Delayed ejaculation can be lifelong or acquired. Lifelong delayed ejaculation is defined as lifelong, consistent, bothersome inability to achieve ejaculation, or excessive latency of ejaculation, despite adequate sexual stimulation and the desire to ejaculate. Acquired delayed ejaculation is defined as an acquired, consistent, bothersome inability to achieve ejaculation, or an increased latency of ejaculation, despite adequate sexual stimulation and the desire to ejaculate. The prevalence of delayed ejaculation is unclear, but studies show that it may affect up to 40% of men and worsens with age. Another common cause of DE is the use or abrupt cessation of selective serotonin reuptake inhibitors (SSRIs). It is thought that 5 to 15% of men using SSRI’s will have sexual dysfunction, and it can be as early as after the first dose.
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