Thank you for your patience and we apologize for the inconvenience.
Our hold times may be longer than usual as our team is currently undergoing a transition and training to serve you better.
For faster service, we encourage you to use our patient portal to message your care team, request appointments, or access health information anytime.
Thank you for your patience and we apologize for the inconvenience.
Our hold times may be longer than usual as our team is currently undergoing a transition and training to serve you better.
For faster service, we encourage you to use our patient portal to message your care team, request appointments, or access health information anytime.
  • UPNT clinics will open at a delayed time at 10 AM on 11/11-23 Secondary to the ice storm. we will continue to update on the website as conditions may change.
  • UPNT clinics will open at a delayed time at 10 AM on 11/11-23 Secondary to the ice storm. we will continue to update on the website as conditions may change.
  • UPNT clinics will open at a delayed time at 10 AM on 11/11-23 Secondary to the ice storm. we will continue to update on the website as conditions may change.
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  • UPNT clinics will open at a delayed time at 10 AM on 11/11-23 Secondary to the ice storm. we will continue to update on the website as conditions may change.
  • UPNT clinics will open at a delayed time at 10 AM on 11/11-23 Secondary to the ice storm. we will continue to update on the website as conditions may change.
  • UPNT clinics will open at a delayed time at 10 AM on 11/11-23 Secondary to the ice storm. we will continue to update on the website as conditions may change.
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Delayed Ejaculation: Understanding & Finding Solutions in Dallas-Fort Worth

Expert Diagnosis and Personalized Management at Urology Partners of North Texas (UPNT)

Experiencing difficulty achieving ejaculation, or finding that it takes an unusually long time, can be a source of significant frustration and distress. This condition, known as delayed ejaculation (DE), can impact sexual satisfaction, confidence, and intimate relationships. If you’re a man in the Dallas-Fort Worth Metroplex facing this challenge, know that you don’t have to navigate it alone. At Urology Partners of North Texas (UPNT), we specialize in the accurate diagnosis of DE, exploring its often-complex causes, and offering a full spectrum of tailored, non-surgical management strategies to help you regain control and satisfaction.
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What is Delayed Ejaculation (DE)? Defining the Challenge

Delayed ejaculation is a persistent or recurrent difficulty, delay, or inability to achieve ejaculation despite adequate sexual stimulation and desire. It can manifest in different ways:
  • Significant delay in ejaculation.
  • Inability to ejaculate at all (anejaculation), even during intercourse or with adequate stimulation.
  • Requiring prolonged and intense stimulation to achieve ejaculation.
  • Leading to personal distress or interpersonal difficulty.
Unlike premature ejaculation, where ejaculation occurs too quickly, DE involves the opposite problem: a frustratingly slow or absent climax.

Causes of Delayed Ejaculation: Unraveling the Complexity

The causes of Delayed Ejaculation are often multifaceted, involving a complex interplay of psychological, biological, medication-related, and lifestyle factors. Our specialists at UPNT carefully evaluate these elements to identify the root cause of your specific condition.

Common Factors That Can Contribute to DE Include:

  • Biological & Medical Conditions:
  • Nerve Damage (Neuropathy): Conditions affecting nerve signals involved in ejaculation (e.g., diabetes, spinal cord injury, stroke, multiple sclerosis, prostate surgery).
  • Hormonal Imbalances: Low testosterone (hypogonadism) or thyroid disorders.
  • Prostate Conditions: Chronic prostatitis (inflammation of the prostate) or previous prostate surgery (e.g., for BPH or cancer).
  • Structural Abnormalities: Rarely, congenital defects or blockages in the ejaculatory ducts.
  • Urological Infections: Especially chronic or recurrent infections.
  • Alcohol or Drug Abuse: Excessive alcohol consumption or substance abuse can affect sexual function.
  • Aging: While not a direct cause, aging can lead to slower responses, and may be a contributing factor when combined with other issues. In general, orgasm becomes more difficult to achieve as you get older.
  • Medication Side Effects: This is a very common cause.
  • Antidepressants (SSRIs): Selective Serotonin Reuptake Inhibitors are particularly known for delaying ejaculation.
  • Blood Pressure Medications
  • Diuretics
  • Antihistamines
  • Opioids
  • Certain Antipsychotics
  • Psychological Factors:
  • Performance Anxiety: Worry about sexual performance or achieving ejaculation.
  • Stress & Depression: High levels of stress, anxiety, or underlying depression.
  • Relationship Issues: Unresolved conflicts or communication problems with a partner.
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Diagnosing Delayed Ejaculation at UPNT: Your Path to a Clear Game Plan

Accurately understanding Delayed Ejaculation involves a confidential and thorough evaluation by a urology specialist who understands the sensitive nature of your concerns. At Urology Partners of North Texas in the Dallas-Fort Worth Metroplex, our empathetic approach helps us understand the specific factors contributing to your DE, allowing us to develop an effective game plan for your management.

Our Comprehensive Diagnostic Process Typically Includes:

  • Detailed Medical & Sexual History: We'll engage in a discreet, in-depth conversation about your symptoms, how long they've been present, and their impact on your life and relationships. We'll also thoroughly review your full medical history, including all current medications (prescription and over-the-counter), and any other sexual health concerns. Your comfort and privacy are our priority.
  • Physical Exam: A thorough general and focused genital exam may be conducted to rule out any physical abnormalities or underlying medical conditions.
  • Targeted Lab Tests (When Indicated): Blood tests might be ordered to check hormone levels (e.g., testosterone, thyroid function, prolactin) or to screen for conditions like diabetes, especially if biological causes are suspected. Urine tests may check for infection.
  • Urological Imaging/Tests (If Structural Issues Suspected): In rare cases, imaging like ultrasound or MRI may be considered if a structural abnormality is suspected. Doppler penile ultrasound can also be used to study the anatomy of the penis.
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Leading Non-Surgical Treatments for Delayed Ejaculation at UPNT

At Urology Partners of North Texas, our goal is to provide personalized, highly effective non-surgical treatments that help you overcome delayed ejaculation, reduce distress, and significantly improve sexual satisfaction. We know that effective management often requires a multi-faceted approach, and our DFW specialists are experts at tailoring the right combination of strategies for you.

Our Personalized Management Approaches Include:

  • Addressing Underlying Medical Conditions:
  • If DE is linked to conditions like low testosterone, diabetes, thyroid disorders, or prostate issues, effectively treating that primary condition can often lead to significant improvement in DE symptoms. Our specialists are skilled at identifying and managing these connections.
  • Medication Review & Adjustment:
  • We will thoroughly review all your current medications, particularly SSRIs, and discuss potential adjustments or alternative drugs with your prescribing physician. Never stop or change medications without medical guidance.
  • Trial of Medications:
  • Certain medications not specifically approved for DE (but used "off-label") might be considered to aid ejaculation, after a thorough discussion of risks and benefits with your specialist. Several new and emerging therapies have shown promise, including medications such as cabergoline, oxytocin, apomorphine, and PT-141.
  • Psychological Counseling & Sex Therapy:
  • Sex Therapy: A qualified sex therapist can provide expert guidance on behavioral techniques, communication strategies with your partner, and address performance anxiety, psychological blocks, or other emotional factors contributing to DE.
  • Relationship Counseling: Can be invaluable if DE is straining your relationship, fostering open dialogue and mutual understanding.

Why Choose Urology Partners of North Texas for DE Treatment in DFW?

Dealing with delayed ejaculation calls for sensitive, expert care to identify its often-complex root causes and implement the most effective, personalized solutions. At Urology Partners of North Texas, we are a trusted option for men across the Dallas-Fort Worth Metroplex seeking lasting relief from DE.
  • Discreet & Empathetic Care: We are acutely aware of the sensitive nature of DE. Our compassionate team provides a private, non-judgmental environment where you can discuss your concerns openly and comfortably, ensuring your dignity and privacy.
  • Precise, Patient-Centered Diagnosis: We are skilled at understanding the specific factors contributing to your DE, meticulously exploring medication effects, psychological aspects, and underlying biological conditions. This thoughtful approach helps ensure your management plan targets the most impactful areas for optimal results.
  • Comprehensive Non-Surgical Expertise: We offer a full spectrum of evidence-based non-surgical management strategies for DE. From medication adjustments and behavioral techniques to expert counseling referrals, we create a truly personalized game plan tailored precisely to your unique needs and preferences.
  • Leading Urologists in Men's Health: Our specialists are highly experienced urologists with deep expertise in male sexual health, including the intricacies of DE and its often-complex connections to other medical conditions. You're in the hands of trusted urology experts in the Dallas-Fort Worth Metroplex.
  • Dedicated to Restoring Confidence & Intimacy: Our ultimate goal is to empower you to overcome the challenges of DE, significantly reduce distress, and dramatically improve your sexual satisfaction and relationship intimacy. We measure our success by your renewed confidence.
  • A Trusted Name in Dallas-Fort Worth Urological Care: As a cornerstone of urological care in the Dallas-Fort Worth Metroplex, UPNT is committed to serving our community with unwavering integrity, scientific excellence, and a steadfast dedication to improving men's sexual health and overall quality of life.

Frequently Asked Questions (FAQs) About Delayed Ejaculation (DE)

Here are answers to common questions our patients in Dallas-Fort Worth often ask about delayed ejaculation:
How common is delayed ejaculation (DE)?
Delayed ejaculation is less common than premature ejaculation but still affects a significant number of men. Its prevalence varies in studies, but it’s estimated to affect anywhere from 1% to 10% of adult men.
Yes, medication side effects are one of the most common causes of DE. Antidepressants (especially SSRIs), some blood pressure medications, and certain other drugs are well-known culprits. It’s crucial to discuss all your medications with your UPNT specialist.
DE can stem from a complex mix of both psychological and biological factors. While psychological aspects like anxiety or relationship issues are common, underlying medical conditions, nerve damage, or medication side effects can also play a significant role. Our UPNT specialists will help explore your specific causes.
The first step is to schedule a confidential consultation with a urology specialist at UPNT in the Dallas-Fort Worth Metroplex. We will take a detailed history, conduct an exam, and determine what diagnostic steps are needed to understand your unique situation and develop a game plan.
Yes, low testosterone levels (hypogonadism) can sometimes contribute to delayed ejaculation, as testosterone plays a role in sexual function and desire. If suspected, your UPNT specialist may test your hormone levels as part of the diagnostic process.
No, surgical options are typically not used to treat delayed ejaculation itself. Management focuses on identifying and addressing underlying causes, medication adjustments, behavioral strategies, and counseling.

Ready to Find Lasting Solutions for DE? Contact UPNT Today.

Don’t let delayed ejaculation impact your confidence or relationships any longer. If you’re a man in the Dallas-Fort Worth Metroplex seeking discreet, expert care for DE, reach out to Urology Partners of North Texas. We’re here to accurately diagnose your condition and guide you toward personalized, effective solutions that restore your confidence and intimacy.
  • Call Our DFW Team Today to Schedule Your Appointment:
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Dr. Weber Chuang will be retiring from medical practice effective September 26, 2025. To ensure that your medical care continues seamlessly, your ongoing care will be transitioned to another physician within our practice. You may schedule appointments directly by contacting our office at 866-367-8768 or via your patient portal. Your medical records will remain securely within the practice, so there is no additional step required on your part unless you wish to request a transfer elsewhere.
Dr. Weber Chuang will be retiring from medical practice effective September 26, 2025.
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