Delayed ejaculation describes a man's inability or persistent difficulty in achieving orgasm , despite typical sexual desire and sexual stimulation. Generally, a man can reach orgasm within a few minutes of active thrusting during sexual intercourse , whereas a man with delayed ejaculation either does not have orgasms at all or cannot have an orgasm until after prolonged intercourse which might last for 30—45 minutes or more. It is the least common of the male sexual dysfunctions, and can result as a side effect of some medications. Delayed ejaculation can be mild men who still experience orgasm during intercourse, but only under certain conditions , moderate cannot ejaculate during intercourse, but can during fellatio or manual stimulation , severe can ejaculate only when alone , or most severe cannot ejaculate at all. Medical conditions that can cause delayed ejaculation include hypogonadism , thyroid disorders, pituitary disorders such as Cushing's disease , prostate surgery outcome, and drug and alcohol use.
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