Funny

Not necessarily medication.

There's a lot that goes into how fast someone can reach orgasm and/or ejaculation (they don't have to happen at the same time).

Just a quick listing of some factors

Nerve density, circumcision status, age, masturbation habits, mental status, attraction, timing of recent ejaculation, general neurological state, nerve conductivity. That's just off the top of my head, and it isn't a complete listing

See, a lot of people think ejaculation is a magic formula where you mix friction with movement and get spooj. And it can work like that.

Let's take one example that is a major factor in delayed ejaculation during penetrative sex. The death grip. A lot of men get into the habit of squeezing hard and then beating it like it owes you money. This can work, it's a very common way for boys to end up using a lot as they learn to masturbate because the "wiring" involved does take time to develop sometimes.

Thing is, if that's the only way you ever masturbate, your brain an nervous system get used to it, and anything less intense just doesn't work until you retrain yourself. The lighter pressure and higher lubrication of a vagina ends up feeling like nothing in comparison, leading to a lot of boys and men having difficulty reaching orgasm and/or ejaculation.

Now, take a person using a death grip, and they're circumcised. It's a very common thing with the circumcised penis for the head to have decreased sensitivity, and it may even have a kind of thickening called keratinization. Basically, the head develops a kind of callus because it isn't protected by a foreskin.

With both of those in play, not only is the base sensitivity lower, but the habit of going for the highest possible intensity stimulation makes it harder to enjoy the sensitivity that is there, leading to not only delayed orgasm, but utter anorgasmia during sex.

Stack on something like a slower nerve response that's just how your body works as a baseline, and you get guys that never ejaculate during penetrative sex.

And, you're right, vaginas can object to the times necessary for men with those kind of delays to achieve orgasm is ejaculation. The vagina is not an infinite spring of lubrication, and the tissues inside are sensitive. There's a wide range of what vaginas can handle before it becomes unpleasant, but it definitely can for any woman. Plus, some women become so hypersensitive after orgasm, that any activity is overwhelming, so it isn't like everyone with a vagina gets to have multiple orgasms freely.

The good news is that some factors in delayed orgasm for men can be alleviated. Just retraining how we masturbate can help a ton. Switching over to using minimum pressure, just enough to feel it at all, and being patient in trying to reach orgasm that way is a big help, even when medication is the primary limitation. You retrain your brain and body to accept that kind of stimulation, which eventually leads to easier orgasms during sex and better orgasms across the board.

There's other ways to handle specific issues, too many for a single comment. But the point is that there are things to try, if the duration to orgasm is a problem.

Just curious, how do you ever find the time to masturbate?