your partner.

A physical exam and medical history are needed to be able to recommend treatment for delayed ejaculation, and a confidential consultation at Pollock Clinics is a good place to start.

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Delayed ejaculation is a potentially treatable condition and is not related to masculinity or sexual prowess.

Symptoms of Delayed Climax

Some men with delayed ejaculation need 30 minutes or more of sexual stimulation to have an orgasm and ejaculate. Some men can only ejaculate with manual or oral stimulation. Other men might not be able to ejaculate at all (anejaculation).

But, there’s no specific time that indicates a diagnosis of DE. Instead, you are probably experiencing it if the delay is causing distress or frustration, or if you have to stop sexual activity due to fatigue, physical irritation, loss of erection or a request from your partner.

Often, men might have difficulty reaching orgasm during sexual intercourse or other sexual activities with a partner. Some men can ejaculate only when masturbating.

Treatment is important because delayed ejaculation can cause:

  • Diminished sexual pleasure for you and your partner.
  • Stress or anxiety about sexual performance.
  • Marital or relationship problems due to an unsatisfactory sex life.
  • Inability to get your partner pregnant (male infertility).
Delayed ejaculation is divided into the following types based on symptoms:
Psychological factors that might play a role include:
  • Early sexual experiences.
  • Sexual abuse.
  • Poor body image.
  • Depression.
  • Worrying about premature ejaculation.
  • Guilty feelings that increase your tendency to rush through sexual encounters.
  • Relationship problems between you and your current partner.
  • Anxiety related to sexual performance or other issues.
A number of biological factors might contribute to premature ejaculation, including:
  • Frenulum Breve – a tight band of tissue connecting the glans (head of the penis) to the shaft of the penis on its underside. When the frenulum is tight or short this is called a frenulum breve.
  • Abnormal hormone levels.
  • Abnormal levels of brain chemicals called neurotransmitters.
  • Inflammation and infection of the prostate or urethra.
  • Inherited traits.
  • Erectile dysfunction.
These categories help in diagnosing an underlying cause and determining what might be the most effective treatment.

A better erection can help make the overall treatment for delayed ejaculation more effective.

Delayed Ejaculation Causes

DE can result from medications, certain chronic health conditions and surgeries. Or it might be caused by substance misuse or a mental health concern, such as depression, anxiety or stress. In many cases, it is due to a combination of physical and psychological concerns.
  • Some antidepressants.
  • Certain high blood pressure medications.
  • Certain diuretics.
  • Some antipsychotic medications.
  • Some anti-seizure medications.
  • Alcohol — particularly drinking too much (excessive alcohol use or alcoholism), especially if you’re a long-term heavy drinker.
  • Certain birth defects impacting the male reproductive system.
  • Injury to the pelvic nerves that control orgasm.
  • Certain infections, such as a urinary tract infection.
  • Prostate surgery, such as transurethral resection of the prostate or prostate removal.
  • Neurological diseases, such as diabetic neuropathy, stroke or nerve damage to the spinal cord.
  • Hormone-related conditions, including low testosterone level (hypogonadism).
  • Retrograde ejaculation, a condition in which the semen goes backward into the bladder rather than out of the penis.
  • Older age — as men age, it’s normal for ejaculation to take longer.
  • Medical conditions, such as diabetes or multiple sclerosis.
  • Depression, anxiety or other mental health conditions.
  • Relationship problems due to stress, poor communication with your partner or other concerns.
  • Anxiety about performance.
  • Poor body image.
  • Cultural or religious taboos.
  • Differences between the reality of sex with a partner and sexual fantasies.

Delayed Ejaculation Treatments in Vancouver

DE treatment options at Pollock Clinics include:

Additional Therapies

If you’re taking medication that might be causing delayed ejaculation, reducing the dose of a medication or switching medications might fix the problem. Sometimes, adding medication might help. There aren’t any drugs that have been specifically approved for the treatment of delayed ejaculation.
Penile vacuum therapy and penile traction techniques may provide some benefit to treatment. We may employ the Restorex Traction Device and/or a vacuum erection device (VED).