What Causes a Man To Not be Able To Climax - Anxiety Toys For Men

What Causes a Man To Not be Able To Climax

Delayed ejaculation can be caused by medications, certain chronic illnesses, and surgeries. Or it can be caused by substance abuse or a mental health problem, such as depression, anxiety, or stress. In many cases, it is due to a combination of physical and psychological problems.


Psychological causes of delayed ejaculation include:

  • Depression, anxiety, or other mental illnesses
  • Relationship problems due to stress, poor communication, or other concerns
  • performance anxiety
  • negative body image
  • Cultural or religious taboos
  • Differences between real sex with a partner and sexual fantasies

Medications and other substances that can cause delayed ejaculation include:

  • some antidepressants
  • Certain medications for high blood pressure
  • certain diuretics
  • Some antipsychotic medications
  • Some anti-seizure medications
  • Alcohol, particularly drinking too much alcohol (alcohol abuse or alcoholism)

Physical causes of delayed ejaculation include:

  • Certain congenital abnormalities arising in the male reproductive system
  • Injury to the pelvic nerves that control orgasm
  • Certain infections, such as a urinary tract infection
  • Prostate surgery, such as transurethral resection of the prostate or removal of the prostate
  • Neurological diseases, such as diabetic neuropathy, stroke, or injury to the nerves of the spinal cord
  • Hormone-related disorders, such as low levels of thyroid hormone (hypothyroidism) or low levels of testosterone (hypogonadism)
  • Retrograde ejaculation, a disorder in which semen backs up into the bladder instead of out of the penis

For some men, a minor physical problem causing delayed ejaculation could cause anxiety to ejaculate during a sexual encounter. Anxiety can make delayed ejaculation worse.

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