Over-the-Counter Supplements for Delayed Orgasm

If your partner has delayed ejaculation, be supportive. Ask them if there’s something specific you can do to help, or gently encourage them to see a healthcare provider for an exam.

Supplement	Active Components	Estimated Effectiveness	Usage Recommendations
Ginseng	Ginsenosides	Moderate	1-3 grams daily
Maca Root	Macamides, macaenes	Mild to Moderate	1.5-3 grams daily
L-arginine	Amino acid	Varies	3-6 grams daily
Yohimbine	Yohimbine alkaloids	Potentially effective	Under medical supervision

Be open to the idea of talking to a couple’s therapist. Talking to a couple’s therapist isn’t an admission of defeat or failure.

• Newer formulations aim to minimize side effects while delaying ejaculation.
• Be aware that individual response to pills can vary greatly.
• Some medications are approved for use only in certain countries.
• Combining pills with mental health management can be more effective.
• Always read the instructions and warnings before using any medication.

It can help you better understand your partner and their needs and make your relationship stronger.

• Some pills are designed to be taken before sex, while others require daily use.
• The effectiveness of pills can be influenced by mental state and relationship factors.
• For some men, pills may not provide a complete solution but can help manage symptoms.
• Using pills without addressing psychological aspects might limit success.
• Reliable brands and doctor consultation are essential for safe treatment.

Not ejaculating for seven days won’t cause any problems. Your body will absorb any sperm you don’t release.

1. Some antidepressants

But if you have delayed ejaculation, it may take you 30 minutes or longer. Mental and emotional symptoms can also affect you or your sexual partner. If you or your partner is upset by the time it takes to ejaculate, talk to a healthcare provider. There are physical and psychological (mental and emotional) causes for delayed ejaculation. Conditions that affect your nervous system, such as a stroke, spinal cord injury or multiple sclerosis (MS) — nerve damage may also occur as a complication of diabetes or surgery A blockage in your penis, such as an ejaculatory duct obstruction Certain prescription medications, including antibiotics, antidepressants, blood pressure medications (antihypertensives) and alpha blockers such as tamsulosin (Flomax®) Drinking a lot of alcohol or using recreational (nonprescription) drugs Getting older, which may cause natural changes to your testosterone levels, reduced sensitivity in your penis and low sex drive (libido) Feeling guilty about sexual intercourse, possibly due to your upbringing or religious background Feeling angry or uncomfortable with your sexual partner Being afraid of something, such as sexually transmitted infections (STIs), pregnancy or childbirth (tokophobia) or hurting your partner emotionally or physically A healthcare provider may suggest that you don’t have a physical cause of delayed ejaculation if you’re able to easily orgasm by yourself but have difficulty with your partner.

WHERE TO FIND HELP

It’s also possible that you have a certain technique that feels good to you that your partner can’t duplicate, or that you’re not comfortable asking your partner to duplicate. Many men have delayed ejaculation issues as they get older. You may need more time and stimulation to ejaculate. You may also notice that the force of your ejaculation and the volume of your semen decreases. The hormone testosterone is essential for sperm production and enhances your sex drive.

Other Prescription Options to Consider

Testosterone production usually starts to decrease after you turn 30. Some men may have delayed ejaculation issues in their 40s. But others have no problems ejaculating in their 70s and older. It can affect some men for their entire lives. For others, it only happens once in a while, or it starts to occur more regularly as they get older. Anejaculation is when you can’t ejaculate when you orgasm.

Product	Dosage	Quantity + Bonus	Price
Cialis Generic	5mg	20 Pills	41.99€ 39.99€	Buy
Cialis Generic	10mg	60 + 6 Pills	105.81€ 100.77€	Buy
Viagra Generic	150mg	120 + 8 Pills	177.58€ 169.12€	Buy
Levitra Generic	60mg	180 + 10 Pills	501.43€ 477.55€	Buy
Levitra Professional	20mg	30 Pills	119.12€ 113.45€	Buy
Kamagra Effervescent Tablets	100 mg	84 + 7 Pills	202.91€ 193.25€	Buy
Cialis Generic	2.5mg	10 Pills	28.51€ 27.15€	Buy
Priligy Generic Dapoxetine	60mg	30 + 6 Pills	106.65€ 101.57€	Buy
Super Kamagra	160 mg	32 + 4 Pills	218.25€ 207.86€	Buy
Kamagra Gold	50 mg	180 + 6 Pills	371.27€ 353.59€	Buy
Cialis Professional	40mg	20 Pills	110.24€ 104.99€	Buy
Kamagra Gold	100 mg	60 + 4 Pills	201.34€ 191.75€	Buy
Cialis Professional	40mg	270 + 6 Pills	898.37€ 855.59€	Buy

Causes may include nerve damage, cancer treatments, certain medications, stress or anxiety. Anorgasmia is the inability to orgasm, even if you have lots of stimulation and it feels good.

How does telemedicine for premature ejaculation work?

to A healthcare provider will explain what you should expect. Generally, physical causes of delayed ejaculation depend on their severity. Severe conditions, such as a spinal cord injury or stroke, may not improve, even with treatment. But if prescription medications, nonprescription drugs or alcohol cause delayed ejaculation, your outlook is good if you’re able to switch medications or reduce or quit your nonprescription drug or alcohol consumption. If you need help, the Substance Abuse and Mental Health Services Administration (SAMHSA) cenforce 200 uk offers a hotline that’s available 24/7, 365 days a year.

Topical Anesthetics: Sprays, Creams, and Wipes

Age-related delayed ejaculation may not improve, even with treatment. Some causes you can’t prevent, such as nerve damage or aging. But drinking alcohol in moderation can help reduce your chances of having delayed ejaculation. It’s also important to have an open, honest relationship with your partner. Improving your communication may help prevent delayed ejaculation from developing or getting worse.

What is premature ejaculation?

Talk to a healthcare provider as soon as you have problems ejaculating. If you have difficulty ejaculating with a partner, talking to a therapist can help. You may want to go to therapy alone or with your partner, depending on both of your preferences. Talk to a healthcare provider when you first notice an inability to ejaculate, especially if it’s frustrating or troubling for you or your partner. They can help you determine the cause and prescribe the proper treatment. But it may also occur as a result of physical, mental or emotional factors. Retrograde ejaculation is when ejaculate travels backward into your bladder instead of out through your penis during orgasm. Certain medications or medical conditions, like diabetes, can cause it.

Coping With Delayed Ejaculation

You may want to ask your provider: What delayed ejaculation treatment do you recommend? Should I see a specialist, such as a therapist, urologist or an endocrinologist? Sildenafil (Viagra®) helps treat erectile dysfunction by increasing blood flow to your penis so you can maintain an erection for a longer period. Researchers haven’t studied its effects on delayed ejaculation. A 2013 study shows that another erectile dysfunction drug, tadalafil (Cialis®), may promote ejaculation. That first conversation with a healthcare provider might not be easy.

Ingredient	Typical Dosage	Known Benefits	Common Side Effects
Sertraline	50-200 mg/day	Prolongs ejaculation	Nausea, dizziness
Paroxetine	20-40 mg/day	Delays ejaculation	Fatigue, dry mouth
Dapoxetine	30-60 mg	Short-term delay	Headache, insomnia
Tadalafil	5-20 mg	Improves blood flow	Back pain, flushing
Sildenafil	25-100 mg	Aids delayed climax	Visual disturbances

Many people don’t feel comfortable talking about their sexual habits, let alone to a healthcare provider. But even if delayed ejaculation isn’t a common topic of conversation, it’s a common condition that can cause a lot of stress. If delayed ejaculation is a problem for you and/or your partner, then it’s important to take that first step and reach out to a provider. Sign up for our Health Essentials emails for expert guidance on nutrition, fitness, sleep, skin care and more.

The bottom line

A healthcare provider will ask you questions about your medical history, sexual habits and ejaculation patterns. When did you first notice you had problems ejaculating? Does delayed ejaculation happen a lot, or only sometimes? Are you able to ejaculate when you masturbate? Are you able to ejaculate when you have sexual intercourse?

Selective Serotonin Reuptake Inhibitors (SSRIs)

If you can ejaculate, how long does it take? Do you have any other penile disorders, such as erectile dysfunction or a penile fracture? Do you have any new or changing sexual desires? These questions may feel awkward or intrusive, but they’re an important part of a provider’s diagnosis. It’s important to answer these questions honestly, even if you feel embarrassed.

The Risks of Unregulated “Herbal” Pills

A provider may perform a physical examination and order tests to help identify or rule out other conditions. Semen analysis, particularly if you’re trying to conceive a biological child A healthcare provider may offer several different delayed ejaculation treatments. There isn’t one clear way to treat the condition unless the cause involves certain medications, nonprescription drug use or alcohol use. In those cases, you may need to stop using or find an alternative medication, stop nonprescription drug use or cut down on alcohol. A provider may also recommend that you speak with a therapist (psychotherapy) or sex therapist. Learn more about the Health Library and our editorial process. Cleveland Clinic’s health articles are based on evidence-backed information and review by medical professionals to ensure accuracy, reliability and up-to-date clinical standards. Delayed Ejaculation: Pathophysiology, Diagnosis, and Treatment ( World J Mens Health. Balon R, Segraves R. Sexual Dysfunctions and Paraphilic Disorders. The Pathophysiology of Delayed Ejaculation ( Transl Androl Urol. Chung E. Sexuality in Ageing Male: Review of Pathophysiology and Treatment Strategies for Various Male Sexual Dysfunctions ( Med Sci (Basel). Can Medication Help Men Who Have Problems with Ejaculation and Orgasm ( Accessed 5/10/2024.

• Delayed ejaculation pills are often part of treatment for sexual dysfunction.
• It's important to set realistic expectations about results and timelines.
• Lifestyle factors like alcohol and smoking can affect medication success.
• Psychological support may be necessary if underlying issues persist.
• Proper education on medication use enhances safety and efficacy.

Inability to Ejaculate ( Last reviewed 9/2024. Ejaculation Problems ( Last reviewed 2/9/2023. Delayed Ejaculation ( Last reviewed 3/31/2024.

Related conditions to premature ejaculation

If delayed ejaculation happens primarily with your partner, they may suggest counseling for both of you. A sex therapist may suggest that you and/or your partner use erotic or masturbatory aids, including: The U.S. Food and Drug Administration (FDA) hasn’t approved a drug treatment for delayed ejaculation. And the FDA doesn’t regulate herbal supplements, so be careful when trying any herbal remedies you might hear about. But some healthcare providers may prescribe medications on an “off-label” basis with some success.

How can I cure premature ejaculation?

This means the medication doesn’t specifically treat delayed ejaculation but has approval for another condition and may help in your situation. Testosterone subcutaneous injection or testosterone subcutaneous pellets Amantadine, a treatment for Parkinson’s disease Oxytocin, a hormone that stimulates uterine contractions during childbirth and lactation after childbirth. Your body also produces it after you orgasm Cabergoline, a drug that promotes dopamine levels These medications may or may not help. If a provider prescribes a medication, they’ll review the list of possible side effects with you. If delayed ejaculation affects your ability to have a biological child, a provider may suggest procedures to retrieve sperm from your testicles that they can use for insemination.

What are the Causes of Delayed Ejaculation?

These procedures may include microsurgical testicular sperm extraction (microTESE) or testicular sperm aspiration (TESA). Kegel exercises help strengthen the muscles in your pelvic floor. Strengthening your pelvic floor may give you greater control over when you ejaculate. It depends on the cause of delayed ejaculation. Your body is unique, and how it responds to the cause may be different from others. What a Sex Therapist Wants You to Know About Treating Men with Sexual Disorders. Self-Reported Reasons for Having Difficulty Reaching Orgasm in Men with Diverse Etiologies ( Sex Med. When something’s wrong with your penis, you’ll want to get care right away. Cleveland Clinic’s experienced urology providers are here for you.