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What could cause delayed ejaculation in an otherwise healthy male causing him to require intense stimulation before reaching orgasm?

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This is a very complicated male sexual dysfunction. The causes and treatments are too numerous to fully explain here.

The following link is to a website where the problem of delayed or absent ejaculation is discussed in detail:

http://www.psychforums.com/forums/viewtopic.php?t=1796&postdays=0&postorder=asc&start=0

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