Understanding Delayed Ejaculation
Delayed ejaculation occurs when a man takes significantly longer than desired to reach orgasm and ejaculate — or cannot do so at all during partnered sex, even if masturbation is unaffected. It causes significant distress for both the man and his partner.
You are not alone : DE is a recognized, treatable condition. It is not a sign of poor attraction or lack of desire.
Types of Delayed Ejaculation
1. Lifelong DE
Present since first sexual experiences. Often linked to deep-seated psychological patterns or specific masturbatory habits.
2. Acquired DE
Develops after a period of normal function — triggered by medication changes, relationship difficulties, trauma, or significant life events.
3. Situational DE
Develops after a period of normal function — triggered by medication changes, relationship difficulties, trauma, or significant life events.
How Psychosexual Therapy Helps
Therapy addresses psychological and relational barriers using cognitive approaches, sensate focus, graduated exercises, and anxiety management — creating the conditions for a natural, relaxed ejaculatory response.
Your First Session
A detailed, confidential conversation about your experience — when it started, how it affects you, and contributing factors. Together you develop a personalized treatment plan.
Individual & Couple Therapy
Whether the priority is individual self-exploration or rebuilding intimacy as a couple, therapy is compassionate, non-judgmental, and tailored to your unique circumstances.
What You Can Expect from Treatment
- Reduce performance anxiety: Break the cycle of worry maintaining the difficulty
- Address unhelpful patterns : shift masturbatory habits that makes partnered sex harder
- Build intimacy: Reconnect in a more relaxed, exploratory way
- Improve communication: feel more able to discuss your needs openly with your partner
What our clients say
Our Therapists
All our psychosexual therapists are registered members of COSRT (College of Sexual and Relationship Therapists). Our therapists hold postgraduate qualifications in psychosexual and relationship therapy and many hold additional BACP or UKCP memberships. They provide a warm, confidential, non-judgmental space where you can explore your concerns and work towards meaningful, lasting change.
Confidentiality guaranteed: All sessions — in person or online — are conducted in strict confidence in accordance with COSRT's professional code of ethics.
Frequently Asked Questions
1. What is delayed ejaculation?
Delayed ejaculation (DE) is when a man takes an unusually long time to reach orgasm and ejaculate — or is unable to do so during sexual activity — despite adequate arousal.
2. What causes delayed ejaculation?
Psychological causes include performance anxiety, shame, idiosyncratic masturbatory patterns, and depression. Physical causes include SSRIs and other medications, hormonal imbalances, and neurological conditions.
3. Is delayed ejaculation treatable?
Yes. When psychological factors are involved — very commonly the case — psychosexual therapy is highly effective.
4. What is idiosyncratic masturbation?
A masturbatory technique so specific that partnered sex cannot replicate it — leading to inability to ejaculate with a partner. Therapy gently addresses this pattern.
5. Do you offer online therapy for delayed ejaculation?
Yes. Online sessions are available and equally effective.
Fees
Session Fees
Individual Sessions: £90 per session (50 minutes)
Couple Sessions: £130 per session (50 minutes)
Session Frequency
Most clients attend weekly or fortnightly sessions. You and your therapist will agree a frequency that suits your needs.
Both in-person and online appointments are available.