Delayed ejaculation — sometimes called impaired ejaculation — is a condition in which it takes an extended period of sexual stimulation for men to reach sexual climax and release semen from the penis (ejaculate). Some men with delayed ejaculation are unable to ejaculate at all. Some potential causes are:

1 Psychological factors - Anxiety, stress, depression, performance anxiety, relationship issues, or previous traumatic experiences can contribute to delayed ejaculation.

2 Medications - Certain medications like antidepressants, antipsychotics, and blood pressure medications can interfere with ejaculation.

3 Medical conditions - Conditions like diabetes, neurological disorders, prostate issues, hormonal imbalances, and spinal cord injuries may affect ejaculation.

4 Substance abuse - Excessive alcohol consumption, drug use, or smoking can interfere with sexual function.

5 Age - Aging can sometimes lead to changes in sexual response, including delayed ejaculation.

6 Overstimulation - Frequent or intense sexual stimulation, such as from pornography, might lead to desensitization and difficulty reaching orgasm during real sexual encounters.

7 Masturbation habits - Unusual or overly aggressive masturbation techniques might contribute to delayed ejaculation.

8 Relationship issues - Poor communication, emotional distance, or lack of intimacy within a relationship can impact sexual function.

9 Fatigue - Physical exhaustion or fatigue can affect sexual performance.

10 Nervous system issues - Nerve damage or dysfunction can disrupt the communication between the brain and sexual organs.

It’s important to note that delayed ejaculation can have a combination of causes, and the underlying factors may vary from person to person. If someone is experiencing this issue, it’s advisable to consult a healthcare professional or a qualified therapist to determine the specific cause and receive appropriate guidance and treatment.