Some men find that they can only ejaculate (come) after long periods of stimulation, even though they have the normal desire and a normal erection. This may or may not cause problems or embarrassment.

Delayed ejaculation causes

Many medicines cause delayed ejaculation, including antidepressants, steroids, and some medicines for high blood pressure and heart disease. Alcohol also causes delayed ejaculation for many men.

There can be physical reasons for delayed ejaculation, such as surgery to the area, problems with nerves, some hormonal conditions and more.

And there can also be psychological reasons, such as anxiety, depression and relationship issues.

Delayed ejaculation treatments

If medicines are causing delayed ejaculation, you should discuss with your doctor whether or not there are alternatives, and whether or not the delay matters to you and your partner.

If there is a physical cause, there may be a treatment that can help.

If there are psychological causes, then the best approach is to talk to your partner and to seek counselling and therapy.

You should not be embarrassed or shy about your ejaculation problems. Talking to your partner or a health professional about your concerns can often help to reassure you. Your doctor will also be able to provide more advice about your concern and if necessary refer you to a specialist.