Why does premature ejaculation occur, delayed ejaculation? How to deal with these problems? We will consider this in this article. This problem affects many men and causes concern from sexual partners.
Ejaculation, or ejaculation, is called the exit of sperm from the male genital organ when excited. Delayed ejaculation is caused by a violation of the functionality of the reproductive system in men. In addition, there are also such pathologies of ejaculation:
• anejaculation - the absence of ejection of seminal fluid during orgasm in a man;
• anorgasmia - the absence of orgasm in general;
• retrograde ejaculation - the release of seminal fluid occurs in the direction of the bladder. Outwardly, it can be observed as a fact of the absence of ejaculation.
It should be noted that the delay in ejaculation during intercourse can also be observed primary and secondary. Primary - the process that is observed in men from the very beginning of sexual activity. The secondary is acquired after some time. It can be caused by stressful situations or psychological problems, eliminating which you will return to normal sex life.
After contacting a urologist and taking the necessary tests, the doctor will help establish the exact cause of this disease.
Physical reasons
Now consider the main causes of delayed ejaculation.
Two main aspects that affect the occurrence of this problem can be distinguished - these are psychological and physical disorders in men.
Physical, affecting the delay in ejaculation, can be caused by injuries of the scrotum or penis, prostate adenoma, various surgical interventions in the male reproductive system, some infections or urethritis.
Neurological problems with the patient’s spinal cord, bilateral sympathectomy, diabetic neuropathy, or stroke can also delay ejaculation.
Hormonal disorders caused by the presence of problems in the functioning of the endocrine glands can lead to this problem in men. Among them, the most common are hypogonadism and hypothyroidism.
Congenital pathologies in the structure of the urethra, cyst of the Muller or Wolf duct, as well as the syndrome of “plum stomach” are the cause of the delay or lack of ejaculation. Such disorders are already present at the birth of a person and may not be visible before the onset of sexual activity. Delayed ejaculation in men is only an indicator of the presence of pathology in the development of the genitourinary system.
Violations resulting from surgical intervention in the sacro-lumbar spine, pelvic or pelvic organs, genital injuries as a result of hypothermia or burns cause problems with ejaculation.
If you have severely burned the genitals, you must immediately seek medical help so that there are no negative consequences for the body.
Psychological reasons
Among psychological problems, a delay can be provoked by stress, nervous strain or overwork, depression, fear of intimacy. Strict religious education and an oppressed state also matter .
Other causes that could trigger such a delicate problem
Taking certain medications can cause temporary genital dysfunction, as well as abuse of alcohol or drugs. Intoxication with these substances causes a deterioration in the general condition of the body as a whole.
Wearing tight underwear can delay ejaculation. Because it constricts the blood vessels leading to the penis. As well as underpants made of synthetic fabric, in which the skin can chatter, negatively affect the health of the urogenital system of men. It can also lead to infections.
Symptoms of Delayed Ejaculation
There is a main symptom of this problem, characterized by forced prolongation of sexual intercourse to achieve ejaculation. According to statistics, about 75% of men accelerate the onset of ejaculation by masturbating their penis with the participation of a partner. This is due to the fact that they can not achieve orgasm directly during intercourse.
Pain in the discharge of seminal fluid is also a major symptom of ejaculation disorders. This may indicate the presence of other possible diseases of the urogenital system of men, especially if there is a darkening of the urine after intercourse.
The inability to conceive a child is another symptom of ejaculation disorders. If the woman’s body is healthy, but the girl does not become pregnant, then the man’s infertility is most likely the cause. It was developed against the background of ejaculation disorders or diseases of the reproductive system.
Diagnosis of the disease. What tests are prescribed?
First of all, if this problem occurs, you need to contact a urologist or andrologist. First, the doctor listens to the complaints of the man, the symptoms that he noticed at home, and also collects a detailed history. Then the specialist examines the patient, recording any changes or violations. After the tests are assigned, which must be passed:
- general urine analysis;
- back sowing;
- analysis for the presence of sexually transmitted infections;
- genitourinary ultrasound.
After all analyzes, a second consultation with the doctor follows, where he carefully examines the results and conducts another examination (if necessary).
If no problems were identified during the study, then the patient is sent for examination to a psychiatrist or psychosexologist. Consultations with these specialists help to identify the presence of psychological problems that cause a similar dysfunction.
Delayed ejaculation: treatment. What methods are used in this case?
Treatment depends on the diagnosis made by the doctor. This may be a drug therapy using a medication prescribed by a doctor. If the violation of ejaculation was caused by taking certain medications, then a dosage adjustment and the method of using these drugs are necessary. Or in some cases, a complete discontinuation of medication and the selection of more suitable analogues are required.
Drug treatment most often includes taking antibiotics, as well as painkillers.
Sometimes doctors prescribe the administration of drugs directly to the penis. Treatment in this way is considered radical. This therapy is extremely rare, but as a result, the problem completely disappears.
Physiotherapy (electrophoresis, electrosleep, ultrasound therapy), herbal medicine is also used. Massage procedures are also prescribed to restore blood circulation in the genitals. During rectal stimulation with electricity or transcranial electrical stimulation , pain can occur. But such treatment is considered very effective for problems with ejaculation in men. A sex therapist or psychotherapist can prescribe treatment only if no organic causes of genital dysfunction have been identified. For the effectiveness of therapy, the patient’s sexual partner is most often consulted. Then everything happens more productively.
In general, the treatment of ejaculation disorders should be a whole range of procedures. It is impossible to cure it, eliminating only physical pathologies. Therefore, this problem is usually caused by more than one reason. It is necessary to maintain a healthy diet and sleep, conduct regular sports training, and eliminate alcohol intake. Psychological training will help reduce stress and nervous fatigue after a working day.
Sexologists say that the delay in ejaculation is most often welcomed by a woman. Because it gives her time to experience multiple orgasms, but the man as a result of these manipulations begins to feel like a bad sexual partner.
Sexologist Tips
Some men have the opposite problem - premature ejaculation. In this case, ejaculation occurs too soon. If you need a delay in ejaculation, but you can’t do it yourself, you can use some of the tips that sexologists give:
• protected by dense condoms;
• Perform Kegel exercises daily;
• use various techniques in sexual intercourse;
• take drugs to delay ejaculation.
These drugs should be taken only as directed by a doctor and under his supervision. Since they can be addictive and adversely affect human health.
Ring for men
Many men prefer to buy a ring to delay ejaculation, as it stimulates even the female genital organs, thereby giving the partner more pleasure. This tool can be purchased in a sex shop.
The price can vary greatly between models depending on the manufacturer and the features included. Also in a sex shop you can purchase anesthetics to prolong sexual intercourse, but you must follow the instructions. A large amount of applied anesthetic can lead to a complete loss of sensitivity in a man. Immediately before sexual intercourse, erase the remnants, otherwise your partner will not feel penetration.
Delayed ejaculation in men is still treated with drugs such as Viagra or Levitra. These funds can be purchased at the pharmacy only by prescription. Since they are very strong in their action and addictive with constant use.
Gel lubricant
Delayed ejaculation also causes a negative attitude towards sex in some women, especially if the girl does not have enough natural lubrication. Therefore, before moving on to intimacy, find out the preference of your sexual partner. If necessary, use an intimate gel lubricant to reduce friction. It is designed to prolong sexual intercourse and increase the sensitivity of the head of the penis. A woman experiences severe excitement and quickly reaches an orgasm.
Do not hesitate, contact a specialist on time!
If the delay in ejaculation is very uncomfortable, contact your urologist for a genital examination. Men are usually embarrassed to admit even to themselves gaps in the intimate area, and a call to a specialist causes panic. Therefore, many prefer treatment with folk remedies if there is a delay in ejaculation not for the first time.
Little conclusion
Modern urological clinics offer their qualified help, ensure the anonymity of their clients, and also approach this problem with understanding.
In such an institution, you can not only pass the examination, but also pass the necessary tests, and conduct research. Do not self-medicate. It is better to immediately contact a specialist who will help you get rid of this intimate problem.