Overview
A healthcare provider will ask you questions about your medical history, sexual habits and ejaculation patterns. Questions may include:
- When did you first notice you had problems ejaculating?
- Does delayed ejaculation happen a lot, or only sometimes?
- Are you able to ejaculate when you masturbate?
- Are you able to ejaculate when you have sexual intercourse?
- If you can ejaculate, how long does it take?
- Do you have any other penile disorders, such as erectile dysfunction or a penile fracture?
- Do you have any new or changing sexual desires?
- What medications are you currently taking?
- How much alcohol do you drink?
- Do you use any nonprescription drugs?
These questions may feel awkward or intrusive, but they’re an important part of a provider’s diagnosis. It’s important to answer these questions honestly, even if you feel embarrassed.
A provider may perform a physical examination and order tests to help identify or rule out other conditions. These tests may include:
- Blood tests
- Urinalysis (pee test)
- Semen analysis, particularly if you’re trying to conceive a biological child
Symptoms
When to see a doctor
Complications
- High blood pressure.
- Diabetes.
- Heart failure.
- Some types of heart valve disease.
Prevention
- Control high blood pressure, high cholesterol and diabetes.
- Don't smoke or use tobacco.
- Eat a diet that's low in salt and saturated fat.
- Exercise at least 30 minutes a day on most days of the week unless your health care team says not to.
- Get good sleep. Adults should aim for 7 to 9 hours daily.
- Maintain a healthy weight.
- Reduce and manage stress.
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