The Opposite of Premature Ejaculation: Delayed Ejaculation (from The Ultimate Guide To Male Enhancement)

The following is a chapter taken from the book: The Ultimate Guide To Male Enhancement.

Our Takeaways:

· Delayed Ejaculation (DE) can be caused by a number of factors

· Poor masturbation habits in conjunction with pornography use appears to be a chief contributing factor to DE

· There are methods for mitigating and even reversing DE- to include exercises

Another less common, less understood but still notable issue is delayed (or impaired) ejaculation. This is a problem on the opposite end of the sexual spectrum from premature ejaculation. Delayed ejaculation is when an inordinate amount of intense stimulation and/or time is required to ejaculate. An extreme version of this problem can manifest itself in a condition known as anorgasmia- or the inability to orgasm. The clinical definition of delayed ejaculation is when you suffer from this condition for six months or greater.

Causes of Delayed Ejaculation

The most common cause of delayed ejaculation among younger men is due to poor masturbation habits. As men age, delayed ejaculation becomes more common. For men over the age of 50, the chance of experiencing delayed
ejaculation increases significantly, even without negative masturbatory conditioning.

A high frequency of ejaculations can also lead to temporary delayed ejaculations, as well as exhaustion and lowered libido. This becomes more notable as men age, as it’s common for the refractory period to lengthen. The remedy for delayed ejaculation caused by ejaculating too frequently is simply to avoid ejaculating for a few days to ensure full recovery.

The causes of age-related delayed ejaculation may be related to lowered androgen levels, though some men with
normal levels of androgens still appear to suffer these effects. If this is the case, specific treatments, as prescribed by a medical professional, or supplementation may be of assistance with this.

Certain medications can induce delayed ejaculation. Most notable among these are anti-anxiety medications, selective serotonin reuptake inhibitors (SSRIs), painkillers, and blood pressure medications. If your delayed ejaculation is caused by medication, please consult with your doctor to see if a change in dosage or medication is possible.

Lifestyle choices can also result in delayed ejaculation. Alcohol can cause a dulling of sensation, which can lead to temporary delayed ejaculation. Drinking daily can result in a chronic case of delayed ejaculation as well as lower your libido. The easiest way to correct this problem is to stop drinking completely. Even one beer can negatively affect your ability to orgasm. Getting daily exercise and eating a healthy diet can also help improve your orgasm responsiveness, as your body will feel better and your cardiac health will improve.

Low testosterone levels and libido may also case delayed ejaculation. This is often accompanied by erectile
dysfunction. To determine if your testosterone levels are abnormally low, your doctor can perform a simple blood test.

How to Combat Delayed Ejaculation

Viagra has been prescribed with good success for the treatment of delayed ejaculation. Some prescription medications may also improve the effect as well, notably those for Parkinson’s and certain anti-allergy drugs. Speak with your doctor about these options, to see if any of them are right for you.

The herb piper auritum kunth (hoja santa) has been promoted as an aphrodisiac in traditional medicine, but it has also been shown to be an effective agent at improving sensory thresholds. It’s also shown to be effective in improving electromyographic activity of pelvic floor. Ensuring you are getting necessary levels of zinc in your diet can go a long way toward minimizing sexual dysfunctions and ensuring optimal genitourinary health and function.

If your delayed ejaculation is due to poor masturbation habits and the desensitization of your penis, a great exercise to alleviate delayed ejaculation and to reset your sensory threshold is the “Reverse” Stop and Starts movement. The Reverse Stop and Starts is very simple to perform.

How to Perform the Reverse Stop and Start

Using an extremely light grip, attempt to ejaculate as quickly as possible.

Time yourself on this, and attempt to bring yourself to the 10-minute mark. From here, you should have reset your sensory threshold and can revert to the standard Stop and Starts for training. It won’t take many of these sessions to reset your sensory threshold!

The Emotional Component of Delayed Ejaculation

As with all stamina and other male enhancement exercises, it’s important to cultivate an emotional backdrop of confidence and a feeling of being unencumbered. Some cases of delayed ejaculation may have an emotional
component to it. In cases like these, repeated use of emotional visualizations during training can be effective at improving the timing of your ejaculations.

Stress and anxiety are huge factors in emotional delayed ejaculation. Worrying about other aspects of your life can result in a difficulty in orgasming. This then increases stress and anxiety while having sex, which exponentially can compound the problem and even lead to other sexual dysfunctions, like erectile dysfunction.
Speaking to a mental health professional can help if there’s an emotional component to your delayed ejaculation. They can help you address the underlying issues affecting you. They can also give you cognitive behavior exercises.

Communication is the Key When Dealing with Delayed Ejaculation

It’s important to note open communication with your partner when contending with any type of sexual dysfunction or less than satisfactory performance is vital. Communication and understanding can go a very long way in helping to resolve many of these issues, as emotional stress can often make them worse.

Delayed ejaculation can be just as devastating to a relationship as any other sexual dysfunction. For the man, it can be an ego crusher, when he can’t orgasm. It can also be physically frustrating and tiring. This often results in a reduced libido.

For their partner, it can also be equally ego-crushing. Your partner may worry they are doing something wrong. They may worry you’re no longer physically attracted to them. Perhaps the most destructive worry is the concern you’re being unfaithful. Be 100% up front with your partner about what’s going on, no matter how embarrassing and uncomfortable it may be. Reassure your partner the problem isn’t with them, and continue this reassurance, while you work on your delayed ejaculation.

Vaginal Laxity as a Contributor to Delayed Ejaculation

Communication becomes really important in cases where you may not have negative conditioning or even any
functional problems with ejaculation but are still experiencing delayed orgasm due to vaginal looseness in their sexual partner. The Kegel exercise is recommended for toning the vaginal walls and can also improve the intensity of orgasms for women. In extreme cases, surgery may be required or preferred to Kegels as a solution for vaginal laxity.

Broaching this sensitive subject can be difficult and requires great tact. One effective way of introducing the Kegel to women in cases of vaginal looseness is for the man to suggest vaginal contractions to his partner during penis-in- vagina (PIV) sexual contact. Repeated sessions of this type of activity should lead to increased tone and vaginal response in just a few weeks.

Another version of conditional delayed ejaculation is when your sexual partner can’t withstand long bouts of sexual activity due to health-related issues. As with the above, communication and alternate arrangements during sexual activity can go a long way toward creating better sexual harmony.

 

The Ultimate Guide to Male Enhancement

Speaking up about orgasms

Speaking up about orgasms

Men often don’t talk about delayed or absent orgasm. Still, these issues can have a profound impact on their sex life.

This article is a repost which originally appeared on Harvard Men’s Health Watch

Edited for content

Published: October, 2020

Erectile dysfunction continues to be the main sex-related issue among older men. Yet, two other problems also can arise with age: anorgasmia, the inability to achieve an orgasm during sex, and delayed orgasm, in which it takes longer than usual to reach orgasm and ejaculate despite proper stimulation. Men can experience either one or both.

While these conditions can cause stress for both men and their sexual partners, they don’t have to hinder a healthy, active sex life.

“Orgasms are pleasing and satisfying, but you often can achieve sexual satisfaction without one,” says urologist Dr. Michael O’Leary, director of Men’s Health at Harvard-affiliated Brigham and Women’s Hospital. “With the right approach, these conditions can have little, if any, impact on whether you can enjoy intimacy.”

Two similar conditions

With anorgasmia, you can get an erection and enjoy stimulation from intercourse even though you can’t reach orgasm. Research has defined delayed orgasm as taking longer than 30 minutes to achieve orgasm and ejaculate, although the time can vary per person. Some men with delayed orgasm can experience the sensation of orgasm but don’t ejaculate.

It’s not known how common these conditions are, as men are often reluctant to discuss them with their doctor or partner. Nor is it clear why they become more frequent with age.

However, a report in the November 2015 issue of Fertility and Sterility pointed to a combination of possible factors, like changes in penis sensitivity, lower testosterone levels, medication side effects, and lack of exercise.

The conditions also can occur when a man enters a new relationship. For instance, a man may feel under stress about pleasing his new partner. If he has not been sexually active for a while, he may struggle with performance anxiety. Men also may feel pressured to climax within a specific time frame, which can exacerbate the problem.

Treatment and options

Before rushing to your doctor for help with either of these conditions, Dr. O’Leary suggests that you first look at the larger picture of how it affects your overall sex life.

“It’s normal to want to maintain the sexual vigor of your youth, but men have to realize that their body changes with age. Sometimes, that means your sex life, too,” he says. “Even if you don’t always have an orgasm, you and your partner can still experience pleasure from the intimacy that accompanies any sexual encounter.”

Still, if an orgasm problem affects your sex life, certain strategies could help. The following are some options to discuss with your doctor.

Sexual therapy. Therapy with a sexual health expert can address the issues that may be causing orgasm trouble, especially if it’s related to a new relationship or some other psychological issue. “Many times, it’s not a physical problem, but the connection between the brain and body,” says Dr. O’Leary.

Testosterone. Since both anorgasmia and delayed orgasm can be related to low testosterone levels, a simple blood test can determine if you might benefit from supplementation.

Medication. There are no FDA-approved drugs to treat anorgasmia or delayed orgasm. Even so, one drug, called cabergoline (Dostinex), has received attention. Orgasm is associated with a surge in prolactin, a hormone made in the brain’s pituitary gland. If blood prolactin levels are always high, there is no surge. Cabergoline lowers levels to allow the surge normally experienced with orgasm.

A study in the March 2016 issue of Sexual Medicine found that men’s orgasm problems improved after they took 0.5 milligrams of cabergoline twice a week for about 10 months. About half of the group said their orgasms returned to normal. The drug tends to be well tolerated and it’s presumed safe, although its long-term effects are unknown. Consult with your doctor about whether this could be an option.

Some antidepressants, especially selective serotonin reuptake inhibitors like fluoxetine (Prozac) and sertraline (Zoloft), may cause anorgasmia or delayed orgasm. In fact, doctors will sometimes prescribe these drugs for men with the opposite problem, premature ejaculation. If you take an antidepressant, talk with your doctor about lowering your dosage or switching to a different one.

Change sexual positions. Modifying sexual positions or foreplay practices with your partner may increase arousal and help achieve orgasms, according to guidelines from the American Urological Association.

Penile vibratory stimulation. This clamplike device is placed around the penis and vibrates to stimulate the nerves in the base of the penis. It’s used before sex and can be incorporated into foreplay.