Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

171 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Suggest treatment for delayed ejaculation

Answered by
Dr. Rakesh Madhyastha


Practicing since :2009

Answered : 4361 Questions

Posted on Sat, 16 Aug 2014 in Men's Health
Question: I am a male aged 21. I have only had sex 3 times but for each of those times, I did not ejaculate. Also, my erections during sex last for a long time—typically I only stop because I get tired, not because I ejaculate. My first time lasted for over an hour, and the girl just got tired.

I have tried to ejaculate by myself but this does not happen. However, when I sleep I get wet dreams like once every week or once every 2 weeks and I find slimy stuff ( I guess semen) on my bed sheets.

I consider myself normal, since I have all the secondary sex characteristics in males and am also very strongly attracted to women. Also, my testosterone levels are in the normal range—but the percentage of my free testosterone is a little higher than average.

Why do you think this is the case? I am worried primarily because some of my friends tell me they ejaculate everyday, which I find almost unbelievable.

Answered by Dr. Rakesh Madhyastha 55 minutes later
Brief Answer:
Delayed Ejacuation

Detailed Answer:

Thanks for the query

Delayed ejaculation is an uncommon condition compared to premature ejaculation. Some of the causes of delayed ejaculation are hygonadism ( which is ruled out as your testosterone is normal). It is said that thyroid disorders also cause delayed ejaculation.
But the most common cause for delayed ejaculation is loss of nerve sensations over the tip of your penis and also because of certain masturbation techniques.

Here are my suggestions on how to go about this

1. Meet a urologist to see for local causes like loss of sensation over the glans penis. This could have caused by trauma to the nerves.
2. Rule out systemic issues like thyroid disorders, diabetes, vit d levels
3. Certain medications like anti depressants and anti psychotic agents can cause this issue. If you are on it then please go to your psychiatrist for an alternative.

If all the over are normal then you need to approach a sex therapist for suggestions on how to reach an orgasm faster.

I hope I was of help, if you have any further queries then please get back to me

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Rakesh Madhyastha 1 hour later
Why do you think, then I can sustain erections for an unusually long period of time?
Answered by Dr. Rakesh Madhyastha 12 hours later
Brief Answer:

Detailed Answer:
Thanks for the reply

Like I have mentioned in my previous post. The most probable reasons for your sustained erections are

1. Nerve injury
2. Thyroid dysfunction
3. Diabetes (unlikely since you are young)

Please get your investigations like I have recommended earlier. Please do not ignore this matter any further

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,  
Medical Topics

Recent questions on  Nerve injury

doctor1 MD

I had total knee replacement Oct 25, 2017. I am experiencing numbness and pain on the inner part of my lower left leg above the ankle area where it seems my artery runs in the diagram and I have plans to trave Dec 7 by olane

doctor1 MD

My husband is suffering from severe headaches after a tonsillectomy and septoplasty/turboplasty were done last August. We suspect nerve damage. He is on nerve blocking medicines and pain medicines but is still having trouble. Is there anything else we can do?

doctor1 MD

I fell down the stairs 5 weeks ago on my side or pelvis and did not have anything for 4 days then woke up with lower back pain and pain down the side of the leg and weakness in foot passed the straight leg test so not a disc what did I do pinch...

doctor1 MD

My husband had a fall of about 10 feet. He did not break any bones according to the ER Xrays, but he has not had a bowel movement since then (5 days ago). He has pain in his ribs when he coughs but otherwise doesn't have much pain. He is 81

doctor1 MD

Hi I had injured my right foot while playing cricket couple of months back and CT scan revealed a minor metatarsal fracture which was treated by putting on a fibreglass cast. However I was unable to walk and then my doc suspected I also had a soft tissue / nerve injury in the foot and prescribed gabapentin. After about a week of taking 100mg gabapentin twice daily, my pain has reduced substantially and I am now able to walk properly and the tingling sensation in the foot has gone.What I want to know is that does gabapentin TREAT a nerve injury or only reduce the pain till the time one is taking the medicine? Will the pain come back once I stop taking it?

doctor1 MD

Sir my mother rescently had a minor nerve injury in brain and a minute clot doctor prescribed to take eption tablets dailt twice for one year.Is it safe to take them ? And is nerve injury a major problem? And how many days she have to use eptoin drug ?

doctor1 MD

have had an internal examination of bowel with ultrasound and was advised may feel a tingle down my legs suggesting nerve involvement in the event only sensation I experienced was the throb of heart beat could this be indicative of nerve damage? thankyou