It is one thing when delayed ejaculation is a willful gesture done by a man for the purpose of enjoying moments of intimacy with his partner. However when delayed ejaculation is not a voluntary event, it is something altogether different.
Normal ejaculation processes take place when a man has received several minutes of sexual stimulus and semen is released. But delayed ejaculation requires a man to have a much more extensive period of sexual stimulation before he is able to ejaculate. And some men are unable to ejaculate at all.
There are many possible causes for delayed ejaculation. Involuntary delayed ejaculation often occurs as a response to stress. When this happens, added stress and fears of inferior performance are often a reality for both, a man and his partner and thus, it becomes a vicious cycle.
Another cause is lack of attraction for a partner, or perhaps there are underlying anger issues involved in the relationship. Both instances are prime examples of why open communication in any relationship is vital to both physical and psychological health.
There are other psychological stressors, unrelated to the direct relationship of a man and his partner that could cause delayed ejaculation as well. Worry in and of itself can be a cause regardless of what event has caused the stress. Strict religious beliefs that perhaps look upon sexual relations for purposes of procreation and never for pleasure, as well as conditioning to a specific type of stimulus brought about by masturbation or a traumatic event that is of a sexual nature, can both be causes of delayed ejaculation as well.
There are physiological causes for delayed ejaculation as well. Medications and neurological conditions can certainly be the cause. Other causes can be surgeries or certain injuries. A man should always be sure to tell the doctor about any medications or chronic health problems that he might be experiencing.
Depending on how frequently delayed ejaculation occurs, a man may want to see a urologist to find out if there is a physical cause, particularly if ejaculation has never taken place through any form of stimulation. But if there is a certain kind of stimulation that does result in ejaculation in a normal period of time, while other kinds of stimulation do not produce the same result, then sex therapy with a qualified therapist may be the best route to pursue.
Open communication with between a man and his partner, avoiding smoking, maintaining a healthy weight and healthy diet, and having a positive and comfortable attitude with one's own sexuality are all measures a man can take to help prevent delayed ejaculation from happening. And should medications for other health conditions be the cause, a doctor may discuss what other drugs may be available that would treat the health issue without wreaking havoc with a man's sex life.