Delayed Ejaculation – A Problem Waiting to Be Solved?
- September 24, 2017
- Posted by: marlenedubois
- Category: Home Health Aide Training
Male orgasm usually has two components – an extremely pleasurable sensation, due in part to muscle contractions, as orgasm takes place, in addition to also also the ejaculation of semen.
Ejaculation takes place when semen enters the end of the urethra in addition to also also creates a build up of pressure, which triggers a series of co-ordinated contractions of the pelvic muscles, which forces the semen out of the body.
nevertheless, strangely, some men have trouble reaching orgasm in addition to also also ejaculating during sexual activity, a condition which is actually known as male orgasmic disorder, retarded ejaculation, or delayed ejaculation.
Delayed ejaculation, the term I prefer to use, is actually defined by the American Psychiatric Association (APA) as “persistent or recurrent difficulty or delay attaining in orgasm, or the absence of orgasm, following sufficient sexual stimulation.”
So how common is actually delayed ejaculation? Estimates vary widely. In 2003 a study of men attending doctors’ surgeries in London reported a rate of 11%. A representative sample of American men aged between 18 in addition to also also 59 years revealed in which 7.8% of men had experienced delayed ejaculation for at least one month over the previous year. in addition to also also a study of UK men aged between 16 in addition to also also 44 found in which 5.3% had been unable to reach orgasm for at least one month from the previous year. A lower proportion of 2.9% had the problem for at least six months from the previous year.
What causes such a strange condition? No-one definitely knows, nevertheless in which has been suggested men with delayed ejaculation may have slower sexual reflexes, lower penile sensitivity, or reduced spinal nerve stimulation…nevertheless the fact is actually, no-one definitely knows.
Some authors have suggested in which insufficient physical stimulation during sexual activity may be the problem. in which is actually because men who prefer autosexual stimulation – in which is actually, stimulation by their own hand – to any kind of partnered sex may have a physically hard way of manipulating their penis as they pleasure themselves, to which they have become habituated. in which hard, even aggressive, stimulation lowers their ability to ejaculate during intercourse just because they don’t receive enough stimulation during the gentler act of lovemaking.
in addition to also also some evidence suggests in which intensity in addition to also also ease of orgasm declines with age. The sexual organs atrophy, testosterone levels decrease, in addition to also also erections are harder to achieve, all of which points to an age-related decline from the functioning of the sexual system.
Sometimes there are congenital abnormalities of the sexual glands in addition to also also ducts which could lead to the inability to ejaculate. We also know in which pelvic surgery may affect a man’s ability to ejaculate; in particular, radical prostatectomy often results in loss of erectile function in addition to also also ejaculation. in addition to also also trans-urethral resection of the prostate, an operation often carried out to resolve problems caused by the enlarged prostate gland, can cause delayed ejaculation.
different factors associated with delayed ejaculation include vascular disease, smoking, alcohol, physical inactivity, in addition to also also many drugs approved for the treatment of obsessive-compulsive disorder in addition to also also depression, together with antiadrenergic, anticholinergic, psychoactive in addition to also also antihypertensive drugs.
In addition, researchers have observed in which almost every psychological problem known to man has been associated with delayed ejaculation! For example, a man who is actually ambivalent about his sexual relationship may “hold back”: not only via full emotional presence in a sexual relationship nevertheless also via sexual intimacy – in which can be seen as a type of overcontrol, a way of assuming power in a difficult relationship. in which assumes in which men with in which problem are overcontrolled in addition to also also resist “letting themselves go” – in every way: psychologically, emotionally, in addition to also also sexually – including the Discharge of ejaculation.
nevertheless there again, sometimes things are not so complex, for as another author has observed, a creaking bed, thin walls, in addition to also also children wandering about, may inhibit orgasm in addition to also also ejaculation very effectively. So can penile pain: a phimotic foreskin, painfully stretched over an erection, or a recurrent painful torn frenulum.
In getting to the bottom of what’s going on in cases of delayed ejaculation, a doctor needs to consider whether the problem is actually physical or emotional. An assessment of the penis in addition to also also nervous system can exclude peripheral neuropathy, autonomic dysfunction, in addition to also also spinal cord pathology, as well as different physical causes.
Treatment of delayed ejaculation has often involved vigorous hand stimulation of the penis, using a lubricant, in an attempt to overcome the “block”, in addition to also also “decondition” the non-ejaculatory response.
different suggestions have included the use of masturbatory exercises, missionary position sex (which is actually more physically arousing to men than some different sexual positions), in addition to also also the use of vibrators to raise sexual arousal. In reality, these are crude approaches which do not take account of the fear or anxiety which may be inhibiting ejaculation: fear of pregnancy in addition to also also fear of sexually transmitted infections are high on in which list. These all need the attention of an understanding therapist or counselor. Hypnosis may be helpful for relaxing a man in addition to also also encouraging him to “let go” during sex.
In summary, retarded ejaculation treatment must address both physical, emotional in addition to also also relationship factors, in addition to also also therapy must be tailored to the individual’s needs.