Some men with delayed ejaculation need 30 minutes or more of sexual stimulation to have an orgasm and ejaculate. Or, they may not be able to ejaculate at all (anejaculation).
But, there's no specific time that indicates a diagnosis of delayed ejaculation. Instead, a man is probably experiencing delayed ejaculation if the delay is causing him distress or frustration, or if he has to stop sexual activity due to fatigue, physical irritation, loss of erection or a request from his partner.
Often, a man might have difficulty reaching orgasm during sexual intercourse or other sexual activities with a partner. Some men can ejaculate only when masturbating.
Delayed orgasm is divided into the following types based on symptoms:
- Lifelong vs. acquired. With lifelong delayed ejaculation, the problem is present from the time a male reaches sexual maturity. Acquired delayed ejaculation occurs after a period of normal sexual functioning.
- Generalized vs. situational. Generalized delayed ejaculation isn't limited to certain sex partners or certain kinds of stimulation. Situational delayed ejaculation occurs only under certain circumstances.
These categories help in diagnosing an underlying cause, and determining what might be the most effective treatment.
When to see a doctor
Your primary care doctor is a good place to start when you have delayed ejaculation. See your doctor if:
April 17, 2015
- Delayed ejaculation is an issue for you or your partner
- You have another known health problem that may be linked to delayed ejaculation, or you take medications that could be causing the problem
- You have other symptoms along with delayed ejaculation that may or may not seem related
- Sexual dysfunctions. In: Diagnostic and Statistical Manual of Mental Disorders DSM-5. 5th ed. Arlington, Va.: American Psychiatric Association; 2013. http://www.psychiatryonline.org. Accessed March 19, 2015.
- McMahon CG. Management of ejaculatory dysfunction. Internal Medicine Journal. 2014;44:124.
- Ferri FF. Ejaculation and orgasm disorders. In: Ferri's Clinical Advisor 2015: 5 Books in 1. Philadelphia, Pa.: Mosby Elsevier; 2015. http://www.clinicalkey.com. Accessed March 18, 2015.
- Althof SE. Psychological interventions for delayed ejaculation/orgasm. International Journal of Impotence Research. 2012;24:131.
- Calabro RS. Pregabalin-induced severe delayed ejaculation. Epilepsy & Behavior. 2010;19:543.
- Nippoldt TB (expert opinion). Mayo Clinic, Rochester, Minn. March 28, 2015.