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Retarded Ejaculation
Reader Question
'Dr. Mia, my partner is a healthy 28-year old male who struggles with retarded ejaculation. He says that it only happens during intercourse. Masturbation is no problem. Any ideas?'
Mia Says....
I don't nearly as often get questions about delayed ejaculation as I get about premature ejaculation, but for many men it remains a significant issue.
A significant delay in ejaculation during intercourse can be a side-effect of some medications, notably antidepressants. If he is not on any medication, and all other medical issues are ruled out by his general practitioner, the problem is most likely stress related.
It would be helpful for your partner to reflect on all the things that may be causing him stress in his life and how he manages them. It is also possible that he experiences stress about sex itself, especially if had any traumatic sexual experiences in the past. If he is not comfortable to talk about this with you, it may be helpful for him to see a sex therapist.
In general, guys tend to see sex as a performance rather than a form of relaxation. Concerns about the ability to perform often lead to anxiety and subsequently an inability to orgasm. It is important that he relaxes into the moment without worrying about coming or not, as long as it is an enjoyable experience for both of you.
You can also help to explore whether he finds it easier to climax with manual or oral stimulation, then finish with that.
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