Delayed ejaculation is characterized by prolonged latency to ejaculation or inability to ejaculate despite adequate sexual stimulation. Although less common than premature ejaculation, it represents a significant cause of sexual dissatisfaction and psychological distress.
Etiological factors include neurological disorders, diabetes mellitus, antidepressant medications (particularly selective serotonin reuptake inhibitors), hormonal imbalances, and psychological inhibition. Reduced penile sensitivity and altered central neurotransmitter activity may also contribute.
Clinical assessment requires detailed medical and psychosocial history, medication review, hormonal evaluation, and neurological examination. Management depends on the underlying cause. Adjusting medications, treating endocrine disorders, and incorporating psychosexual therapy may improve outcomes.
Recognition of delayed ejaculation as a multifactorial condition underscores the importance of individualized and erotic multidisciplinary care in andrology.
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