Treatments and drugsBy Mayo Clinic Staff
Delayed ejaculation treatment depends on the underlying cause, but may include taking a medication or making changes to medications you currently take, undergoing psychological counseling, or addressing alcohol abuse or illegal drug use.
If you're taking medication that may be causing delayed ejaculation, reducing the dose of a medication or switching medications may fix the problem. Sometimes, adding a medication may help.
There aren't any drugs that have been specifically approved for the treatment of delayed ejaculation. Medications used to treat delayed ejaculation are used primarily to treat other conditions.
Medications sometimes used to treat delayed ejaculation include:
- Amantadine (Parkinson's)
- Buspirone (antianxiety)
- Cyproheptadine (allergy)
Psychological counseling (psychotherapy)
Psychotherapy can help by addressing underlying mental health problems leading to delayed ejaculation, such as depression or anxiety. It's also used to address psychological issues that directly affect your ability to ejaculate.
Counseling may involve seeing a psychologist or mental health counselor on your own, or along with your partner. Depending on the underlying cause, you may benefit most from seeing a sex therapist — a mental health counselor who specializes in talk therapy for sexual problems. The type of counseling that's best for you will depend on your particular concerns.
April 17, 2015
- 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.