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Treatments and drugs
By Mayo Clinic staffTo find the best treatment for you, the doctor will first need to determine whether your delayed ejaculation is due to an underlying medical condition, a psychological issue or another concern. Delayed ejaculation treatment depends on the underlying cause but may include taking a medication or making changes to medications you currently take, undergoing psychological counseling, or addressing alcohol abuse or illegal drug use.
Medications
Medication may be a treatment option, particularly if you're taking an antidepressant that's causing the problem. Sometimes reducing the dose of a medication or switching medications may help. In some cases, adding a medication may do the trick. There aren't any drugs that have been specifically approved for the treatment of delayed ejaculation. Medications used to treat delayed ejaculation are used primarily to treat other conditions.
Medications sometimes used to treat delayed ejaculation include:
- Amantadine (Parkinson's)
- Buspirone (antianxiety)
- Cyproheptadine (allergy)
Psychological counseling (psychotherapy)
Psychotherapy can help by addressing underlying mental health problems leading to delayed ejaculation, such as depression or anxiety. It's also used to address psychological issues that directly affect your ability to ejaculate.
It may involve seeing a psychologist or mental health counselor on your own, or along with your partner. Depending on the underlying cause, you may benefit most from seeing a sex therapist — a mental health counselor who specializes in talk therapy for sexual problems. The type of counseling that's best for you will depend on your particular concerns.
- Sexual and gender identity disorders. In: Diagnostic and Statistical Manual of Mental Disorders DSM-IV-TR. 4th ed. Arlington, Va.: American Psychiatric Association; 2000. http://www.psychiatryonline.com. Accessed April 4, 2012.
- Rowland D, et al. Disorders of orgasm and ejaculation in men. Journal of Sexual Medicine. 2010;7:1668.
- Cunningham GR, et al. Overview of male sexual dysfunction. http://www.uptodate.com/index. Accessed April 5, 2012.
- Montorsi F, et al. Summary of the recommendations on sexual dysfunctions in men. Journal of Sexual Medicine. 2010;7:3572.
- Althof SE. Psychological factors associated with male sexual dysfunction: Screening and treatment for the urologist. Urological Clinics of North America. 2011;38:141.
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