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Sexual dysfunctions. In: Diagnostic and Statistical Manual of Mental Disorders DSM-5. 5th ed. Arlington, Va.: American Psychiatric Association; 2013. http://dsm.psychiatryonline.org/. Accessed Feb. 25, 2018.
Wein AJ, et al., eds. Disorders of male orgasm and ejaculation. In: Campbell-Walsh Urology. 11th ed. Philadelphia, Pa.: Elsevier; 2016. https://www.clinicalkey.com. Accessed May 7, 2018.
Ferri FF. Ejaculation and orgasm disorders. In: Ferri's Clinical Advisor 2018. Philadelphia, Pa.: Elsevier; 2018. https://www.clinicalkey.com. Accessed Feb. 25, 2018.
Abdel-Hamid IA, et al. Delayed ejaculation: Pathophysiology, diagnosis, and treatment. World Journal of Men's Health. 2018;36:22.
Sadowski DJ et al. A review of pathophysiology and management options for delayed ejaculation. Sexual Medicine Reviews. 2016;4:167.

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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.
It's normal for men to have delayed ejaculation from time to time. Delayed ejaculation is only a problem if it's ongoing or causes stress for you or your partner.
Some men with delayed ejaculation need 30 minutes or more of sexual stimulation to have an orgasm and ejaculate. Other men might not be able to ejaculate at all (anejaculation).
But, there's no specific time that indicates a diagnosis of delayed ejaculation. Instead, you are probably experiencing delayed ejaculation if the delay is causing distress or frustration, or if you have to stop sexual activity due to fatigue, physical irritation, loss of erection or a request from your partner.
Often, men might have difficulty reaching orgasm during sexual intercourse or other sexual activities with a partner. Some men can ejaculate only when masturbating.
Delayed ejaculation is divided into the following types based on symptoms:
These categories help in diagnosing an underlying cause and determining what might be the most effective treatment.
Your primary care doctor is a good place to start when you have delayed ejaculation. See your doctor if:
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Delayed ejaculation can result from medications, certain chronic health conditions and surgeries. Or it might be caused by substance misuse or a mental health concern, such as depression, anxiety or stress. In many cases, it is due to a combination of physical and psychological concerns.
Psychological causes of delayed ejaculation include:
Medications and other substances that can cause delayed ejaculation include:
Physical causes of delayed ejaculation include:
For some men, a minor physical problem that causes a delay in ejaculation might cause anxiety about ejaculating during a sexual encounter. The resulting anxiety might worsen delayed ejaculation.
A number of things can increase your risk of having delayed ejaculation, including:
Complications of delayed ejaculation can include:
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The normal volume of semen that is produced during ejaculation varies from 2 to 5 milliliters per ejaculation. There are many products, most of which can be only be found inefficient, that claim to surge the amount of semen you produce upon ejaculation. Although their claims hold no substance, and the products have been widely discredited and deemed ineffective, this does not mean that there are no steps that you can take. There are ways you can help to increase the amount of semen you produce upon ejaculation, read on to learn how to increase ejaculate.
Pubococcygeus (PC) exercise is believed to increase the volume of ejaculate, as well as extend the duration of the orgasm.Your pubococcygeus muscles, with some help, are responsible for the force of ejaculation you produce. If these muscles are strong, you will be able to exert more force upon ejaculation.
To avoid becoming infected with an STD, you will want to practice safe sex. Some STDs, chlamydia, for example, can lead to sterility in both females and males. If you have had unprotected sex recently with anyone, then it's imperative to get tested for STDs.
Stress is a bad thing. It can lead to many health implications, and stress hormones can affect your body's production of testosterone, which performs a fundamental role in sperm production.
A healthy diet means a lot to figure out how to ejaculate more. What we eat directly affects the function of our bodies, so does the sperm production. Ensuring to maintain a diet that's high in fiber, whole grains, vitamins, minerals, and protein, and low in fat is beneficial to the health of your semen. Adding high amounts of vitamin C and antioxidants will also help to promote the health of your sperm.
Meanwhile, there are some foodsyou should avoid, like processed meat and soda pop drinks. Fish is a better alternative to meat, and soda contains corn syrup, which can affect your sperm detrimentally.
Avoid wearing tight underwear and trousers. This will help to reduce pressure around the genital and keep it cool. The perfect temperature for the testicle is a little bit lower than the normal body temperature. Too tightunderwear and trousers will increase the temperature of the scrotal area, thereby reducing the amount of semen and sperm produced upon ejaculation.
It is recommended to wear loose and cotton-made underwear instead of those tight ones or briefs. Also, you'd better wear jockstrap during sports activities.
Smoking has countless, bad effects on a persons health. One of these is reducing the sperm count of smokers (by 22%), as well as make sperm smaller and slower. This is thought to be due to a protein imbalance caused by smoking.
How to ejaculate more? Some supplements can help.
Finally, your sex and masturbation frequency weighs a lot. Always remember that the more you ejaculate, the less dense your sperm will be. Reducing the amount you masturbate or sexual activities will help you to ejaculate more.
Many factors can affect the amount of semen you produce upon ejaculation. Some can't be helped, but others most definitely can. Below is a list of some factors that can affect ejaculation:
Although there are steps to learn how to ejaculate more, the fact remains that your genetics play a big part in how much sperm you can and will produce.
As men grow older, their semen levels begin to decline. This usually happens around the age of 50. Ages from 20 to 30is commonly assumed as the best time in a man's life for semen production.
Ensuring you remain hydrated by drinking plenty of water, and maintaining a healthy dietis a huge factor for optimum sperm production.
The arousal level you get before ejaculation can have a big effect on the amount of ejaculate that is produced.
Leaving sufficient time between ejaculations will help to ensure that every load of semen is ejaculated to its full potential. Some suggest this time period is one day, although others suggest it can take up to seven days after ejaculating.
Your lifestyle decisions can cover exercise, diet, weight, smoking, drinking, etc. If you lead a stressful life, fail to exercise regularly, or maintain an unhealthy diet, the lifestyle choices you have made can seriously affect the health and quantity of your sperm and semen.
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