Why does premature ejaculation occur, delayed ejaculation? How to deal with these problems? This is what we will look at in this article. This problem affects many men and causes concern on the part of sexual partners.
Ejaculation, or ejaculation, is the release of sperm from the male sexual organ when excited. Delayed ejaculation is caused by a violation of the functionality of the reproductive system in men. In addition, there are still such pathologies of ejaculation:
• anejaculation - the absence of ejection of seminal fluid during orgasm in a man;
• anorgasmia - lack of orgasm in general;
• Retrograde ejaculation - the release of seminal fluid occurs towards 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 - a 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 sexual activity.life.
After contacting a urologist and passing the necessary tests, the doctor will help determine the exact cause of this disease.
Physical causes
Now consider the main causes of delayed ejaculation.
There are two main aspects that influence the occurrence of this problem - these are psychological and physical disorders in a man.
Physical, affecting the delay in ejaculation, can be caused by trauma to the scrotum or penis, prostate adenoma, various surgical interventions in the male reproductive system, certain infections or urethritis.
Neurological problems with the patient's spinal cord, bilateral sympathectomy, diabetic neuropathy or stroke can also cause delayed ejaculation.
Hormonal disorders caused by 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, a cyst of the Müllerian or Wolffian duct, as well as the "plum belly" syndrome are the cause of delayed or absent ejaculation. Such disorders are already present at birth and may not be visible until the onset of sexual activity. Delayed ejaculation in men is only an indicator of the presence of pathology in the development of the organs of the genitourinary system.
Disorders acquired as a result of surgical intervention inthe sacro-lumbar spine, the organs of the small or large pelvis, injuries of the genital organs as a result of hypothermia or burns cause problems with ejaculation.
If you have severely burned your genitals, you should 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. A strict religious upbringing and oppression also matter.
Other reasons that can trigger such a delicate problem
Some medications can cause temporary dysfunction of the genital organs, as well as the 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 compresses the blood vessels leading to the penis. As well as underpants made of synthetic fabric, in which the skin can sweat, adversely affect the he alth of the male genitourinary system. It can also lead to infections.
Symptoms of delayed ejaculation
There is a basic symptom of this problem, characterized by the 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 caused by the fact thatthey fail to achieve orgasm directly during intercourse.
Pain during ejaculation is also a major symptom of ejaculatory dysfunction. This may indicate the presence of other possible diseases of the genitourinary system of a man, especially if there is a darkening of the urine after intercourse.
The inability to conceive is another symptom of ejaculatory dysfunction. If the woman's body is he althy, but the girl does not become pregnant, then most likely the reason is the infertility of the man. It was developed against the background of ejaculatory disorders or diseases of the reproductive system.
Diagnosis of the disease. What tests are ordered?
First of all, if this problem occurs, you need to contact a urologist or andrologist. First, the doctor listens to the man's complaints, the symptoms that he noticed in himself, and also collects a detailed history. Then the specialist examines the patient, fixing any changes or violations. After that, the tests that need to be passed are assigned:
- general urinalysis;
- back seeding;
- test for sexually transmitted infections;
- Ultrasound examination of the genitourinary system.
After all the tests, a secondary consultation of the doctor follows, where he carefully examines the results and conducts another examination (if necessary).
If no problems were found during the study, the patient is sent for examination to a psychiatrist orpsychosexologist. Consultations with these specialists help to identify the presence of psychological problems that cause such dysfunction.
Delayed ejaculation: treatment. What methods are used in this case?
Treatment depends directly on the diagnosis made by the doctor. This may be drug therapy with the use of drugs prescribed by a doctor. If the violation of ejaculation was caused by taking certain medications, then the dosage and method of using these drugs must be adjusted. Or in some cases, a complete abolition of medication is required and the selection of more suitable analogues.
Medicated treatment most often includes antibiotics as well as painkillers.
Sometimes doctors prescribe drugs to be injected directly into the penis. Treatment in this way is considered radical. This therapy is extremely rare, but as a result, the problem disappears completely.
Physiotherapy is also used (electrophoresis, electrosleep, ultrasound therapy), herbal medicine. They also prescribe massage procedures to restore blood circulation in the genitals. When conducting rectal stimulation with electricity or transcranial electrical stimulation, pain may 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 sexual dysfunction have been identified.organs. For the effectiveness of therapy, the patient's sexual partner is most often involved in consultations. Then everything is more productive.
In general, the treatment of ejaculation disorders should be a whole range of procedures. It is impossible to cure it by eliminating only physical pathologies. Therefore, this problem is usually caused by more than one reason. It is necessary to maintain a he althy diet and sleep, conduct regular sports training, and exclude alcohol. Psychological training will help reduce stress and nervous exhaustion after a working day.
Sexologists say that delayed ejaculation is most often welcomed by a woman. Because this gives her time to experience multiple orgasms, but as a result of these manipulations, the man begins to feel like a bad sexual partner.
Advice from sexologists
Some men have the opposite problem - premature ejaculation. In this case, ejaculation occurs too early. If you need to delay ejaculation, but you can’t do it yourself, you can use some tips given by sexologists:
• use thick condoms;
• Do Kegel exercises daily;
• use different techniques in intercourse;
• take drugs to delay ejaculation.
These medicines should only be taken as directed and under the supervision of a physician. Since they can be addictive and negatively affect human he alth.
Ring for men
Many men prefer to buy a ring to delay ejaculation, as it stimulates even the female genital organs, thereby delivering more pleasure to the partner. This tool can be purchased in a sex shop.
Price can be very different for different models depending on the manufacturer and included features. Also in the sex shop you can buy 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. Just before intercourse, wipe off 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 are addictive with constant use.
Gel lubricant
Delaying 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 for 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. And the woman experiences the strongest excitement and reaches orgasm faster.
Do not delay, contact a specialiston time
If delayed ejaculation causes great discomfort, consult a urologist for a genital examination. Men are usually embarrassed to admit even to themselves the gaps in the intimate area, and turning to a specialist causes panic. Therefore, many prefer treatment with folk remedies if there is a delay in ejaculation not for the first time.
Small conclusion
Modern urological clinics offer their qualified assistance, ensure the anonymity of their clients, and also approach this problem with understanding.
In such an institution you can not only undergo an 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.
