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Warning-sign checks

Delayed ejaculation: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    However, seek urgent or emergency care if it occurs with new leg weakness, numbness around the genitals or buttocks, loss of bladder or bowel control, or an inability to pass urine.

    These can be signs of a serious spinal or nerve problem.

    Use local emergency or crisis services if you may act on those thoughts.

    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Seek prompt mental health support if distress about sexual function is causing severe depression or thoughts of self-harm.

  3. 3

    Does any of this apply?

    Book an appointment

    Arrange a routine appointment if delayed or absent ejaculation persists, causes distress, affects a relationship, or makes conception difficult.

    You should also seek assessment if the problem began suddenly, started after a new medicine or operation, or is accompanied by pain, blood in the semen, reduced sensation, urinary changes, low sexual desire, or erection problems.

The article also says

A sudden sexual change is not usually an emergency on its own.

Every sign above is quoted from the sofidex article on Delayed ejaculation. If you are not sure, err upward — it is always reasonable to be checked.