What is impaired ejaculation

The article contains information about such a deviation as a violation of ejaculation. Classification, causes, symptoms, diagnostic measures and therapeutic methods.

Ejaculation disorders

This is a sexual-functional failure, which is caused by prolonged or periodically cyclical perturbation of ejaculation. One of the disorders is superfast, slow or weak ejaculation. Retrograde, anejaculation, anorgasmia (inability to reach orgasm) and other erectile dysfunction are no exception.

Diagnosis of pathology implies a full range of examinations: instrumental and visual examination, ultrasound examination of the genitals, ureteroscopy, etc. As a treatment, physiotherapy, psychotherapy and medication may be required to neutralize pathological foci of the urogenital tract. If complications develop, surgery may be required.

Classification of ejaculation disorders

Abnormalities of the ejaculation function are divided into primary (appearing at the beginning of sexual activity) and secondary (appearing after a certain period of healthy sexual functioning).

Clinical manifestations of violations are as follows:

• Early ejaculation (true, false) is a reproductive disorder. The true form of ejaculation is due to dysfunction that occurs due to most of the physiological characteristics of the body. False - this is an earlier and weak ejaculation due to an unstable mental state;
• Pathological ejaculation. Pain occurs during ejaculation, for this reason the partner does not enjoy intercourse;
• Delayed ejaculation. This violation is due to the fact that a man cannot fully enjoy due to ejaculation;
• Anejaculation is a disease that manifests itself as full or difficult ejaculation;
• Retrograde ejaculation. It is caused by a violation of the normal activity of the reproductive function, in which sperm eruption occurs, but directly enters the bladder. This phenomenon can provoke the occurrence of severe inflammatory processes.

Causes of ejaculation disorders

One of the causes of violations is organic and psychogenic nature. For example, rapid ejaculation of organic origin occurs in the presence of most urological diseases (prostate adenoma, colliculitis, etc.), with anomalies in the structure of the body (hypoplasia of the testicle, ectopia of the penis), with neurological abnormalities, etc. Early ejaculation of a psychogenic nature is often observed in men, who did not have much sexual experience, with overexcitation and rare sexual intercourse.

Stressful situations, depression, fear of sex, low sexuality of a partner - all these are psychological factors of disorders. The occurrence of such deviations occurs with congenital anomalies of the urinary system, neuropathy of the pudendal nerve or after surgical interventions on the prostate gland and bladder.

Some disorders can be triggered by taking medications, usually diuretics, antidepressants, adrenergic blockers and antihypertensive drugs. Alcohol, smoking and drug abuse is one of the reasons for the development of pathologies.

Symptoms of ejaculation disorders

The main symptom of pathology is a violation of standard ejaculation. With healthy sexual activity, early ejaculation is considered to be the release of sperm less than a few minutes after the onset of the act. Difficult and late ejaculation, which did not occur after 40 minutes from the beginning of the act, also refers to the symptomatology of ejaculation disorders.

Although very often this happens on the initiative of the man himself in order to increase the duration of intercourse. Pain during sperm eruption is one of the symptoms of pathology. This symptom indicates that secondary diseases of the urinary system are present in the body. After intercourse, a characteristic change in the color of urine is observed, the excrement becomes darker, which indicates the presence of inflammatory processes.

Diagnostic measures for ejaculation disorders

A patient who has consulted a urologist with specific and pronounced complaints of poor ejaculation is assigned additional examinations and tests in order to exclude various pathologies in the body. The initial examination involves the study of anamnesis data, patient complaints, examination of the genitals. In addition to a urologist, the patient may need consultations from other doctors: a neuropathologist, venereologist, sexologist and endocrinologist.

The complex of diagnostic measures includes:

• Delivery of post-ejaculatory urine analysis;
• Analysis of prostate secretions;
• Urethral smear delivery;
• Enzyme-linked immunosorbent assay (ELISA);
• Polymerase chain reaction (PCR) method.

It is also necessary to undergo an ultrasound examination of the genitals. With delays in ejaculation, many functional tests are performed to help determine whether the disorder is psychogenic or organic.

Methods for the treatment of ejaculation disorders

Official medicine has many therapeutic techniques for eliminating ejaculation disorders. Before choosing this or that method, a preliminary examination of the patient is carried out, which helps to establish the degree and main causes of the pathology.

The main types of treatment are:

• Taking medications that neutralize the further development of pathologies;
• Consultation with a psychotherapist;
• Restoration of hemodynamics in the male reproductive system;
• Massage visit;
• Undergoing physiotherapy procedures;
• Drug therapy;
• Using anesthetic ointments;
• Injection of special medications into the genitals.

The treatment regimen involves maintaining a healthy lifestyle, attending psychological trainings and, in general, normalizing the body's system. Depression and other stressful situations that have a negative effect on the central nervous system are one of the reasons for the occurrence of deviations. Each person has different characteristics of the body, so the treatment should be individually selected by the attending physician. In case of violations of ejaculation, it is categorically not recommended to resort to methods of traditional medicine.

In case of untimely access to a doctor, self-medication or its lack, a transition from primary disorders of ejaculation to complete infertility is possible. The restoration of a man's reproductive system is almost impossible, therefore, at the first symptoms and signs of disorders, it is necessary to turn to official medicine.