Delayed ejaculation

Diagnosis

The following procedures will assist in diagnosing delayed ejaculation.

• Physical examination: The healthcare provider will inquire about the patient’s medical background, sexual habits, and ejaculatory routines. In–depth examinations of the penis and testicles may also be part of them. To ensure that the patient’s genital sensation is normal, the healthcare provider will gently touch them. 
• Blood tests: A blood sample may be taken by a healthcare provider and sent to a lab to be examined for indications of cardiovascular disease, diabetes, low testosterone levels, and other health issues.
• Urine tests (urinalysis): Infection, diabetes, and other underlying medical issues can all be detected with urine tests.

Treatment

Healthcare providers may suggest a range of treatments, which could be contingent on the root cause. These treatment options may encompass prescribing medication or adjusting existing medications if they are contributing to the condition, engaging in psychological counseling with a counselor or sex therapist, or implementing lifestyle modifications such as reducing alcohol consumption or refraining from illegal drug use.

Medications: If a person is taking medicine that might be causing delayed ejaculation, lowering the dose or switching medications may help. It may occasionally be beneficial to add or combine a medication.

No medicines have been approved especially for the treatment of delayed ejaculation. The medications used to treat delayed ejaculation are typically prescribed to treat other disorders.

The following medications may be utilized to treat delayed ejaculation:

• • Testosterone: Hormonal medication
  • Cyproheptadine: Antihistamine/allergy medication
  • Amantadine: Treatment for Parkinson’s disease
  • Buspirone: Treatment for anxiety
  • Oxytocin: Hormone created by the body during an orgasm, and used in labor to strengthen uterine muscle so it can contract.

However, keep in mind that these medications aren’t especially made to treat delayed ejaculation. They could be helpful or not.

• Psychological counseling (psychotherapy): When treating the underlying mental health issues that are causing delayed ejaculation, such as depression or anxiety, psychotherapy might be beneficial. Additionally, it is utilized to treat psychological problems that directly impact the capacity to ejaculate.

Counseling may entail visiting a psychologist or mental health counselor on their own or with a partner. It may be best for them to contact a sex therapist, a mental health counselor who specializes in talk therapy for sexual disorders, depending on the underlying cause. Depending on the patient’s specific concerns, the optimal counseling approach will vary.

• Home therapy: The patient may be familiar with Kegel exercises, often known as pelvic floor exercises. By beginning to urinate, stopping, and then resuming, they can locate the muscles to work out. These kinds of exercises can be performed anywhere and in any position after they have located these muscles. Possessing a more powerful pelvic floor and better control over these muscles may be beneficial to them.

Ongoing research continues to investigate conditions like delayed ejaculation or the inability to ejaculate. Clear guidelines regarding the duration that defines an excessive delay in ejaculation, its treatment, or its causes are not yet firmly established. The challenges arise when these issues adversely affect both the individual and their partner. While some may perceive extended sexual activity without ejaculation positively, it often leads to heightened stress and the potential for physical problems for everyone involved. To address these concerns comprehensively, individuals must engage in open discussions with both their partner and their healthcare provider.