In females, this occurrence is known as menopause. The male counterpart to this is known as Andropause.
- Psychological causes e.g. traumatic experience, depression, anxiety, religious or cultural taboos
- Relationship problems e.g. poor communication, relationship stress, anger
- Sexual fantasies i.e. some men are able to ejaculate while masturbating but not with a partner
- Medications and substances e.g. antidepressants, antipsychotics, medications for high blood pressure, diuretics, alcohol, morphine
- Physical causes e.g. damage to the nerves in your pelvis or spine, prostate surgery, stroke, low testosterone levels, low levels of thyroid hormone, urinary and/or prostate infections, birth defects, retrograde ejaculation
Note: A temporary ejaculation problem can lead to depression and anxiety. This can ultimately result in recurrent DE episodes, even when the existing physical cause has been tackled.