SEXUAL DYSFUNCTION

Male delayed orgasm and anorgasmia: A practical guide for sexual medicine providers.

• Consult a specialist if over-the-counter options are ineffective.
• Safety and efficacy depend on individual health status and proper use.
• Some medications might require tapering off to avoid withdrawal effects.
• Use of pills should be coupled with open communication with your partner.
• Understanding the root cause is crucial before choosing a pill-based solution.

International Journal of Impotence Research, 1-8.

• Prescription mesoridazine (Serentil), a low-potency phenothiazine.
• Prescription avanafil (Stendra), a fast-acting PDE5 inhibitor.
• Over-the-counter damiana leaf supplements traditionally used as an aphrodisiac.
• Prescription reboxetine (Edronax/Vestra), a selective NRI antidepressant.
• Prescription chlordiazepoxide (Librium), a long-acting benzodiazepine.
• Prescription bicalutamide (Casodex), an antiandrogen for prostate cancer.

Shindel AW, Althof SE, Carrier S, Chou R, McMahon CG, Mulhall JP, Paduch DA, Pastuszak AW, Rowland D, Tapscott AH, Sharlip ID.

Frequency	Recommended Duration	Notes
As needed	Up to 3 times per week	Avoid daily use to prevent dependency
Chronic use	Under doctor supervision	For persistent issues
Short-term trial	2-4 weeks	Assess effectiveness
Long-term therapy	As prescribed	Regular medical check-ups

Disorders of Ejaculation: An AUA/SMSNA Guideline.

Medication Summary

Chinese medical journal, 132(19), 2362–2372. Cologne, Germany: Institute for Quality and Efficiency in Health Care (IQWiG); 2006-. The management of retrograde ejaculation: A systematic review and update. Retrograde ejaculation-a commonly unspoken aspect of prostatectomy for benign prostatic hypertrophy. Indian journal of urology : IJU : journal of the Urological Society of India. Hims & Hers has strict sourcing guidelines to ensure our content is accurate and current.

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We rely on peer-reviewed studies, academic research institutions, and medical associations.

See also

Ejaculatory disorders and problems can be caused by a number of physiological and mental health conditions affecting your health and happiness. There may not be one definitive cause for any ejaculatory issue (premature, delayed, retrograde or otherwise). Luckily, that also means that a mixture of psychological, behavioral and pharmaceutical options can help treat symptoms and underlying conditions. To make sure you get the treatment best-suited to you, consult a qualified healthcare provider to get started managing your condition. Our guides offer more information on a range of topics, including how to increase ejaculation, how to manage erectile dysfunction and which erectile dysfunction medications can best help you have the fulfilling sex life you deserve.

What causes Premature Ejaculation (PE)?

Translational andrology and urology, 5(4), 475–481. A randomized study examining the effect of 3 SSRI on premature ejaculation using a validated questionnaire. Optimum usage of prilocaine-lidocaine cream in premature ejaculation. Premature ejaculation: An update on definition and pathophysiology. Progresses in pharmaceutical and surgical management of premature ejaculation. We strive to use primary sources and refrain from using tertiary references.

How to improve sexual dysfunction caused by medications

These medications assist in closing the urethra sphincter to permit the regular flow of semen. Antimuscarinics, another class of medications used to treat bladder incontinence, may also be recommended to treat retrograde ejaculation. Anejaculation is a difficult ejaculatory issue to deal with, because in some cases there may not be effective treatments. This is particularly true when the cause is severe neurological damage or other types of physical trauma. Proven treatments for anejaculation include sex therapy and vibrator stimulation, as well as some of the delayed ejaculation treatments listed above.

The Risks of Unregulated “Herbal” Pills

If you’ve been unable to ejaculate or reach orgasm for some time, it’s a good idea to reach out to a professional and explore your options. Navigating the management of an ejaculatory problem could leave you feeling a buy blue pill little alone. Here’s the good news: you’re definitely not. Premature ejaculation and other ejaculatory issues are more common than you think, though determining the underlying cause and best treatment options for your own needs can be hard to do without a professional. Seek out professional help, but in the meantime, keep the following in mind: Ejaculatory disorders and problems can be caused by a number of physiological and mental health conditions affecting your health and happiness. Bachelor of Arts, Egyptian and Ancient Western Asian Archaeology - Brown University College, 2011 Bachelor of Arts, Egyptian and Ancient Western Asian Archaeology - Brown University College, 2011 Doctor of Medicine - Brown University Warren Alpert Medical School, 2017 Doctor of Medicine - Brown University Warren Alpert Medical School, 2017 Master of Public Health - Columbia University Mailman School of Public Health, 2018 Master of Public Health - Columbia University Mailman School of Public Health, 2018 Master of Liberal Arts, Journalism - Harvard University Harvard Extension School, 2022 Master of Liberal Arts, Journalism - Harvard University Harvard Extension School, 2022 Master of Science, Healthcare Leadership - Cornell University Weill Cornell Graduate School of Medical Sciences, 2024 Master of Science, Healthcare Leadership - Cornell University Weill Cornell Graduate School of Medical Sciences, 2024 Master of Business Administration - Cornell University

Latest Health Info

You may also consider different types of therapy. Talking to a sex therapist could address any negative thoughts or emotions that may cause a strain in a relationship and sex life and dampen your sexual desire. Likewise, behavioral therapy may help to manage PE, as it can help in training the mind to delay ejaculation when it’s imminent. Our guide on how to stop premature ejaculation offers more details on medications (like premature ejaculation pills) and other strategies to help you combat PE, such as the squeeze technique. Psychological interventions like cognitive behavioral therapy, masturbatory training, couples' sex therapy or counseling targeted at reducing sexual anxiety all may be useful in treating delayed ejaculation.

Vilazodone (Viibryd)

Though there is no FDA-approved medication to treat DE, off-label remedies can be prescribed to manage delayed ejaculation. Treatment options that fall into this category include drugs like testosterone, cabergoline, bupropion, oxytocin and bethanechol. Because RE is not a harmful condition, treatment may not be necessary — especially for men who do not wish to have any more children. That said, because retrograde ejaculation can sometimes cause infections and other complications, men may want to consider their options among retrograde ejaculation treatments. Certain drugs can help men dealing with retrograde ejaculation, including sympathomimetics like synephrine and pseudoephedrine hydrochloride, among others. Samuel Curtis Johnson Graduate School of Management, 2024 Master of Business Administration - Cornell University Samuel Curtis Johnson Graduate School of Management, 2024 Internship - NYU Grossman School of Medicine Internal Medicine Residency—Community Health Track, 2019 Internship - NYU Grossman School of Medicine Internal Medicine Residency—Community Health Track, 2019 Certified in Public Health - National Board of Public Health Examiners, 2018 Certified in Public Health - National Board of Public Health Examiners, 2018 Medical Writer Certified - American Medical Writers Association, 2020 Medical Writer Certified - American Medical Writers Association, 2020 Editor in the Life Sciences - Board of Editors in the Life Sciences, 2020 Editor in the Life Sciences - Board of Editors in the Life Sciences, 2020 Certified Personal Trainer - National Academy of Sports Medicine, 2022 Certified Personal Trainer - National Academy of Sports Medicine, 2022

Sexual therapy

Causes of ejaculatory distress may be neurological or psychological, or they can result from a medication you’re taking or problems with the prostate gland, thyroid, testicles or other organs. Furthermore, for some ejaculatory issues, there isn’t a single explanation. If you’re experiencing PE, DE or another ejaculatory problem, consider whether any of the below causes might help explain your circumstances — and then share that with a healthcare professional. Currently, experts don’t believe in a singular underlying cause of premature ejaculation. Instead, several physical and psychological factors may contribute to its occurrence: Likewise, increased penile sensitivity, the use of recreational drug use and other physical health conditions may bring about early ejaculation during sexual intercourse.

Sex therapy

Delayed ejaculation may stem from physical factors, psychological influences or pharmacologic effects. Sometimes, a combination of these factors can be to blame. Psychological causes of delayed ejaculation may include: Strong religious convictions that may cause sexual guilt Strong religious convictions that may cause sexual guilt Additionally, medications like antidepressants, SSRIs, antipsychotics, diuretics and alpha-blockers are other common causes of increasingly delayed ejaculation. Retrograde ejaculation may be caused by a number of factors. If you experience a tiny discharge or no discharge at all following orgasm, it may be linked to: Medications, such as alpha-blockers or psychotropic drugs Medications, such as alpha-blockers or psychotropic drugs Medical conditions like spinal cord injuries, diabetes and multiple sclerosis Medical conditions like spinal cord injuries, diabetes and multiple sclerosis A side effect of prostatectomy to treat benign prostatic hyperplasia (BPH) A side effect of prostatectomy to treat benign prostatic hyperplasia (BPH) A result of colorectal and aortic aneurysm surgeries A result of colorectal and aortic aneurysm surgeries Anejaculation’s potential causes largely overlap with those of delayed ejaculation. Certified Nutrition Coach - National Academy of Sports Medicine, 2023 Certified Nutrition Coach - National Academy of Sports Medicine, 2023 Board Certified Medical Affairs Specialist - Accreditation Council for Medical Affairs, 2023 Board Certified Medical Affairs Specialist - Accreditation Council for Medical Affairs, 2023 Certificate of Advanced Education in Obesity Medicine - Obesity Medicine Association, 2025 Certificate of Advanced Education in Obesity Medicine - Obesity Medicine Association, 2025 Regulatory

• Alprostadil suppositories are alternative options for delaying ejaculation.
• Prescription pills are usually part of a comprehensive sex therapy program.
• Effectiveness may depend on proper usage and dosage adjustment.
• Clinical trials show mixed results; individual experiences vary.
• Discuss potential side effects, including mood changes and health risks, with a doctor.

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Perceptions of the Efficacy, Quality, and Safety of Care Accessed via a Telemedicine Platform: A Retrospective Analysis of Survey Data Published in: Telemedicine Journal and E-Health Published in: Telemedicine Journal and E-Health Title: Biomechanical evaluation of a novel suturing scheme for grafting load-bearing collagen scaffolds for rotator cuff repair Published in: Clinical Biomechanics Date: 2015 URL: Title: Biomechanical evaluation of a novel suturing scheme for grafting load-bearing collagen scaffolds for

9. Benzodiazepines

But typically, the reason for an inability to ejaculate falls into one of the following two categories: As a result of psychological causes, ranging from a lack of connection with your own body to performance anxiety or relationship problems As a result of psychological causes, ranging from a lack of connection with your own body to performance anxiety or relationship problems Due to physical causes, such as a lack of adequate sexual arousal, a spinal cord injury, diabetes or multiple sclerosis Due to physical causes, such as a lack of adequate sexual arousal, a spinal cord injury, diabetes or multiple sclerosis However, these causes are all theorized, as no single direct cause of the disorder has been pinpointed. As you may have already guessed from the above, seeking treatment for ejaculatory problems requires you to first understand the underlying cause (or causes) of your ejaculation issues. After all, it makes little sense to treat someone with psychotherapy who experiences DE due to a spinal cord injury. However — and this is an important point — don’t rule out the possibility that multiple factors could be contributing to the sexual problems you’re dealing with. The treatments for premature ejaculation typically incorporate pharmacological, psychological and behavioral therapy to manage symptoms.

Lifelong (primary)

A healthcare provider may prescribe a medication from the class of drugs known as selective serotonin reuptake inhibitors (SSRIs). SSRIs like sertraline, paroxetine and fluoxetine have been shown to have positive effects in lengthening ejaculation time, according to a study published in the journal Therapeutics and Clinical Risk Management. Occasionally, erectile dysfunction medications like sildenafil also can help some men increase their stamina. Topical creams and gels may also be recommended to reduce the sensitivity of the shaft during sex, according to an article published in the journal Andrologia. Our clockstopper benzocaine wipes and delay spray are great places to start if you’d like to explore these options. rotator cuff repair Title: Pelvic incidence and acetabular version in slipped capital femoral epiphysis Published in: Journal of Pediatric Orthopaedics Date: 2015 Title: Pelvic incidence and acetabular version in slipped capital femoral epiphysis Title: Relationship between pelvic incidence and osteoarthritis of the hip Published in: Bone & Joint Research Date: 2016 URL: Title: Relationship between pelvic incidence and osteoarthritis of the hip Title: Effects of PDGF-BB delivery from heparinized collage