A physical exam and medical history might be all that are needed to recommend treatment for delayed ejaculation. However, if delayed ejaculation appears to be caused by an underlying problem that might need treatment, you might need further tests or you might need to see a specialist. Delayed ejaculation treatment depends on the underlying cause, but it might include taking a medication or making changes to medications you currently take, undergoing psychological counseling, or addressing alcohol or illegal drug use. If you're taking medication that might be causing delayed ejaculation, reducing the dose of a medication or switching medications might fix the problem. Sometimes, adding a medication might help. There aren't any drugs that have been specifically approved for the treatment of delayed ejaculation.
Refractory Period: The Reason for Breaks Between Orgasms
Women may be primed to go seconds after the first big win, but for men, it may not be so easy. What gives? Both women and men have a built-in recovery period after sex. After ejaculation, the whole body is on overdrive. And the sympathetic nervous system — which controls the fight-or-flight response — pushes for calm, explains urologist Charles Walker. What happens next is a domino effect, lowering levels of neurotransmitters, namely dopamine and testosterone. But when your system wants you to come off that high , it dampens production of it.
Hard Facts: Here's The Time Most Men Need After Orgasm Before Going Again
In human sexuality , the refractory period is usually the recovery phase after orgasm during which it is physiologically impossible for a man to have additional orgasms. While the refractory period varies widely among individuals, ranging from minutes to days, [4] [5] [6] most men cannot achieve or maintain an erection during this time, and many perceive a psychological feeling of satisfaction and are temporarily uninterested in further sexual activity; the penis may be hypersensitive and further sexual stimulation may feel painful during this time frame. An increased infusion of the hormone oxytocin during ejaculation is believed to be chiefly responsible for the male refractory period, and the amount by which oxytocin is increased may affect the length of each refractory period. Anecdotal reports on cabergoline suggest it may be able to eliminate the refractory period altogether, allowing men to experience multiple ejaculatory orgasms in rapid succession. At least one scientific study supports these claims, [9] although cabergoline is a hormone-altering drug and has many potential side effects.
After orgasm, both men and women experience a resolution stage. For men, the penis becomes flaccid again and he goes through a refractory period. His body does not respond to sexual stimulation and he is unable to reach orgasm again until the period is over. The length of the refractory period is different for every man.