For some men, the idea of "going all night" - or even lasting beyond five or ten minutes - seems like a dream. However, delayed ejaculation can be a real problem for some men (and their partners); it can also indicate an underlying health condition. There are several different ways in which delayed ejaculation can manifest, with some men completely unable to release and others needing more than 30 minutes of stimulation in order to do so. Determining what penis care steps will successfully help a man manage this condition requires learning more about the different types, identifying the source and, in some cases, seeking medical treatment.

Types of Delayed Ejaculation

There are four general categories of this condition:

- Generalized: an inability to or difficulty finishing in any sexual situation

- Situational: an inability to or difficulty finishing in certain sexual situations (e.g. some men can only release with oral sex, manual stimulation or certain partners)

- Lifelong: presence of the condition since the time of sexual maturity

- Acquired: when the condition develops after a period of normal sexual function

Identifying which categories a man’s condition falls into will help him, along with medical professionals, work toward finding the source.

There are many potential causes of delayed ejaculation. Although all men for whom this condition is problematic would do well to run it by a health professional, those with lifelong and/or generalized delayed ejaculation should definitely do so, as these forms of the condition likely indicate a health problem. When acquired, it may also indicate the onset of a medical or psychological issue. Situational delayed ejaculation generally requires some behavioral changes in order to subside.

The following four categories of causes may be behind the condition:

Physical Issues

- Birth defects

- Injured pelvic nerves

- Surgery to the prostate

- Urinary tract or prostate infections

- Heart disease

- Stroke

- Diabetes

- Low hormone levels

Psychological Sources

- Poor communication with partner

- Stress

- Commitment issues

- Anxiety (performance or otherwise)

- Incongruence between fantasies and sexual realities

- Cultural or religious concerns

Behavioral Causes

- Masturbating very frequently and/or with a very tight grip (which train the penis only to respond to those specific types of stimulation)

- Viewing hardcore pornography (which also trains the penis to respond to a narrow range of situations/images)

Substance Sources

- High alcohol consumption (acute or chronic)

- Some antipsychotics

- Some diuretics

- Some blood pressure medications

- Many antidepressants

How to Get Help

If delayed ejaculation is causing relationship problems for one or both partners, or if it may indicate a health condition, men should seek out the assistance of a doctor. If a medical condition is behind the issue, treating the underlying condition is the answer. This may involve medications and/or healthy lifestyle changes to combat both conditions at once.

Psychological causes of delayed ejaculation may merit some time in therapy. Cognitive behavioral therapy is wonderful for people who could use help dealing with stress, anxiety and/or depression. Relationship counseling, or simply working toward more open communication with a partner, can help men whose condition is caused by such problems.

Some men will need to switch up their masturbation habits in order to fully enjoy the touch, mouth, anus and/or vagina of a partner again. Cutting back or taking a one-month break from the practice, then reintroducing the penis to gentler sensations, can be immensely helpful. A couple might also experiment with different positions. If a man can only get off on the pressure applied by a hand or mouth, a partner can squeeze her legs together during sex to create a tighter canal for the man, for example.

Finally, if a substance is behind delayed ejaculation, men may work with their doctors to change medications; they may also need to work on their drinking habit if one is present.

Men can give their penises well-rounded attention by applying a penis health crème (health professionals recommend Man1 Man Oil) daily. Look for acetyl L-carnitine on the ingredient list, which helps protect penile nerves, keeping sensitivity levels high.