Hi,
Delayed ejaculation occurs when a man needs more than 30 minutes of sexual stimulation to reach orgasm and ejaculate. Ejaculation is when semen is discharged from the penis. There are many potential causes of delayed ejaculation including psychological concerns, chronic health conditions and reactions to medications. Psychological causes like anxiety, depression, fear etc; physical causes like damage to the nerves in spine or pelvis, infections of prostate or prostatic surgery,
urinary tract infections, stroke,
diabetic neuropathy, low thyroid hormone, low
testosterone levels, heart diseases that affects blood supply to the pelvic region, medications such as antidepressants like fluoxetine, antipsychotics like
thioridazine, blood pressure lowering drugs like
propranolol, diuretics etc; alcohol consumption, substance abuses etc.
Take care. Hope I have answered your question. Let me know if I can assist you further
Regards,
Dr. Zubayer Alam, General And Family Physician,