Ejaculation Problems


A difficulty to achieve orgasm/ejaculation is uncommon but can be significantly distressing to men and their partners who may believe he is less aroused by them, which, is one cause.
Other causes include:

  • Medical causes include diabetes mellitus. Prostatic surgery can cause retrograde ejaculation i.e. into the bladder but there is generally still the pleasure of orgasm.
  • Medications such as antidepressants and beta-blockers.
  • Excessive masturbation and porn addiction
  • Excessive stress

Psychosexual therapy to reduce inhibitions can be effective for many patients.
Nasal oxytocin sprays can help in a few cases as they are medications that raise the dopamine (promotes ejaculation) levels. These drugs were not designed to treat delayed ejaculation but are an option.