delayed ejaculation

Ejaculation Problems

Ejaculation problems are common sexual problems in men.

The 3 main types of ejacualtion problems are:

  • premature ejaculation

  • delayed ejaculation

  • retrograde ejaculation

If you have a persistent problem with ejaculation, visit your GP, who will discuss the problem with you and may examine you or refer you to a specialist.

Delayed Ejaculation


Delayed ejaculation (male orgasmic disorder) is classed as either:

  • experiencing a significant delay before ejaculation

  • being unable to ejaculate at all, even though the man wants to and his erection is normal

You may have delayed ejaculation if:

  • you experience a repeated and unwanted delay before ejaculation lasting for 30 to 60 minutes

  • you're unable to ejaculate at least half the times you have sex

Causes of Delayed Ejaculation

Like premature ejaculation, delayed ejaculation can be caused by psychological and physical factors.

Possible psychological causes of delayed ejaculation are similar to those of premature ejaculation – for example, early sexual trauma, strict upbringing, relationship problems, stress or depression.

Physical causes of delayed ejaculation include:

  • diabetes (usually only type 1 diabetes)

  • spinal cord injuries

  • multiple sclerosis

  • surgery to the bladder or prostate gland

  • increasing age

Many medicines are known to cause delayed ejaculation, including:

  • antidepressants, particularly selective serotonin reuptake inhibitors (SSRIs)

  • medicines to treat high blood pressure, such as beta-blockers

  • antipsychotics, used to treat episodes of psychosis

  • muscle relaxants such as baclofen, which is widely used to treat motor neurone disease and multiple sclerosis

  • powerful painkillers, such as methadone (which is also widely used to treat people addicted to heroin)

Delayed ejaculation can suddenly start to happen after previously having no problems, or (less commonly) the man may have always experienced it.

It can occur in all sexual situations, or only in certain situations. For example, you may be able to ejaculate normally when masturbating, but not during sex. When ejaculation only occurs in certain situations, there's usually a psychological cause.

Alcohol and drugs

Alcohol misuse and drug use can be separate underlying causes of delayed ejaculation, so addressing these problems may help.

Read more about getting help with alcohol misuse and drug use.

Treating Delayed Ejaculation

Natural Supplements that can increase sexual desire and increase blood flow to the male reproductive organs may help with those suffering from delayed ejaculation. Maca helps balance hormones and increases sexual desire, L-Arginine and 

Co Enzyme 10 help improve the cardiovascular system increasing blood circulation to the reproductive organs.

To treat Delayed Ejaculation try our Male Fertility Cleanse here.

Sex therapy

Sex therapy is a form of counselling that uses a combination of psychotherapy and structured changes in your sex life. This can help to increase your feeling of enjoyment during sex, and help make ejaculation easier.

Some clinical commissioning groups (CCGs) provide a sex therapy service on the NHS. Availability can vary widely depending on where you live.

You can also pay privately. Prices per session are around £50 to £80. The College of Sexual and Relationship Therapists website provides information about private sex therapists and how to find a therapist in your local area.

The relationship counselling service Relate also offers sex therapy at a number of its centres. You'll need to pay for each session. 

During sex therapy, you'll have the opportunity to discuss any emotional or psychological issues related to your sexuality and relationship, in a non-judgemental way.

Activities may also be recommended for you to try at home while you're having sex with your Wife (you should never be asked to take part in any sexual activities during a session with the therapist).

These may include:

  • erotic fantasies and "sex games" to make your lovemaking more exciting

  • using lubricating creams, or jellies, to make the physical act of sex more comfortable and relaxing

  • using sexual aids, such as vibrators, to increase pleasure

Read more information about what a sex therapist can do.

Involve Your Wife

If you're having problems with your sex life and are seeking treatment, it is usually recommended you involve your Wife as much as possible.

Communicating your concerns can often go a long way to helping to resolve them. And, in some cases, your wife may also have their own problems that are contributing towards problems with your sex life.

For example, some women are unable to reach climax during penetrative intercourse and require manual or oral stimulation. They may experience pain upon penetration or penetration is not possible due to a treatable condition known as Vaginismus. 

Trying to Conceive?

Contact your GP to be referred to a fertility specialist.

If you are able to ejaculate and produce sperm then several options are available such as:

Self Insemination- at home self insemination (ICI intracervical insemination)

IUI - Intra uterine insemination

ICSI - Intracytoplasmic sperm injection

IVF - In vitro fertilisation

Read more about these options Here


Improve Sperm Quality

Increase Sperm Count

Increase Sperm Motility

Repair Oxidative Damage Due To Ageing

Protect Sperm From DNA Damage

Improves Male Reproductive Health