Late ejaculation disorder: causes, symptoms and treatment methods Delayed ejaculation disorder is one of the sexual disorders for which different definitions have been provided. In general, this problem is said to be a delay in reaching the peak of sexual pleasure or even the inability to experience it in the usual time frame. Although this disorder can occur in both women and men, it is more common in men. In this article from the Pirouzi Psychology Clinic website, we intend to comprehensively investigate this issue and analyze its various dimensions.

What is late ejaculation disorder and when does it become a problem? Delayed ejaculation disorder, which is also called male orgasm disorder, is a type of problem in sexual performance in which a person ejaculates with difficulty or after a long time. In some cases, a person may even be unable to ejaculate completely. Contrary to popular belief, there is no set time limit for how long it takes to reach an orgasm. The issue becomes problematic when the person or their sexual partner feels dissatisfied and this long delay causes discomfort or disruption in the relationship. Types of late ejaculation disorder Late ejaculation disorder may be a temporary problem or a person may be involved with it from the beginning of their sexual life. Sometimes this condition occurs for various reasons and it is normal; But if it causes dissatisfaction and tension in a person's life or marital relationship, it will need to be examined and treated. Late ejaculation symptoms If you experience the following conditions, you may be facing the problem of late ejaculation disorder: - Inability to ejaculate when you want. - The need for long-term stimulation (more than 30 to 60 minutes) to reach orgasm. - Inability to ejaculate in at least half of the times of intercourse, even with a normal erection. - The occurrence of this problem in both sexual intercourse and masturbation. Reasons for late ejaculation in men Delayed ejaculation can be caused by various factors, which we will discuss below: 1. **Sexual partner-related factors** Some problems related to the life partner can affect the sexual performance of men, such as sexual problems of the spouse, illnesses or physical and mental health conditions of the partner that may reduce sexual desire or cause a lack of harmony in the relationship. 2. **communication and emotional factors** Emotional relationships and the way couples interact also play a role in the occurrence of late ejaculation. Weakness in establishing effective communication, inconsistency in the level of desire for sex, or the existence of emotional differences can be the basis of this problem. 3. **Personality and psychological factors** Some personality traits and past experiences can make a person more vulnerable to this disorder. Negative body image (poor body image), unpleasant emotional or sexual experiences in the past, and suffering from psychological disorders such as depression and anxiety are among the factors that can lead to late ejaculation. Also, severe stress such as losing a job or experiencing a bereavement can also affect a person's sexual performance. 4. **cultural and religious factors** Social, cultural or religious beliefs and attitudes about sex can also cause mental and emotional limitations. People who grew up with strong educational inhibitions or strict prohibitions in the field of sex, may face problems during sex, such as delayed ejaculation. 5. **Medical and physiological factors** Certain physical problems or diseases may affect sexual performance. The use of certain drugs, neurological problems, diabetes, cardiovascular diseases or other medical conditions can play an important role in the occurrence of late ejaculation. In addition, the way these diseases are treated may also affect the severity and type of symptoms of a person. In general, late ejaculation disorder is a multifactorial problem that can occur for various reasons. Accurately identifying the underlying cause of this disorder and receiving expert advice from the sex therapists of the Victory Center can help improve the quality of sexual life and increase the satisfaction of couples. Consequences of late ejaculation disorder in people's performance Late ejaculation disorder is usually associated with significant psychological distress in one or both partners. Having difficulty with ejaculation may cause problems with conception and lead to significant fertility issues, as erectile dysfunction is not usually brought up spontaneously by men unless directly asked by a doctor. *(American Psychological Association, Diagnostic and Statistical Manual of Mental Disorders DSM-5-TR, Dr. Mehdiganji, Tehran, Savalan)* Reasons for late gratification in women The delay in reaching the peak of sexual pleasure (orgasm) in women can be affected by various factors. Although this problem is more common in women over 45 years old, it can occur at any age. Hormonal changes, psychological effects and environmental factors can play an important role in the occurrence of this problem. Effective factors in women's late ejaculation - ### **physiological changes** With age, especially during premenopause, changes in vaginal tissue and decreased hormone levels may cause a decrease in libido and difficulty reaching orgasm. - ### **Quality of emotional and marital relationship** Problems such as lack of flirting, lack of love, doubt and mistrust, betrayal or marital disputes can lead to a decrease in sexual pleasure and a delay in orgasm. - **Communication issues and lack of sexual awareness** Inability to talk about sexual needs, lack of knowledge about how to stimulate and establish pleasurable sex, and short and low-quality sex are other influential factors. - **Psychological factors** Anxiety, fear of abandonment, feelings of insecurity, depression (especially postpartum depression) and unpleasant sexual or emotional experiences can reduce the ability to achieve peak sexual pleasure. - **Physical problems and diseases** Some underlying diseases such as diabetes, spinal injuries, neurological problems and vaginal abnormalities can disrupt the natural process of stimulation and orgasm in women. ### Treatment methods for late ejaculation disorder The treatment of late ejaculation disorder depends on the main cause of its occurrence. In many cases, this disorder can be related to the use of certain medications such as antidepressants. In this case, it is possible to solve the problem by consulting the doctor and changing the drug or reducing its dose. If the use of alcohol or drugs is effective in the occurrence of late ejaculation, stopping or reducing the use of these substances can help improve the situation. In addition, if other medical reasons such as underlying diseases or hormonal disorders cause late ejaculation disorder, management and treatment of these problems can be effective in controlling the disorder. However, sometimes the treatment of late ejaculation disorder is more complicated than simple cases and more advanced treatment methods may be required. In such a situation, similar to the treatment of premature ejaculation, it is necessary to cooperate with an expert medical team, because the causes of this disorder can be very diverse. In this regard, the sex therapists of Pirouz Clinic can effectively treat this disorder by accurately diagnosing the cause and providing appropriate treatments.

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