Delayed ejaculation: causes and treatment
देर से स्खलन (डिलेड इजैक्युलेशन)
Delayed ejaculation means a persistent, distressing delay or absence of ejaculation during sexual activity.
It is less talked about than premature ejaculation, but common causes such as antidepressants, diabetes or anxiety can be addressed.
Medically reviewed by Dr. Kuldeep Budania, MBBS, MD Psychiatry
Common symptoms
- Taking much longer than desired to ejaculate, or not at all
- Able to ejaculate alone but not with a partner (in some)
- Frustration, avoidance of intimacy, fertility concerns
Causes
- Medicines — especially some antidepressants and antipsychotics
- Diabetes, nerve problems, low testosterone, alcohol
- Performance anxiety, relationship stress, habitual patterns of self-stimulation
Risk factors
- Older age, chronic illness, multiple medicines
How it is diagnosed
- Detailed sexual and medicine history
- Blood sugar, hormones and physical examination by a physician when indicated
Classification: ICD-10 F52.3 · ICD-11 HA03.1
Treatment options
- 1Adjusting or changing medicines that delay ejaculation
- 2Treating diabetes, hormone problems or alcohol use
- 3Sex therapy techniques with the partner
Psychotherapy and counselling
- Psychosexual therapy to reduce anxiety and pressure
- Couples sessions to improve communication
Guidance for family
- Talk openly and without blame; treat it as a shared concern
- Reduce pressure on "performance"; focus on closeness and comfort
- Attend a joint session if possible — outcomes are better
When to see a psychiatrist
- Problem persisting for several months and causing distress
- New problem after starting a medicine — do not stop it on your own; ask your doctor
Thoughts of self-harm or a medical emergency? Call Tele-MANAS 14416 (24×7, free) or 112.
Frequently asked questions
Is the consultation private?
Yes. It is one-to-one by private video and your details stay confidential. Your partner can join if you wish.
Should I try medicines advertised for 'gupt rog'?
Please avoid them. Many contain hidden steroids or undeclared drugs. Scientific assessment and treatment are safer.
Can this be assessed by video?
Most concerns can be discussed and treated by private video. If a physical examination or tests are needed, you will be guided to a physician or gynaecologist.
Help is available — confidential, in Hindi or English.
Private video consultation from anywhere in India with an Ajmer-based psychiatrist. Psychiatry consultation ₹500.
This page is for education and does not replace a personal consultation. Do not start or stop any medicine without a doctor's advice.