Delayed Orgasm - Causes, Risk Factors and Solutions

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    Oct 31, 2013
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Delayed Orgasm - Causes, Risk Factors and Solutions Photo by John Dugan

Delayed orgasm, or delayed ejaculation, occurs when a man is unable to ejaculate after 30 minutes or more of sexual stimulation or is unable to reach orgasm at all. While less common than premature ejaculation, this problem affects a large number of individuals. Men of all ages can experience delayed orgasm, either on an occasional basis or as a lifelong issue. Fortunately, there are solutions that can help men to overcome this issue and improve the overall state of their sexual health.

What causes delayed orgasm?

Difficulty reaching orgasm can be related to a number of factors, ranging from physiological conditions to mental health issues to medications. The most prominent causes of delayed emission include the following:

1. Congenital defects related to the male reproductive system;

2. Injury to the pelvic or spinal nerves;

3. Infections, include prostate and urethral infection;

4. Prostate surgery or prostate removal;

5. Systemic disease such as diabetes or multiple sclerosis;

6. Hormone issues such as low thyroid hormone (hypothyroidism) or low testosterone;

7. Stress, anxiety and/or depression;

8. Cultural or religious factors that cause feelings of intense guilt related to sex;

9. Relationship issues;

10. Lack of attraction to a partner;

11. Antidepressant medications;

12. Some antipsychotic medications;

13. Blood pressure medications;

14. Diuretic medications;

15. Alcohol, especially excessive drinking and alcoholism.

Some risk factors…

Men with certain conditions may be at greater risk for impaired orgasm. These may include:

  • Pelvic or spinal injury;
  • Psychological conditions;
  • Tension in a relationship;
  • Use of certain medications;
  • Use of alcohol or certain recreational substances.

Solutions for impaired ejaculation

Addressing delayed orgasm is dependent on the underlying cause, so consulting with a specialist is generally necessary. A full physical exam may be conducted, and men who are experiencing delayed orgasm should be sure to tell their doctor about any other symptoms, as well, even if they seem unrelated. A doctor will also ask questions about a man’s psychological and emotional health, including issues like work-related stress, the possibility of mood disorders such as depression and anxiety, and relationship problems.

Once a possible cause or causes have been identified, a number of treatment options may be suggested, including:

  • Medications - while there are no specific medications used to treat delayed orgasm directly, certain antianxiety medications, or medications which counter the ejaculatory inhibiting effects of antidepressants.
  • Psychological counseling, either on an individual basis or with a partner, to address issues such as mood disorders or relationship problems.
  • Treatment and counseling to address issues with alcohol and other substance abuse.

Caring for the penis for better sexual health

All else aside, a penis that is not up to par is unlikely to provide a thoroughly sensual experience, so attention to penis health is requisite for men who are looking to up their game in terms of reaching orgasm. A healthy penis is one that has an ample supply of blood, healthy nerve and circulatory tissue, and supple, well-moisturized skin. To achieve this level of good health, men should maintain a healthy diet, get plenty of heart-healthy exercise, and avoid all use of tobacco products, especially smoking. Use of alcohol should be limited - no more than 2 drinks per day are recommended.

For those individuals whose penile sensitivity is not up to par, a vitamin-packed penis health crème (health professionals recommend Man 1 Man Oil) that is enriched with natural emollients and moisturizers can be highly beneficial in restoring sensation lost due to rough handling, dry skin and even, in some cases, diabetic neuropathy. Applied to the skin after a shower or warm bath, a quality penis cream can provide vital support for man’s most valued possession.

Author's Profile

Visit for more information about treating common penis health problems, including soreness, redness and loss of penis sensation. John Dugan is a professional writer who specializes in men's health issues and is an ongoing contributing writer to numerous online web sites.

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