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Delayed Ejaculation

A man can be sufficiently aroused, have a vigorous enough erection but finds it difficult to ejaculate in a timely manner. In other words, he finds it’s taking him longer than he would like to ejaculate.

Delayed ejaculation (DE) is also called “impaired ejaculation,” this condition occurs when it takes a prolonged period of sexual stimulation for a man to ejaculate.

In some cases, ejaculation cannot be achieved at all. Most men experience DE from time to time, but for others it may be a lifelong problem.

While this condition does not pose any serious medical risks, it can be a source of stress and may create problems in your sex life and personal relationships. However, treatments are available.

A man may be adequately aroused and have a strong enough erection, but ejaculating in a timely manner is difficult for him. To put it another way, ejaculating is taking him longer than he would like.

Up to 4% of men experience delayed ejaculation.

Primary and secondary delayed ejaculation are the two forms of delayed ejaculation. Primary delayed ejaculation occurs when a man has had delayed ejaculation for as long as he can recall, dating back to when he first began sexual activity. Secondary delayed ejaculation affects men who previously had no problems with intercourse yet developed a problem with delayed ejaculation along the way.

Sometimes it may be circumstantial. Meaning it only happens in a particular situation, such as with specific sex partners or during sexual intercourse with a partner but not during masturbation.

What causes it?

It's important to realise that physical and psychological factors may contribute to delayed ejaculation. There could also be more than one contributing factor.

Physical factors include:

  • Adverse effect of medication such as antidepressants

  • Alcohol and illicit drug usage

  • Nerve injury

  • Injury to pelvic area

  • Hormonal deficiencies such as diminished testosterone level

Psychological factors also can contribute such as:

  • Mood disorders

  • Relationship difficulties

  • Performance anxiety

  • Inherent beliefs about sex – cultural or religious taboos

Don’t Keep Your Ejaculation Problems To Yourself

If you’re struggling with ejaculation issues, don’t keep it to yourself and don’t continue to engage in intercourse that distresses you. Talk to us together with your partner so that the issue can be identified and addressed early.


The journey to recovery begins with undergoing Delayed Ejaculation Treatment and treating the underlying cause, which may include assessment of:

Medication History


Masturbation Habits

Hormonal Imbalance

Delayed Ejaculation Treatment

Delayed Ejaculation Treatment will depend on the underlying cause. Of course, this entails addressing the underlying issue. This may include modifying masturbation behaviors, involving a partner in sex therapy to assess sex beliefs and determine if the threshold of stimulation can be met, a review of all medications taken, whether prescription or over-the-counter, and possibly testosterone replacement if required.


If you’ve had lifelong problems or you’ve never ejaculated, a doctor can determine if you have a structural birth defect. Your physician can determine if a medication is the cause. If so, adjustments will be made to your medication regimen and your symptoms will be monitored.

Some treatments have been used to help DE, these includes :​​

Shockwave therapy
P shots
  • Cyproheptadine (Periactin), which is an allergy medication

  • Amantadine (Symmetrel), which is a drug used to treat Parkinson’s disease

  • Buspirone (Buspar), which is an antianxiety medication

stem cell
  • How many sessions will I need?
    Different individuals will need a different number of sessions. Individuals with more severe ED may require more sessions. We typically go by 6 sessions or 12 sessions as followed by protocol. You may opt for twice or three times of ESWT sessions per week.
  • How often should you repeat ESWT?
    It is advisable to repeat the ESWT 1-3times per year as maintenance.
  • Are there any side effects from this therapy?
    There is literally NO side effects from ESWT, further proving to be a effective and safe choice of therapy for ED.
  • What should I prepare prior to ESWT?
    Patients need not worry about any prior preperation for ESWT! No prior fasting required, only to be present for the doctor to perform the therapy on.
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