Ready to book a Psychosexual Health appointment?

Psychosexual Therapy for Retarded or Delayed Ejaculation

Retarded or Delayed Ejaculation

Sexual issues are common and can affect both men and women. Retarded or delayed ejaculation is a sexual problem that affects men at any age and can be caused by various factors, including psychological, physiological, or medication. It is characterised by a significant delay in achieving ejaculation or the inability to ejaculate during sexual activity. Retarded or delayed ejaculation can cause frustration, anxiety, and low self-esteem, negatively impacting a man’s sexual and mental health. Fortunately, psychosexual therapy can help men overcome this condition and improve their sexual functioning.

Retarded or Delayed Ejaculation: Older man leans against wall head on hand looking depressed

Understanding Retarded or Delayed Ejaculation

Retarded or delayed ejaculation is a sexual dysfunction caused by various factors. Psychological factors, such as anxiety, depression, and stress, can contribute to delayed ejaculation. Additionally, physiological factors, such as hormonal imbalances, nerve damage, or medication side effects, can also lead to retarded ejaculation.

Examples of retarded or delayed ejaculation can include an inability to ejaculate during sexual activity, a prolonged time to ejaculate, or the need for specific types of stimulation to ejaculate. Delayed ejaculation can cause anxiety, stress, and low self-esteem, negatively impacting a man’s sexual and mental health.

The prevalence of retarded or delayed ejaculation is not known accurately, as many men don’t seek support for it. However, studies suggest that it affects approximately 1% of men.

Retarded or Delayed Ejaculation: Man sits opposite his therapist who makes notes on a note pad

The Psychosexual Therapy Process

Psychosexual therapy is a collaborative process between a therapist and the patient. The therapy process involves several stages: assessment, goal setting, therapy sessions, and follow-up.

During the assessment stage, the therapist will ask the client about their medical and sexual history and any psychological or emotional factors contributing to the condition. Based on the assessment, the therapist will work with the client to set realistic and achievable goals for therapy.

Therapy sessions will involve the therapist and patient working together to address the underlying psychological and emotional factors contributing to the patient’s delayed ejaculation. Methods used in therapy may include cognitive-behavioural therapy, psychoanalytic therapy, or systemic therapy.

The therapist will provide guidance and support throughout therapy, helping the client develop methods to manage anxiety and stress related to sexual performance. Additionally, the therapist may recommend exercises, such as sensate focus or guided masturbation, to help the client to relearn sexual response patterns.

Follow-up sessions are essential to monitor the patient’s progress and adjust therapy. The duration of therapy will depend on the severity of the patient’s condition and the individual’s response to therapy.

Men with retarded or delayed ejaculation considering psychosexual therapy can take several steps to prepare for therapy and improve their chances of success.

Communication is essential during therapy, so it is essential to be open and honest with the therapist about any concerns or issues related to sexual function. Additionally, it is important to be patient and committed to the therapy process. Psychosexual therapy is not a quick fix; it may take time to see results.

Moreover, men can improve their sexual health and functioning by practising good self-care habits, such as getting enough sleep, eating a healthy diet, and exercising regularly. Reducing stress and anxiety can also help improve sexual function, so finding ways to manage stress, such as meditation or mindfulness, may be beneficial.


Retarded or delayed ejaculation can be a challenging condition to overcome, but psychosexual therapy can be successful for men. By understanding the different types of therapy, the benefits of therapy, and the therapy process, men can take the first step towards achieving better sexual health and well-being. With the guidance and support of a qualified therapist, men with retarded or delayed ejaculation can break free from this block and improve their sexual functioning.

Cristina Vrech

Co-founder and director of Leone Centre, 20+ years of experience in supporting people, and offering valuable knowledge through Couples Counselling and Individual Counselling. Before becoming a therapist, I worked in the financial sector.

View more posts by Cristina Vrech

Talk with a Psychosexual Health Professional

If you do feel like you need some help and support, our Psychosexual Health professionals are available 7 days a week. Call us on 020 3930 1007. We can also provide fast track therapy.

We can offer in-person counselling in London appointments at our head office in Fulham and our offices in Kensington, Wimbledon and Belgravia, We also service Victoria, Putney, Chelsea, Knightsbridge, Mayfair, and City of London.

In addition, we offer Online Therapy appointments wherever in the world you are located, should this better fit around your existing commitments or if you are not able to attend an in-person appointment.

Schedule Your Psychosexual Health Appointment