What Can Cause Delayed Ejaculation?

It’s important to remember that the average time it takes for ejaculation to occur upon stimulation varies between individuals, so there is no published baseline of “normal.” However, in the case of delayed ejaculation, most causes are psychological. But, the psychological causes vary, so there is no “normal” cause for this condition; there are many reasons why a man cannot ejaculate. 

Currently, there are no medications available for psychological causes of delayed ejaculation or lack of ejaculation, which is why sex therapy is a recommended treatment strategy. 

Sex therapy can help you understand the reasons and causes when sustained difficulty ejaculating occurs.

Therapy Can Help You Overcome Delayed Ejaculation

Delayed ejaculation may have a psychological cause if it only happens in specific situations. For example, it’s more likely delayed ejaculation has a psychological basis if a man is able to ejaculate normally when masturbating, but experiences a delay or anorgasmia (lack of orgasm) during sex with a partner.

Some psychological factors that may underlie delayed ejaculation include:

• Stress

• Unexpressed anger

• Difficulty with pleasure

• Religious or spiritual beliefs

• Issues of lost confidence or performance anxiety 

• Many other causes not listed

There are many causes of delayed ejaculation, and sex therapy is a way to treat this condition.

Sex therapists recognize there is no single intervention that works for all patients. They're also aware that the key to successful treatment will be to identify the source of the problem and to use appropriate, thoughtful, targeted therapy to deal with the psychological factors that trigger or contribute to the problem.