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If the man is unable to ejaculate in a reasonable length of time with some form of stimulation (as with masturbation), it is a good indicator that organic factors are likely to play a role in the problem.
Stimulation of the penis with a vibrator or other increased stimulatory device may determine if an underlying physical (often neurological) problem exists. A neurological examination may uncover other neurological defects associated with delayed ejaculation.
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