Delayed Ejaculation
This can be a huge issue for those guys that suffer with this. It leads to psychological issues and even breakdown of relationships. Treatment for delayed ejaculation depends on its cause and may involve a combination of approaches like adjusting medications, counseling and other therapies. Options include psychological therapy, adjusting or switching medications (such as SSRIs), and addressing lifestyle factors like alcohol or drug use. Some men may also benefit from physical therapies or specific drugs like testosterone replacement, bupropion, or cabergoline, depending on the underlying cause and a doctor’s recommendation.
Delayed ejaculation affects an estimated 1% to 4% of sexually active men, though a recent study suggests the prevalence may be higher, possibly between 5% and 10%.
Diagnosis:
Some studies use a specific timeframe to define delayed ejaculation, such as a man taking 30 minutes or longer to ejaculate, which may lead to higher reported numbers.
Medical and pharmaceutical treatments
- Medication adjustment: If a medication like an SSRI is the cause, a doctor may recommend switching to a different antidepressant or adjusting the dose.
- Testosterone replacement: If low testosterone is a contributing factor, testosterone replacement therapy can be used.
- Other drugs: Other medications that may be used include bupropion, cabergoline, yohimbine, and cyproheptadine, which may be prescribed to counteract the effects of other drugs or address the issue directly.
- Topical anesthetics: Products containing lignocaine or prilocaine can be applied to the penis to reduce sensation and delay ejaculation.
Psychological and behavioral treatments
- Psychotherapy: Counseling with a psychologist, psychotherapist, or sex therapist can help address psychological issues like anxiety, stress, or relationship problems that may contribute to delayed ejaculation.
- Couples counseling: If the issue affects the couple’s dynamic, counseling together can be very beneficial.
- Behavioral techniques: A therapist may suggest techniques like using sexual aids, exploring erotic fantasies, or trying different sexual positions and techniques to increase stimulation.
Lifestyle and other considerations
- Reduce or eliminate alcohol and drugs: Limiting or stopping the use of alcohol and non-prescription drugs can help resolve delayed ejaculation if they are a contributing factor.
- Manage underlying medical conditions: Treating any underlying medical issues, such as neurological problems, can also help.
- Penile vibratory stimulation (PVS): This may be an option for men with decreased penile sensitivity.
When to see your GP
- It is best to consult a healthcare professional to determine the cause and appropriate treatment.
- See a doctor if delayed ejaculation is an ongoing issue, if you have other health problems, or if you take medications that could be the cause.
- Do not stop taking any prescribed medication without first speaking to your doctor.
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