Brief Answer: Sorry about this abuse and delayed ejaculation Detailed Answer: Hi and thank you so much for this query. I am so sorry to hear about this childhood abuse and the recent difficulties with ejaculation. Ejaculation occurs at the peak of sexual excitement. If you have difficulties sustaining a wave of excitement leading up to this point, then you may find it difficult to obtain orgasm and ejaculation as a result of this. The difficulty in your relationship maybe taking your mind out of the sexual act and making the peak excitement difficult to attain thus resulting in this difficulty. I think I would be of paramount importance to address this difficulty in your life. Effexor causes some ejaculation problems. This could be another likely source of this problem or worsening factor. f this problem got worse or started after being on this medication, then it could be. However, if it existed a long time before this, then it is most likely not the primary cause. So in all, work on your relationship to try and boost the changes of attaining this peak excitement and orgasm. If it worsened or started after you started effexor, please ask your doctor about this. I hope this addresses your query fully. Thank you so much for using our services and do feel free to ask for more clarification or information if need be. I wish you well. Dr. Ditah, MD.

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