What causes delayed ejaculation?

What causes delayed ejaculation?

There are physical and psychological causes for delayed ejaculation.

Physical causes may include:

• Nervous system conditions, such as stroke, spinal cord injury and multiple sclerosis. Nerve damage can also happen as a complication of diabetes and surgery.
• Hypothyroidism.
• Some type of blockage in your penis.
• Using certain prescription medications, like antidepressants, or using street drugs.
• Drinking alcohol to excess.
• Aging.

Psychological or emotional causes may include:

• Feeling guilty about sex, possibly due to your upbringing.
• Feeling angry at or uncomfortable with your partner.
• Being afraid of something, such as disease, pregnancy or hurting your partner.
• Having sexual performance anxiety.
• Being addicted to pornography.

If you’re able to have an orgasm easily by yourself, but have difficulty with your partner, your healthcare provider might suggest that the cause isn’t physical. It’s also possible that you have a certain technique that you use that your partner can’t duplicate or that you’re not comfortable asking your partner to duplicate.