Sep 22, 2015
Everyone knows about premature ejaculation but less is written about delayed ejaculation or ejaculatory incompetence as it used to be known by. This is a distressing situation where a man cannot ejaculate through intercourse or sex with another but may have little problem when alone self pleasuring.
Here are some common causes for delayed ejaculation as I see it in my daily medical practice:
(1) History or prone or face down masturbation as an exclusive form of masturbation.
(2) The taking of any medicine or drug either prescribed or recreational. Chief suspects are antidepressants, sedatives, major psychotheraputics, codeine, cough bottles, Finasteride for hair loss, cannabis, cocaine, etc.
(3) A history of EVER having taken any of these things.
(4) Delayed ejaculation may also be situational in that a man may have it with one partner but not with another.
The management of delayed ejaculation will depend on first finding the cause.