Delayed Ejaculation
Delayed ejaculation means it takes much longer than expected to reach orgasm, or orgasm does not happen at all. This can relate to medication effects, mood, nerve problems, or hormone issues.
Symptoms
Difficulty reaching orgasm, frustration during sex, and partner distress.
Causes and risk
Antidepressants and other medications are a frequent cause. Mood disorders, nerve problems, low testosterone, and alcohol use can also contribute.
How it is evaluated
Evaluation reviews the medication list, mood, erections, medical history, and substance use.
Treatment
Treatment depends on the cause and may include medication adjustments, hormone evaluation, or counseling.
When to seek care
Seek care if this is new or worsening, especially after starting a new medication.