Delayed ejaculation can result from certain chronic health conditions, surgeries and medications. Or it may be caused by substance abuse or a mental health concern, such as depression, anxiety or stress. In many cases, delayed ejaculation is due to a combination of physical and psychological concerns.

Physical causes of delayed ejaculation include:

  • Certain birth defects affecting the male reproductive system
  • Injury to the pelvic nerves that control orgasm
  • Certain infections
  • Prostate surgery, such as transurethral resection of the prostate (TURP) or prostate removal
  • Heart disease
  • Prostate infection or urinary tract infection
  • Neurological diseases, such as diabetic neuropathy, stroke or nerve damage to the spinal cord
  • Hormone-related conditions, such as low thyroid hormone (hypothyroidism) or low testosterone

Psychological causes of delayed ejaculation include:

  • Depression, anxiety or other mental health conditions
  • Relationship problems due to stress, poor communication or other concerns
  • Anxiety about performance
  • Cultural or religious taboos
  • Differences between the reality of sex with a partner and sexual fantasies

Medications and other substances that can cause delayed ejaculation include:

  • Most types of antidepressants
  • Certain high blood pressure medications
  • Certain diuretics
  • Some antipsychotic medications
  • Alcohol — particularly drinking too much (alcohol abuse or alcoholism)

For some men, a minor physical problem that causes a delay in ejaculation may cause anxiety about ejaculating during a sexual encounter. The resulting anxiety can worsen delayed ejaculation.

May. 24, 2012

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