Our expert says:
Delayed ejaculation in men or difficulties involving ejaculation are common and take many different forms. When ejaculation is problematic, not happening, or only occurring after much effort and time has taken place, it is called delayed ejaculation. Lack of or difficult ejaculation/orgasm may be a medical or psychological issue. Medical causes may include diabetes, nerve damage, vascular disease, hormonal factors, alcohol and/or other drug use, and side effects of certain medications (e.g., antidepressants) or surgical procedures (e.g., prostate or bladder surgery). Psychological causes may include mood disorders, stress, anxiety, guilt, anger, relationship difficulties, and past traumatic events.
A health care provider or urologist can evaluate him for medical causes and suggest appropriate treatment, if necessary. If there is no medical cause, then seeing a sex therapist is your next step. To find a sex therapist, call th SA sexual health Association on 0860 100 262
Dr Elna McIntosh
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