Delayed ejaculation can have a major impact on a man’s emotional well-being. It is common for men to feel less confident, frustrated, ashamed and embarrassed. Additionally, it can greatly affect his relationship and sexual encounters. Their partner may be worried about doing something wrong or not being attractive enough in order for him to ejaculate. Therefore counselling and sex therapy is often suggested in order to address these issues.
Contributing Factors of Delayed Ejaculation
There are 4 suggested causes of delayed ejaculation:
- Emotional, psychological or relationship problems:
• Often intimacy issues, anger or resentment may be involved.
• Absence of sexual thoughts/fantasies while sexual active
• Anxiety/Trying too hard for build up to orgasm to not drop off
• Arousal difficulties with the partner.
- Organic Causes are: Spinal cord or neurological injury:
• Major pelvic cancer surgery
• Diabetes Mellitus
• Age related penile hypoanaestesia (a state of abnormally decreased sensitivity to stimuli)
• Intracavernous self-injection
- Pharmacological Side Effects:
• SSRI anti-depressants
• Anti-psychotic medication
- Idiosyncratic Masturbatory Style/Desensitisation of the penis through habituation:
• Idiosyncratic Masturbatory Style is when a man is used to rubbing his penis against rough surfaces while masturbation, which has desensitised his penis.
The information above has been adapted from
How Can Dave Wells Help?
In my practice, I explore ‘delayed ejaculation’ from both a physiological (Medical) and psychological (Thoughts, feelings and behaviours) perspective to achieve the best outcome for the person.
I can support individuals with the social and personal psychological implications of this condition, as well as providing and overseeing referral to health professionals for exploratory and treatment options if deemed necessary.
This two-tier approach in addressing various sexual difficulties, aims to achieve ‘best practice’. The support that Dave Wells provides may result in it being a standalone service to address the sexual concern. However, medical support many take precedence, or HST may be required to collaborate in unity with medical professionals to achieve the best outcomes for the person.