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Delayed Ejaculation: Treatment, Cost and Side Effects

Last Updated: Dec 05, 2023

What is the Delayed Ejaculation?

Delayed ejaculation is a condition wherein the male partner either cannot ejaculate at all takes a long time to ejaculate. There can be men who might not have ejaculated ever in their life. The condition mainly refers to the man’s inability or difficulty in achieving orgasm even after 30-45 minutes of prolonged intercourse. They may feel the extreme sexual desire and may also get the appropriate sexual stimulation from their partner but still may not be able to achieve orgasm and ejaculate. Sometimes the man can ejaculate only while masturbating but not after a sexual intercourse. Although, this sexual dysfunction is not so common in men but usually occurs as a side effect of some other drug or medication. Delayed ejaculation (DE) can be categorised into mild, moderate or severe. In case of mild DE, the ejaculation happens on climax during an intercourse, but only sometimes. Moderate ejaculation occurs only when manual stimulation is done and severe ejaculation condition is the case when the man either is able to ejaculate only when alone or cannot ejaculate at all. In any case, delayed ejaculation will result in sexual frustration if not treated on time. Fortunately, DE can be treated using sex therapy or medication too.

How is the Delayed Ejaculation treatment done?

The treatment for delayed ejaculation can be either sex therapy or with the help of medication. In sex therapy the therapist helps the man with his partner’s support to practice ejaculating in different stages. The therapy mostly involves exercises and homework for the couple so that they can carry out sexual activities at home in your own space and not in front of a stranger. The therapy aids in having orgasms by insertional intercourse either through vagina or anus or mouth. The couple is usually trained by going through three stages. In the first stage the man has to masturbate in front of his partner, in the seconds stage the masturbation is got done by his partner by placing the partner’s hand on the penis and in the last stage female partner is made to insert the penis of her male partner into either vagina or anus or mouth and then make him ejaculate. This is how a man with delayed ejaculation eventually learns to ejaculate in the presence of his partner or even during a sexual intercourse. You may also be recommended to carry out a few activities at home while having sex with your partner like watching erotic magazines and videos before sex, playing sex games, using sex objects like vibrators and applying creams and jellies for better lubrication and more pleasure. It is also suggested to switch medication in case antidepressants are a cause of delayed ejaculation. So, such medication can be replaced with buproprion (helps quit smoking), yohimbine (treats erectiule dysfunction) and amantadine (treats viral infections). These drugs have been reported to counter the chemical effects of the antidepressants and aid in increased ejaculation. It is also suggested to restrict alcohol consumption and misuse of drugs to address the problem.

Who is eligible for the treatment? (When is the treatment done?)

Any man who suffers from delayed ejaculation either due to side effect of any medication like antidepressants or one who has never ejaculated in his life or the one who can ejaculate only when he is alone but not in front of his partner or while having sex is eligible for treatment.

Who is not eligible for the treatment?

Men who are sexually fit and active and can ejaculate perfectly while masturbating either alone or in the presence of the partner or during sex, are not eligible for treatment.


Are there any side effects?

No there is no side effect of treatment for sex therapy because the treatment involves physical sex therapy mainly. In case medication is used for treating delayed ejaculation, side effects like nausea, headaches, dizziness, blurred vision, auditory disturbance, constipation and tremor may be caused.

What are the post-treatment guidelines?

There is no guideline after the treatment, although, it can be recommended to use vibrators for more pleasure, lubricating creams and jellies, play sex games or watch erotic videos right before having sex.

How long does it take to recover?

It may take about a month to recover completely from delayed ejaculation.

What is the price of the treatment in India?

The price of treating delayed ejaculation in India ranges from Rs. 300 to Rs. 2,000.

Are the results of the treatment permanent?

Yes, the results of the treatment are permanent.

What are the alternatives to the treatment?

There are some natural and home remedies to treat delayed ejaculation. Asparagus with milk, saffron which acts as an aphrodisiac, almonds that is rich in minerals like calcium, magnesium, potassium, phosphorus and copper help in maintaining the hormone balance in the body, watermelon which is known as a Viagra among foods, ginger also acts as aphrodisiac, cinnamon, green onion seeds and ashwagandha can be used for treating delayed ejaculation.


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Written ByDr. Vikram Gidwani MBBSSexology
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