Delayed ejaculation What happens and what to do

Delayed ejaculation is a form of sexual dysfunction that affects a man's ability to achieve orgasm. The reasons can be physical or psychological.

What is delayed ejaculation

If a man, despite a normal erection, requires more than 30 minutes of sex with penetration (penetration) to ejaculate, then this is considered delayed ejaculation. It can also be called retarded or "retarded".

Most men have difficulty reaching orgasm at some point in their lives, but for some, it's a lifelong problem. It affects from 1 to 4 percent of the stronger sex.

This can lead to dissatisfaction for both the man and his partner, as well as anxiety about general health, low libido and sexual weakness. While the average time it takes to ejaculate during sexual stimulation varies between individuals, there is no hard and fast figure for what is "normal".

See also: How long should a man not cum during intercourse.

Causes of delayed ejaculation

Most causes are psychological, but negative physical factors are also possible and are ruled out first during diagnosis. In addition, delayed ejaculation can have both psychological and organic causes.

As mentioned above, this can be a lifelong condition where a man has constant difficulty achieving orgasm, but more often, delayed ejaculation occurs sporadically, that is, from time to time.

Physical reasons for delayed ejaculation

• Side effects of medications difficult ejaculation as a side effect of antidepressants, especially selective serotonin reuptake inhibitors (SSRIs), sedatives, blood pressure medications, painkillers, and other drugs
• Alcohol or the use of certain psychotropic drugs Substances and drugs
• Nerve damage, spinal cord injury, stroke, surgery, multiple sclerosis, and severe diabetes can all lead to impaired ejaculation
• Growing age reduces the sensitivity of the penis to sexual stimulation< /li>

Psychological reasons

An acquired case of difficult ejaculation is usually defined as having a psychological cause if it occurs only in certain situations. For example, it is more likely that the problem is psychological if a man is able to ejaculate normally when masturbating, but experiences a delay during sex with a partner.

Psychological factors that may underlie delayed ejaculation:

• Problems in childhood and adolescence, including abuse and negative sex education
• Hard anger or resentment
• Unwillingness to be satisfied
• Religious beliefs , for example: that sexual activity is a sin
• Phobias and fear, for example, of sperm or female genital organs, and of injuring or desecrating a partner in any way through ejaculation
• Fear of unwanted pregnancy
• Uncertainty about yourself or your partner, as well as concerns about potency. "Does she really desire me?" Men who have difficulty reaching orgasm are often concerned about these issues
• Too much masturbation

Associating delayed ejaculation with masturbation

Delayed ejaculation experts have found a link between this condition and the following elements of masturbation:

• self-gratification more than three times a week
• a style of masturbation that cannot be combined with normal intercourse, especially in the forms of high speed, pressure or intensity
• if the partner's hand, mouth or vagina cannot reproduce the sensations received
• the behavior of the sexual partner does not correspond to the fantasies that the man turns to during autoeroticism to achieve orgasm

Dr. Michael Perelman, Professor of Clinical Psychiatry, Reproductive Medicine, and Urology at Cornell University College of Medicine, notes that most men he has seen with delayed ejaculation have reported no problems achieving orgasm and ejaculating through masturbation. It is possible that the refusal of masturbation may contribute to the normalization of ejaculatory function.

Diagnosis

Diagnosis is made when the patient complains of a marked delay or rarity in achieving ejaculation during intercourse within the past 6 months.

To make a diagnosis, the doctor needs to talk to the patient about the symptoms and how often they occur. Other potential medical problems are then ruled out, such as infections, hormonal imbalances, and so on.This may include blood and urine tests.

Treatment of disease

Treatment for delayed ejaculation depends on the cause. A specialist may attempt to treat retarded ejaculation by knowing the source of the problem. For example, if it is associated with SSRIs, then an alternative drug may be prescribed.

If the negative factor is excessive use of alcohol or over-the-counter drugs, then reducing their dosage or completely abolishing them may help.

Also, if there are other health conditions, treating the underlying condition, such as neurological problems, for example, will help resolve delayed ejaculation.

Even primary cases of dysfunction can be difficult to treat. Often, complex assistance from professionals is required: psychologists, psychotherapists, psychosexual consultants and sexologists.

Psychologists recognize that there is no single technique that works for all patients, and that the key to successful treatment is accurately identifying the source of the problem and using appropriate, targeted therapy to address the psychological factors that cause or contribute to delayed ejaculation.< /p>

Unfortunately, there are no medical treatments for the psychological causes of delayed ejaculation. Some medications may help improve symptoms, but none have yet been specifically approved for treatment.

A list of drugs with some clinically proven benefits includes:

• Cyproheptadine (Periactin), an allergy drug
• Amantadine (Symmetrel), a drug used to treat Parkinson's disease
• Buspirone (Buspar), an anti-anxiety drug
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Read also: The best pills for potency




The success of treatment depends on the cause of delayed ejaculation and the type of therapy. Anyone who is concerned about their sexual health needs to consult a doctor to make the right decision.