When I first started out as a sex therapist thirty years ago, I was taught that difficulty ejaculating was rare, that it was very hard to treat, and that it usually suggested deep-rooted psychological problems. The reality is that difficulty ejaculating is rather common. Feel free to skip ahead if you like. Biologically speaking, an orgasm is simply a reflex.

Having difficulty achieving an orgasm is normal for many woman, but with the proper help it can be attained. Your mind needs to stay clear and focused, your nerves sensitive and blood needs to flow to all the right places. Cleveland Clinic is a non-profit academic medical center.

Delayed ejaculation — sometimes called impaired ejaculation — is a condition in which it takes an extended period of sexual stimulation for men to reach sexual climax and release semen from the penis ejaculate. Some men with delayed ejaculation are unable to ejaculate at all. Delayed ejaculation can be temporary or a lifelong problem. Possible causes of delayed ejaculation include certain chronic health conditions, surgeries and medications. Treatment for delayed ejaculation depends on the underlying cause.