What Causes Ejaculation Problems and How to Get Rid of It

what causes ejaculation problems
Medically reviewed by Dr. Mandy Liedeman


Ejaculation problems are a type of sexual dysfunction that refer to difficulties with ejaculation. Hence, if you or your partner is also experiencing this issue, read this article till the end.

What is Ejaculation?

It is the release of sperm from the male reproductive system that occurs when a man is sexually aroused. It is white or greyish with a thick consistency. 

Early ejaculation, also known as premature ejaculation, is one of the most common ejaculation problems and can affect 20-30% of men globally. 

Types of Ejaculation Problems 

There are three main types of ejaculation problems. 

  • Premature ejaculation
  • Delayed ejaculation
  • Retrograde ejaculation

Premature ejaculation:

Premature ejaculation is a common ejaculation problem. This is where a man ejaculates earlier than his partner would like during sexual arousal.

There is no fixed time when a man should ejaculate during intercourse. Around 40% of men have it at some point in their life, but it is not something to worry about.

There are different physical and psychological causes of premature ejaculation, such as:

Physical causes:

  • overactive or underactive thyroid
  • drugs
  • prostate issues

Psychological causes:

  • stress 
  • anxiety
  • relationship problems
  • worrying too much about sexual performance
Consult with our Online Doctor to find out the Cause of Delayed Ejaculation and it’s Treatment.

Delayed ejaculation:

Delayed ejaculation is the opposite case of premature ejaculation. It is also known as a delayed orgasm. It is a medical condition in which the man takes too long and needs a lot of stimulation to ejaculate.

It can also be caused by psychological and physical factors, such as:

  • diabetes
  • spinal cord injuries
  • multiple sclerosis
  • prostate gland surgery
  • increasing age

Retrograde ejaculation:

It is also known as a dry orgasm. It occurs when semen shoots to your bladder instead of emerging through the penis during an orgasm. 


  • Orgasms with very little ejaculation or no semen out of the penis.
  • Cloudy urine after orgasm because it contains semen.
  • male infertility


It can be caused by physical and psychological reasons, such as:

  • diabetes
  • sclerosis
  • Parkinson’s disease
  • spinal cord injury

Prevalence and Risk Factors:

Some of the biological and psychological factors that can increase the risk of ejaculation include the following:

  • Relationship issues
  • Poor body image
  • stress
  • History of sexual abuse or erectile dysfunction
  • Abnormal hormone level
  • Inflammation or infection of the prostate or urethra
  • Inherited traits that cause physical abnormalities

All these factors can cause men to rush or feel anxious or concerned during sexual encounters, increasing the chances of premature or delayed ejaculation. 

Consult with our Online Doctor to find out the Cause of Delayed Ejaculation and it’s Treatment.


Ejaculation problems can occur due to various physical, psychological, and lifestyle factors. Psychological considerations can play a significant role in both early and delayed ejaculation. Psychological factors such as anxiety, stress, and performance anxiety can contribute to premature ejaculation. Factors such as anxiety, depression, or relationship problems can contribute to delayed ejaculation. It is essential to get medical attention if early or delayed ejaculation is causing distress or affecting sexual health. 

Symptoms and Causes

There are various physical, psychological, and biological reasons for delayed and premature ejaculation, such as excessive alcohol consumption, high blood pressure, and antidepressants or anti-seizure medications. Some other causes include the following:

Physical causes 

Psychological causes

  • Depression
  • Sexual performance anxiety
  • Sexual fantasy issues
  • Low self-esteem about body image
  • Sexual relationship issues


  • Feeling tired 
  • Frustration 
  • Ejaculating too sooner or later

Diagnosis and Treatment 

There is no proper treatment for ejaculation problems, but the risks can be reduced. Your doctor will ask about your sexual habits, medical history, and ejaculation patterns. They may also do some laboratory testing on hormones (testosterone), urine, or semen. Also, reducing drug consumption can help prevent ejaculation problems. 

Your doctor might suggest counseling and refer you to other medical professionals like a sex therapist or a more traditional counselor. 

If you see a sex therapist, they might suggest using erotic materials or devices to help you ejaculate and last longer both by yourself and with a partner.

Honey, an aphrodisiac food, can also increase sexual desire and performance as it can boost physical endurance and replenish lost energy to make you last longer in bed.

Medications for ejaculation problems

There isn’t an approved medication for delayed ejaculation. But the doctor can prescribe some off-label medicines.

There are some SSRIs to control premature ejaculation, including paroxetine, sertraline, or fluoxetine. These medicines are usually taken for 2 or 3 weeks before gaining the full effects. Some other drugs include:

  • Buspirone is a treatment for anxiety.
  • Amantadine, used to treat Parkinson’s disease.
  • Oxytocin is a hormone used to strengthen the uterine muscle to contract and is produced by the body during orgasm.
  • Cabergoline is a drug that promotes dopamine levels.
  • Anesthetic creams and sprays such as lidocaine or prilocaine
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Lifestyle changes and home remedies 

Some diet and lifestyle changes may help you prevent ejaculation problems. Some of them are mentioned below:

Zinc supplements

Zinc supplements support your immune system and cell growth and may also help produce testosterone, which may sometimes help with premature ejaculation.

It is one of the most natural treatments for men having lowered testosterone. Even though it’s not always sufficient in every case, 220 mg of zinc sulfate twice daily, over 1 to 3 months, is often recommended.

 But taking too much zinc may cause:

Pelvic-floor exercise:

Strengthening your pelvic floor muscles can significantly impact your timing to ejaculate.

To find your pelvic floor muscles, stop peeing in midstream or tighten the muscles to stop yourself from passing gas. Both actions use your pelvic floor muscles. Once you’ve figured out your pelvic floor muscles, you can exercise them in any position. 

Stop-start technique

The stop-start technique, also called orgasm control or “edging,” can help delay ejaculation by drawing out pleasure.

When you feel that you are about to ejaculate, stop having sexual activity ultimately. Slowly continue your sexual activity again as soon as you feel less aroused. Repeat this process as much as necessary to help you control ejaculation.

Pause-squeeze technique

This technique may help ease premature ejaculation by letting arousal diminish before the climax. You or your partner should squeeze the end of your penis where the head meets the shaft when you are about to ejaculate.

Hold and squeeze it for several seconds until you no longer want to ejaculate. Repeat it as much as necessary.

Numbing Agents

It is not a permanent solution, but these numbing agents found in topical creams and sprays can help delay the climax. Most of these anesthetics will be available over the counter and generally available in all pharmacies. 

Lidocaine is probably the most commonly used anesthetic, and it can be found as a cream, spray, and benzocaine.

Apply these anesthetics for at least 10-15 minutes before sex. Make sure that you wipe it off before sex.


Along with preventing accidental conception, condoms can be a helpful tool in delaying ejaculation. Different kinds of condoms contain numbing agents that can reduce the sensation in your penis during use, which helps to delay orgasm. Using thicker condoms can also reduce the sensations.

Consult with our Doctors for Ejaculation Problems Treatment Based on Causes!

Coping with Ejaculation Problems

Sometimes ejaculation problems can cause a lot of stress and anxiety. The mind often plays an essential role in creating or overcoming ejaculation problems. Sex is supposed to be fun, comfortable, and enjoyable. If you are too stressed about your sexual performance, your body can’t get excited either.

Lots of worries can result in the following problems:

  • Fear of bad performance in bed and not satisfying your partner sexually
  • Poor body image, including weight concerns
  • Relationship problems
  • Concern about delayed or premature ejaculation to reach orgasm
  • Stress about being unable to orgasm or enjoy the sexual experience.

These worries may lead your body to release stress hormones like epinephrine and norepinephrine.

Your state of mind can significantly impact your ability to get sexual arousal. Even if you’re with someone who you find sexually appealing, worrying about your sex drive, physical appearance, or other concerns can make it impossible for you to do just that.

Stress hormones narrow the blood vessels. When less blood flows into your penis, it becomes difficult to have an erection. 

Sexual performance anxiety isn’t diagnosed as often in females as in males, but it can affect arousal in both men and women. Stress can prevent women from getting lubricated enough to have intercourse.

Communication with a Sexual Partner

A key to coping with ejaculation difficulties is to communicate honestly and openly with your partner. Sexual issues can be challenging to discuss, but open and honest communication is essential to maintaining a healthy relationship. Maintaining intimacy with your partner is possible by communicating openly and honestly about your ejaculation problems.

Coping with the Emotional Impact

An individual with ejaculation problems may experience significant emotional turmoil, which can aggravate the situation. Coping with the emotional impact of ejaculation problems is just as important as addressing the physical issue. To cope with the emotional impact, try the following steps:

  • Consider talking to a health professional who can help you cope with your feelings and provide emotional support.
  • Try meditation and yoga.
  • Spend time outdoors, exercise, or engage in hobbies that bring you joy.

Maintaining a Positive Body Image

In some cases, ejaculation problems can lead to negative body image issues, worsening the situation. Coping with ejaculation problems and maintaining a positive body image are essential for overall mental and physical health. Accepting your body and understanding that ejaculation problems are common issues can help improve body image and self-esteem.

Improving self-esteem and confidence

Sexual confidence is a gradual process that usually involves small steps. These may include improving your body image by eating healthy, having better communication skills with your partner, or learning to accept your body, sexual desires, and preferences.

A healthy body image doesn’t mean perfection. It means feeling comfortable with the way your body looks.

Several factors can hurt your body image, including being overweight, obese, or too thin, being bullied or criticized by others, or being exposed to unrealistic images with perfect appearance. Having a negative body image can affect your self-confidence and prevent you from feeling confident with your skin and sexual partners.

One way to deal with body image issues is by eating healthy food and maintaining weight. If you still struggle with your sexual self-esteem, then see a sex therapist or counselor for therapy.

When to Consult a Doctor?

If the premature or delayed ejaculations are causing you anxiety or depression and affecting your relationship with your partner, make an appointment to see a healthcare specialist.

It is always a good idea to talk to your doctor or a sexual health specialist. Your doctor will start the examination process by asking about your sexual experiences and lifestyle habits. They can provide personalized advice, diagnosis, and treatment options based on your problem and circumstances.

Consult with our Doctors for Ejaculation Problems Treatment Based on Causes!

FAQs about Ejaculation Problems Answered by Your Doctors Online Team

Why does ejaculation relieve stress?

Ejaculation can lower your stress level and help you relax. It also releases hormones like endorphins (feel-good chemicals) in your brain. It can be a natural painkiller and even help you with menstrual cramps.

Does having sex delay your period?

Sex can only delay your period if you are pregnant. This is because you don’t get a period when you get pregnant. But changes in your menstrual cycle from month to month are regular.

What happens if we release sperm daily?

If you have an average sperm count, then there is no harm in ejaculating daily because our body releases millions of sperm and can never run out of it.

Can a guy release sperm without feeling it?

Men can leak a bit of sperm out of their penis during sex, known as pre-ejaculate or pre-cum. The pre-cum can make a girl pregnant even if the man pulls out before he ejaculates.

What does ejaculation feel like?

It is supposed to feel good. The first feeling is typically one of warmth or pressure in your body. This feeling is known as an ejaculatory inevitability, which means the point at which a man cannot control himself from ejaculating. Men often feel pleasure caused by muscle contractions in the genital area.

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