In the article, we consider the reasons for the lack of ejaculation in men.
It is believed that good lovers are able to stretch sexual intercourse so that the partner is given the opportunity to get an orgasm earlier. But it also happens that in men, sexual contact is delayed not at all due to special skill, but due to certain physiological problems. We will talk about what these difficulties are and about the absence of ejaculation.
What ejaculation is considered normal?
In sexology, a factor such as delayed sexual contact or even the inability of a man to complete sexual intercourse is known. In this case, it lasts longer than the partners would like, and this causes discomfort to both.
Before proceeding to consider the causes of elongated sexual contact, you need to determine what its duration can be considered normal. Some sources say that the time of intimacy is normal, which allows you to get an orgasm for both a woman and a man. But this is not a completely correct statement, because in this case many other factors are involved.
For example, women for various reasons may not experience an orgasm. Gynecologists believe that normal sexual contact should last from nine to eleven minutes. At the same time, urologists converge on a duration of seven to nine minutes. Apparently, this is due to the fact that among gynecologists there are more women, and among urologists, respectively, men. Thus, in the event that sexual contact lasts up to fifteen to twenty minutes, then this is quite acceptable. When he stretches to forty or fifty minutes, the man tries to finish it, but he doesn’t succeed, it quickly bothers both sexual partners.
Forms of the disease in the absence of ejaculation
This phenomenon in medicine is called anejaculation. The so-called primary form of this deviation is that ejaculation is carried out only in the form of involuntary emission, but not during sexual contact.
Against this background, sexual attraction, that is, libido, as well as orgasm, can persist. This condition usually manifests itself with the onset of sexual activity. Often the main reason is psychological trauma along with some congenital or acquired defects of the genital area.
The secondary absence of ejaculation can be expressed in the fact that ejaculation does not occur in a man who has not encountered such a problem before. In this case, you can overcome the problem with ejaculation with the help of targeted stimulation of the genital organ (for example, masturbation).
Complete absence of ejaculation
A particularly complex form of anejaculation is the complete absence of ejaculation. This can occur as primary or as part of secondary anejaculation. The absolute absence of ejaculation, as a rule, turns for men into a factor of deep stress.
Cortical form of pathology
At the heart of this form of lack of ejaculation is a dysfunction of the central system. The consequences of its occurrence include a failure of an erection, in which the ejaculation is carried out with a long delay. Often men on the background of this are deeply depressed. Their excessive semen in the body leads to continuous long excitation. A man with such a disease has quite normal sexual desire and erection, but sexual contact occurs without orgasm with a strong delay in ejaculation.
Doctors also describe the cortical form of lack of ejaculation as an ailment accompanied by impaired erection. In men with this diagnosis, a headache with an abnormal sweating volume is observed. Such patients are tired and weak.
Spinal form
It includes damage to the spinal center, which is responsible for ejaculation. Causes include spinal cord injuries along with depletion of the spinal center. The latter is often associated with frequent and prolonged masturbation of men. As prerequisites for the development of the spinal form of the disease include nicotine intoxication and alcohol poisoning.
The reasons for the lack of ejaculation
Most often, a similar situation is observed in men after forty or forty-five years, their testosterone volume decreases with age.
During this period, the average concentration of this hormone decreases by one percent per year. Younger men may also have low testosterone levels.
This element acts as a male sex hormone, which makes it possible to maintain sexual desire with an erection. When the amount of testosterone decreases, erotic mood decreases in parallel with excitability, and the duration of sexual intercourse increases. First, in such patients, difficult ejaculation is observed. It is difficult for them to complete sexual intercourse in order to achieve orgasm. As a rule, for this, a man needs to change his posture or dream, for example, that he is with another woman and so on.
Erection
With an even greater drop in testosterone concentration, erectile dysfunction and the absence of ejaculation are often observed simultaneously. In addition, sperm volume directly depends on the amount of testosterone. Normally, the ejaculant, which is secreted from the urethra, should be from three to seven milliliters, in the case of a decrease in the level of the hormone, the semen volume decreases to 0.5 or 1 milliliter, or even disappears.
The reasons for the lack of ejaculation in men must be clarified.
It is often difficult for men to complete sexual intercourse with a regular partner who has bored him and which he no longer desires. A similar phenomenon is noted when the partner is used to restrain ejaculation in order to give an opportunity to enjoy his woman. As a rule, it is not difficult to cope with such deviations. It is enough to either change the position or partner.
Lack of sperm during ejaculation can occur in people who too often have sex. That is, in the event that if you overdo it with sexual acts, then it becomes already difficult to finish them. It is worth noting that alcohol also prolongs sexual contact, and also causes a lack of ejaculation.
What to do in this case?
In the event that at the reception of a sex therapist a man complains about the lack of ejaculation, then to begin with, he is examined for the total volume of testosterone, and then appropriate treatment is prescribed. When the testicular reserve functions are still preserved, and they can generally produce testosterone, stimulant therapy is prescribed to the patient. That is, they stimulate testosterone production by the testes. In order to reduce the duration and against the background of difficult ejaculation, testosterone preparations are used to increase the sensitivity of the glans penis and sexual desire.
Diagnosis of ejaculation disorders
Diagnosis is based largely on the patient’s sexual history. The doctor conducts a detailed questioning, the specialist tries to determine whether the disorder appears to be situational or permanent, whether any circumstances affect it, whether it depends on the partner, and so on. For various disorders of ejaculation, there are specific diagnostic methods. The main diagnostic tools are:
- Determining the time of ejaculatory intravaginal delay. In this case, the man independently calculates the duration of intimate contact. Doctors are not recommended to use a stopwatch to establish this indicator, it will be enough how the man himself estimates this time. It is also necessary to evaluate how effectively control over ejaculation is given. In this case, you can use a scale from zero to four.
- Application of questionnaires. Of the many options, evidence-based medicine today uses two main ones. One of them is a diagnostic tool for identifying problems with ejaculation. It determines the required stimulation along with the level of depression of the patient and problems in interpersonal relationships. The second method is the Arabic index, which is designed to study male sexual desire. At the same time, the sufficiency of an erection for sexual intimacy, the time until possible ejaculation along with the satisfaction of both partners are determined, the level of anxiety and depression is taken into account. Indicators of seven to thirteen points report a severe disorder.
So what to do in the absence of ejaculation?
Additional diagnostic measures
First of all, the patient in the absence of ejaculation requires a medical examination. First of all, attention is focused on the detection of endocrine and neurological pathologies in order to determine the factors of the problem. These include prostatitis along with urethritis and Peyronie's disease. A set of laboratory tests directly depends on the conclusions of the physician. There are no standard tests recommended for absolutely all patients. Each case is individual. What to do in the absence of ejaculation, it is important to determine in advance.
Diagnostics includes:
- Conducting a medical examination. It includes a thorough examination of the male genital organs, the doctor can check their general sensitivity to touch.
- Blood test. With the help of such a study, the level of sex hormones is determined. In addition, the amount of thyroid hormones is established, diabetes and some other pathologies are excluded.
- Urinalysis This analysis helps to detect signs of a urological infection, inflammatory disease, and so on.
As a rule, a standard questioning of a man and the indicated diagnostic methods is quite enough. But depending on what caused this pathology, a wider range of examinations may be required along with the consultation of related specialists (be it a neuropathologist or an endocrinologist).
Specific test
In order to clarify the diagnosis of retrograde ejaculation, doctors use a specific test that allows you to detect sperm in the urine after an orgasm. Typically, this procedure is performed in a medical facility. In the event that no sperm are observed in the urine, then dry orgasms along with infertility can have other reasons.
What is the treatment for lack of ejaculation?
Therapy
Unfortunately, most men do not reach the doctor. This is not even due to their bashfulness, but to the belief that problems with ejaculation are not treated at all. But this is a big mistake, in the case of such pathologies, visits to andrologists or sexopathologists can correct the situation. The main pharmacological methods of treatment in the absence of ejaculation are:
- Appointment of "Dapoxetine." This drug is approved in many countries and is especially suitable for the treatment of this problem.
- The use of local anesthetics.
- Treatment with Tramadol and type 5 phosphodiesterase inhibitors.
Currently, the absence of ejaculation in men is rather a deviation than a serious disease. But, nevertheless, in any case it is not worth delaying with his therapy and prevention. Men who are predisposed to such a problem are strongly recommended to additionally undergo a set of procedures with specialists such as a urologist, psychiatrist and psychologist.
The help of a sex therapist
It is worth, among other things, to seek help from a sex therapist in order to establish a sexual life. Following the recommendations and advice of all specialists, a man will be able to completely overcome such an ailment and become a full-fledged healthy person, capable of further procreation. Pharmaceuticals are considered effective methods of treating and preventing the absence of ejaculation in men along with exotic therapies like hypnosis and the placebo effect.