Delayed ejaculation is a phenomenon of sexual dysfunction, which means problems with ejaculation. With this dysfunction, there are no problems with a man’s sexual arousal, an erection is also complete, but even with prolonged stimulation of the penis, ejaculation does not occur. Ejaculation of seminal fluid is difficult, which leads to problems with achieving orgasm, as a consequence — constant dissatisfaction in the mental and physical sense.
The content of the article:
Classification of delayed ejaculation
The reasons why ejaculation occurs with a delay
Symptoms
Diagnostics
Treatment of delayed ejaculation
Delayed ejaculation
Delayed ejaculation is only one of the possible forms of ejaculation disorders, but it is quite rare. Premature and retrograde, painful ejaculation are much more common, but anejaculation and delayed ejaculation of seminal fluid are less common. Statistics say that about 2 men per 1000 suffer from this type of dysfunction. In essence, this is an unconscious violation of the ejaculation reflex, since in most cases the possibility and desire of the man himself and his sexual partner would have to allow the ejaculation of seminal fluid to occur. Therefore, this dysfunction is differentiated from the consciously controlled inhibition of ejaculation, which is artificially created by some men.
Due to the complex nature of the disease, diagnosis and treatment are carried out by specialists in various fields, such as sexologists, neurologists, andrologists, urologists, endocrinologists. Tests are prescribed using ultrasound technologies, a study for sexual infections, a study of the hormonal background of the patient.
Treatment includes a wide range of techniques, drugs, psychological therapy, and physiotherapy are used.
Classification of delayed ejaculation
There are several degrees of delayed ejaculation that can manifest in a man. The extreme degree of this problem is called aneculation, which manifests itself in the complete absence of ejaculation of seminal fluid, despite a long time of stimulation.
In addition to complete anejaculation, there is a separate degree of it, which is called relative anejaculation, which is characterized by the absence of ejaculation of semen during sexual intercourse, but the implementation of this process by long arousal of the partner with the help of petting, masturbation.
The primary delay of ejaculation is a process that accompanies a man from the very beginning of sexual life.
Secondary — acquired after the sexual life has been started, after a certain period of time.
After the patient undergoes some tests and studies, either a permanent delay in ejaculation or a situational variety of it can be distinguished. The first occurs constantly, regardless of the surrounding factors. Situational delay is usually triggered by certain aspects, situations, conditions.
The reasons why ejaculation occurs with a delay
The reason for the delay in ejaculation can be both a violation of the psychological background and physical health problems. Therefore, if a delay in the release of seminal fluid is detected, an examination is prescribed by various specialists, not only physical, but also psychological.
The organic cause is a variety of problems with the physical form of the patient. Injuries of the scrotum and penis, infections, prostatitis, prostate adenoma, prostate surgeries, urethritis, urethral stricture have an impact here. It is also mandatory to conduct research on problems from the field of neurology, such as stroke, Parkinson’s disease, problems with the patient’s spinal cord, diabetic neuropathy.
Hormonal disorders, such as hypothyroidism and hypogonadism, can also cause the onset of delayed ejaculation.
After surgical interventions, during which there was damage to internal organs, especially operations on pelvic organs and in the abdominal cavity, there may be a delay in ejaculation.
Also, the problem with ejaculation of seminal fluid may arise due to the disproportion of the genitals of sexual partners. For example, such a delay in ejaculation appears if a man’s penis is small in size, and his sexual partner’s vagina is wide. In this case, mechanical stimulation of the penis during frictions does not occur.
Problems from the field of psychology that can cause a delay in ejaculation include stress, depression, personal problems, sexual injuries, complexes, insufficient attractiveness of a sexual partner.
A separate set of problems that cause a delay in the release of seminal fluid is isolated into a deviant group of sexual inclinations, such as homosexual, masochistic, sadistic, etc. In addition, there is a phenomenon in which a man gets more satisfaction from the masturbation process than from sexual intercourse, which also causes problems with ejaculation of seminal fluid.
Delayed ejaculation, which occurs as an adverse reaction to medications prescribed for the treatment of depression, mental disorders, diuretics and antihypertensive medications, is also considered. This also includes such a cause of delayed ejaculation as alcohol and narcotic substance abuse.
Symptoms
There is a basic sign of delayed ejaculation, which is characterized by a forced prolongation of sexual intercourse, which is necessary for attempts to achieve ejaculation. In such a situation, according to statistics, three quarters of men can accelerate the onset of ejaculation with masturbation, and half of them can simply achieve ejaculation with the help of petting, with the participation of a partner, but not in sexual intercourse directly.
Since there are no general criteria for which sexual intercourse is considered “normal”, then the main sign of delayed ejaculation can be objective very conditionally. However, the generally accepted norm says that problems with ejaculation should be fixed in the case when ejaculation does not occur after half an hour after the start of sexual intercourse, provided that it brings discomfort to partners.
Delayed ejaculation can be a problem sexually, physically and psychologically for both partners, as it affects the emotional state of both men and women. Psychologists say that although the delay in ejaculation is initially welcomed by a woman, because it gives her the opportunity to experience multiple orgasms, then a wave of depression sets in, which is based on a constant feeling of being an insufficiently sexual partner. On the other hand, a man begins to develop a negative attitude towards his sexual partner, since constant reproaches and reproaches do not stimulate his desire to have sex. This is a very dangerous phenomenon, because it is destructive not only for the interpersonal relations of two partners, but also can form a negative perception of sexual intercourse as such.
Diagnostics
The purpose of visiting a doctor with this problem is to diagnose the causes that cause delayed ejaculation. Usually they turn to a sexologist, urologist or andrologist. Additional consultations are appointed only after the initial examination of the male genitals, it is also possible to conduct tests and studies.
First, they check for the presence of organic causes for the occurrence of delayed ejaculation. To do this, a whole range of tests and studies can be carried out: ultrasound, prostate secretion test, urethral smear, total and free testosterone. The hormonal background, the state of the cardiovascular system is checked, the presence of neurological problems is analyzed.
If there are no organic problems, the patient should go for examination to a psychiatrist, a psychosexologist.
Treatment of delayed ejaculation
The treatment of a problem with ejaculation depends directly on the diagnosis and the causes of the problem. This can be drug therapy, treatment of dependence on alcohol and narcotic substances. Psychotherapy, physiotherapy, psychological consultations are carried out.
If the delay in ejaculation is caused by taking medications prescribed by a doctor, then a correction of the prescribed course should be carried out, or the replacement of the selected medications.
A sex therapist or psychotherapist can help in the case when the organic causes of ejaculation disorders have not been identified. Often, a man’s sexual partner is involved in the process of consultation and treatment, which makes the solution of the problem more effective.
Drug therapy in this case is carried out with the help of a wide range of drugs: dopaminergic, antiserotonergic, calcium channel blockers.
Manipulation and hardware treatment of ejaculation dysfunction includes puncturing with needles, laser, electricity; prescribed therapeutic baths (coniferous, iodine-bromine).
If problems with neurology or the general hormonal background of a man are detected, physiotherapy is used — electroson, endonasal electrophoresis, ultrasound therapy, transcanal electrical stimulation, rectal stimulation with electricity, galvanization of the collar and panty zone.
It is important to remember that the solution to the problem largely depends on the desire not only of a man to overcome the disease, but also on the support of his sexual partner. This means that in many cases, some sessions should be conducted in pairs, and it is better to discuss the problem of ejaculation and ways to solve this problem in the presence of both partners.
Therefore, when starting treatment of the disease, contact your partner to confirm his willingness to support you throughout the entire process of diagnosis and healing.
