Increasing age can decrease the sensitivity of the penis to sexual stimulation. Anyone who has concerns about sexual function speaks with a doctor so that the right course of action can be taken. Some medications may help improve the symptoms of delayed ejaculation, but none have yet been specifically approved to treat it. Psychologists recognize that there is no single intervention that works for all patients and that the key to successful treatment is to identify the source of the problem and to use appropriate, targeted therapy to deal with the psychological factors that trigger or contribute to the problem. Treatment for delayed ejaculation depends on the cause. Some men with the condition needed to employ an "idiosyncratic" form of self-manipulation to reach orgasm, such as rubbing the penis against the bed sheets, masturbating with pressure on a particular spot when reading erotic books, and even masturbating by "urethral instrumentation" - inserting a foreign body down into the opening of the penis. They often require the help of professional counselors such as psychologists, psychotherapists, psychosexual counselors, sex therapists, or couple's therapists.
If there are other medical conditions, managing the primary condition, such as a neurological problem, may help resolve the delayed ejaculation. Delayed ejaculation affects around 1 to 4 percent of men. Nerve damage, including stroke , spinal cord injury, surgery, multiple sclerosis , and severe diabetes , can lead to abnormal ejaculatory function. They will then rule out other potential medical problems, such as infections, hormonal imbalance, and so on. Delayed ejaculation may be an adverse effect of antidepressants , especially selective serotonin reuptake inhibitors SSRIs , anti-anxiety drugs, blood pressure medication, painkillers, and other medications. Michael Perelman, clinical professor of psychiatry, reproductive medicine and urology at the Weill Medical College of Cornell University, New York, observed that most men he had seen with delayed ejaculation reported no problems reaching an orgasm and ejaculating via masturbation. It can trigger anxiety about general health, low libido, and sexual dissatisfaction. The causes can be physical or psychological. Causes "Does he really desire me? Fast facts on delayed ejaculation Here are some key points about delayed ejaculation. Cyproheptadine Periactin , an allergy medication Amantadine Symmetrel , a drug used to treat Parkinson's Buspirone Buspar , an anti-anxiety medication Outlook Successful treatment depends on the cause of the delayed ejaculation and the type of treatment. Men with a persistent problem of delayed ejaculation are likely to be distressed by it. Delayed ejaculation is a form of sexual dysfunction affecting a man's ability to reach an orgasm. No pharmacological therapies are available for psychological causes of delayed ejaculation. It can result in distress for both the man and his partner. Most causes are psychological, but organic reasons are also possible and are ruled out first during diagnosis. For example, it is more likely that delayed ejaculation has a psychological basis if a man is able to ejaculate normally when masturbating, but experiences a delay during sex with a partner. Drugs with some reported benefits include: LINK Find out more about premature ejaculation: Some medications may help improve the symptoms of delayed ejaculation, but none have yet been specifically approved to treat it. It can be a lifelong condition, where a man has always had difficulty reaching an orgasm, but more commonly, delayed ejaculation occurs after a period of normal function. One specialist in delayed ejaculation found a relationship between the condition and the following masturbatory patterns: Outlook Delayed ejaculation refers to a difficulty or inability of a man to reach an orgasm and to ejaculate semen. Primary cases of delayed ejaculation may not be straightforward to treat. If excessive alcohol or non-prescription drug use are factors, reducing or eliminating these may help. Alcohol or the use of certain recreational drugs can have an impact.
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