Personalized Men’s Sexual Health Support for Restoring Intimacy and Confidence

If you're experiencing difficulty climaxing during sex or find that ejaculation takes an unusually long time despite arousal and stimulation, you may be dealing with Delayed Ejaculation (DE – 지연 사정, jiyeon sajeong). While less talked about than other sexual issues, it’s a real and treatable condition that affects both physical function and emotional intimacy. Fortunately, men’s health clinics in Korea—such as Gangnam J Urology Clinic—offer confidential, expert-led care to identify the cause and guide you toward resolution.

What Is Delayed Ejaculation?

Delayed ejaculation refers to:

• Significantly prolonged time to climax during sex or masturbation
• In some cases, inability to ejaculate at all despite full erection and stimulation
• Causing personal frustration, performance anxiety, or relationship tension

There are two main forms:

• Lifelong DE: Present from first sexual experience
• Acquired DE: Develops later, often due to medical, psychological, or lifestyle factors

What Causes Delayed Ejaculation in Men?

DE can have multiple contributing factors—often a combination of physical and psychological elements:

Physical Causes:

• Diabetes or nerve-related conditions (e.g., multiple sclerosis, spinal injuries)
• Certain medications, especially antidepressants (SSRIs), antihypertensives, or antipsychotics
• Prostate surgery or pelvic nerve trauma
• Low testosterone or hormonal imbalances
• Excessive alcohol use or substance abuse
• Erectile dysfunction (inability to sustain stimulation)

Psychological Causes:

• Performance anxiety or pressure to climax
• Religious or cultural guilt around sexuality
• Relationship stress or lack of emotional connection
• Pornography overuse, leading to desensitization
• Depression or suppressed arousal response

Proper diagnosis is crucial to understanding what’s driving the problem—and how to fix it.

How Is DE Diagnosed in Korea?

At Gangnam J Urology Clinic, you’ll receive discreet, professional care that respects your privacy.

 1. Comprehensive Consultation

• Questions about the onset, duration, frequency, and context of the issue
• Review of medications, medical history, lifestyle habits, and sexual experiences

2. Physical Examination

• Includes genital and neurological assessment
• Optional prostate check or penile sensitivity test

3. Hormonal Testing (If Needed)

• Total and free testosterone
• Thyroid function and prolactin levels

4. Mental Health Screening

• Identifies any signs of anxiety, depression, or sexual trauma history

5. Optional Imaging or Doppler Ultrasound

• Used if a structural or vascular issue is suspected

Treatment Options for Delayed Ejaculation

Treatment at Korean men’s clinics is highly personalized, often combining medical, psychological, and behavioral strategies:

1. Medication Review & Adjustment

• If DE is linked to antidepressants or other drugs, your doctor may adjust the dose or switch medications
• In some cases, dopaminergic agents or off-label medications (e.g., bupropion, amantadine) may be prescribed

2. Testosterone Optimization (TRT)

• If low testosterone is found, hormone replacement therapy may restore libido and ejaculation reflex

3. Sex Therapy or Counseling

• Especially helpful if the issue is linked to psychological barriers, anxiety, or relationship concerns
• Guided desensitization, mindfulness, or behavioral exercises

4. Behavioral Interventions

• Techniques to gradually retrain sexual response patterns
• Limiting porn usage or specific masturbation habits that may desensitize natural stimuli

5. Medical Devices (if applicable)

• In rare neurogenic cases, vibratory stimulation or electroejaculation may be considered

Why Choose Gangnam J Urology Clinic for DE Treatment?

• Specialized in Men’s Sexual Health: Decades of experience with even complex cases
• Integrated Care: Physical, emotional, and hormonal aspects all addressed
• Bilingual Staff: Consult comfortably in English or Korean
• Private, Judgment-Free Environment: Designed for discretion and comfort
• Step-by-Step Solutions: Many men see improvement within weeks

Cost of Delayed Ejaculation Treatment in Korea

With NHIS Coverage (if a medical diagnosis is confirmed):

• Consultation: ₩5,000 – ₩20,000
• Hormonal or diagnostic testing: ₩10,000 – ₩30,000
• Medication (if covered): ₩5,000 – ₩15,000
  Total with NHIS: ₩20,000 – ₩60,000 per visit

Without NHIS (Out-of-Pocket):

• Consultation: ₩50,000 – ₩100,000
• Lab Tests: ₩50,000 – ₩150,000
• Counseling or Therapy Sessions: ₩50,000 – ₩100,000+ per session
• Medication (if prescribed): ₩30,000 – ₩70,000 per course
  Total without NHIS: ₩100,000 – ₩300,000+

When to Seek Help for DE

You should visit a clinic if:

• You consistently cannot ejaculate or take 20+ minutes to climax
• The issue causes personal stress or partner frustration
• You’ve noticed a sudden change from previous sexual function
• You’re taking medications that may be interfering with sexual performance
• You want professional, long-term support



Delayed ejaculation can affect self-esteem, intimacy, and relationships—but it’s both understandable and manageable. Whether rooted in physical causes or emotional blocks, clinics like Gangnam J Urology Clinic offer clear answers and effective treatments in a private, supportive setting. Don’t let the silence surrounding DE keep you from enjoying a full and satisfying sex life. Help is here—and recovery starts with one confidential visit.