The first thing to do in case of delayed ejaculation is to seek a urologist doctor to investigate possible organic causes of the problem and treat them where possible. Among them are hormonal changes, diabetes, nerve damage, pelvic surgery, prostate problems, use of medications, especially antidepressants, as well as alcohol or drug abuse.
However, most cases of delayed ejaculation have a psychological, since most of these men can ejaculate with masturbation or during sleep when they have erotic dreams.
Some psychological states that may make ejaculation difficult include situations of stress or embarrassment, fear or anxiety about pregnancy, excessive preoccupation with a woman's orgasm, religious beliefs, conflicts with sexual preference, conscious or unconscious concerns during intercourse, among others.
The most indicated treatment in these situations, where the cause of delayed ejaculation is emotional or psychological in nature, is the sexual therapy. There are no specific medications that can speed ejaculation.
However, before moving on to therapy, you can try to talk to your partner and tell them openly about your sexual preferences, the positions you like best, the stimuli you prefer, anything that is stimulating and can hasten the orgasm.
Try to relax, fantasize, and focus on what sexually stimulates you. If the problem persists, it is best to seek the help of a sex therapist.
