ADS:
Yu.Yu. Vinnik, A.V. Umansky
Cortical and subcortical formations of the brain are central in the regulation of the ejaculatory component.
In the syndrome of expectation of failure, with endogenous processes, with a negative attitude towards a sexual partner, with a violation of the direction of attraction, the time of onset of ejaculation varies significantly from ejaculatio praecox absoluta (premature ejaculation) to ejaculatio tarda (delayed ejaculation) and even anejaculatory disorder. Anejaculatory disorders most often occur in individuals with a combined delay in puberty against the background of damage to deep brain structures. Usually these patients have disorders of the 2nd and 3rd stages of psycho-sexual development. Most often, in the third stage, they skip the platonic and erotic stages, and sexual consolidation does not occur, since there is no orgastic reinforcement during sexual contact. Sexual desire gradually weakens.
In chronic prostatitis, the inflammatory process enhances the sensitization of cortical and subcortical structures due to increased afferent impulses from the inflammatory focus, which leads to a faster achievement of the excitability threshold of nerve cells. The same thing happens at the level of the spinal centers. Organic changes in diencephalic structures lead to a more pronounced decrease in excitability thresholds, with the development of persistent disorders of the ejaculatory component.
In our opinion, secondary pathogenetic disintegration is a decompensation of a previously compensated syndrome of lowering the excitability thresholds. Decompensation occurs as a result of disturbed intercentral relationships caused by the urogenital inflammatory process.
The inflammatory process in the prostate gland leads to a change in the concentration of dihydrotestosterone in prostatic cells. At the first stage, there is an increase in the concentration of dehydrotestosterone. Clinically, this is manifested by the acceleration of ejaculation. With the progression of prostate fibrosis in the second stage, there is a decrease in the concentration of dihydrotestosterone, which leads to a prolongation of the time of sexual intercourse.
Patients with chronic prostatitis complain of dulling of orgasmic sensations. This may be due to the inflammatory process in the prostatic urethra and involvement in the process of the orifices of the ejaculatory ducts; with damage to the mental component (neurotic development, cyclothymia, larvated depression, the onset of schizophrenia).
Thus, the ejaculatory component is the only one that is directly involved in the pathological process in chronic prostatitis, leading to the secondary involvement of the mental component. For the development of ejaculatory disorders in chronic prostatitis, in our opinion, it is necessary to have an organic deficiency of brain structures (syndrome of reduced excitability thresholds).
Many men do not think about the consequences of prostate inflammation symptoms and ignore them. The pathological process does not go away on its own and can provoke infertility. In addition, there is pain in the perineal area, painful urination, burning, rapid ejaculation.
Prostatitis provokes premature ejaculation.
The lack of ejaculation is called aspermia. Ejaculation in men occurs at the subconscious level, this is the end of sexual intercourse as a reflex. A man cannot exercise control over such a process. The onset of ejaculation is controlled by the brain and spinal cord. During this process, the approach of orgasm is felt, but the orgasm itself does not occur, or when there are sensations, then there is no eruption of sperm. In this case, men do not experience complete satisfaction, which means that sexual intimacy is considered unsuccessful.
Why is there no ejaculation?
Severe inflammation of the urethral canal leads to obstruction of the ejaculant. The impact of pathology triggers all the hidden forces to fight pathogenic microorganisms, and other processes in the body are deprived of vitamins and trace elements.
The impact of prostatitis is marked by impaired ejaculation. This is a physiological reason, however, the influence of psychological moments is possible. Men during the transfer of prostatitis feel inferior. Regular fatigue, stressful situations, antipathy towards a partner, an unpleasant place for sexual intercourse can negatively affect the psyche of a man to a greater extent. Then there is a complete absence of ejaculation.
Prostatitis and seminal eruption are related concepts. This is due to the fact that after recovery, sexual function is restored.
Untreated male prostatitis and Premature ejaculation are the consequences of the pathology of the male body. In this case, sexual intercourse cannot be prolonged.
This pathology, like the previous one, develops against the background of the growth of the prostate gland to the seminal tubercle. This zone is responsible for the sensitivity during orgasm.
The chronic course of the disease with inflammation of the channel for excretion of urine disrupts the susceptibility of peripheral tissues, with the sensitivity of the spinal center.
With prostatic disease, pain is felt in the lumbar region
Premature ejaculation, doctors call the moment when the process occurs before the sexual organ is inserted into the vagina. In medicine, there is no specific term for early ejaculation. According to sexologists, half of men have a pathological onset of ejaculation, which occurs before the moment when the woman has not yet had an orgasm. Sometimes men ejaculate when the couple is in a state of foreplay.
Most often, this occurs in the acute type of the disease or in the chronic course of the disease. The receptor voltage is constantly present, which provokes the release of the ejaculant.
Men who suffer from prostatitis are a real threat to a woman's health. The fact is that along with ejaculation, a certain level of infections and bacteria is released.
With each sexual intercourse, bacteria increase in quantity, this causes a decrease in immunity in the female body, which leads to:
A quick eruption of seminal fluid or a complete absence indicates a complicated form of the disease, and not about symptoms. At an early stage of the development of the disease, you can save yourself with antidepressants and antibacterial drugs.
The male psyche is such that minor sexual failures that occurred during the treatment of prostatitis, even after recovery, leave fear and fear of sexual intimacy. Men begin to worry that something might go wrong.
Because of this, a sexual neurosis develops, which needs to be eliminated with the help of a psychologist. The first alarming bells are a signal to contact a specialized specialist and conduct a weekly course of antibiotic therapy in combination with anti-inflammatory drugs. Traditional medicine is powerless in this case.
In acute and chronic prostatitis with delayed seminal eruption, sexual intercourse is debilitating and painful for the female. Due to spontaneous ejaculation during foreplay without intercourse, with several repetitions of this phenomenon in families, conflict situations are possible, sometimes it comes to divorce. Treatment by a urologist allows you to keep peace in the family.
There are many methods of treatment for prostatitis:
There is no individual treatment for the imminent eruption of the seed with prostatitis. With inflammation of the tissue in the zone of the seminal tubercle, the disturbing symptoms disappear on their own, for this the main catalyst that caused the violation is eliminated.
Medicines for therapeutic therapy:
Pills for rapid ejaculation
Medicines are recommended to be taken in the form of tablets, suppositories, sometimes injections. Good indicators of the effectiveness of treatment show microclysters to alleviate the condition of the prostate gland. Suppositories for rectal administration eliminate the inflammatory process locally.
After undergoing medical therapy, a normal eruption of the seed is established. If the disease was in an advanced stage, in which an irreversible change in the structure of the prostate occurred, then the desired result will not be achieved.
Folk remedies are used as an additional measure during medical therapy.
There are several recipes for the treatment of imminent eruption of the seed:
It is not difficult to cure premature ejaculation, the main thing is to have a correct diagnosis.
Problems of ejaculation with prostatitis also occur and are temporary or permanent. Inflammation of the prostate leads to pathological changes that provoke premature ejaculation or the absence of ejaculation even with a normal erection.
Premature ejaculation is most often diagnosed.In medicine, there is no exact definition of how long sexual intercourse should last, from the time the penis is inserted into the vagina until the onset of orgasm. A period of 2-5 minutes is considered the norm. Premature ejaculation with prostatitis occurs in less than a minute.
Another consequence of inflammation, protracted ejaculation. There is an erection, but it takes a long time before reaching orgasm, or it is completely absent. Each disorder has its own etiology.
The prostate gland regulates erections and actually controls orgasm by affecting the sensations. Inflammation eventually spreads to all surrounding tissues and affects the seminal tubercle. The latter contains many receptors, the irritation of which leads to ejaculation.
At the early stage of prostatitis, irritation of the receptors leads to excessive arousal of the man, the sharpness of sensations during intercourse. As the disease progresses, the disturbances become global. The receptors are constantly affected, which leads to involuntary ejaculation.
The urologist will be able to accurately diagnose what exactly causes early ejaculation after a complete examination of the patient. The cause of premature ejaculation can be: various inflammatory processes, an infectious disease suffered in childhood, stress and other factors. In 43% of cases of a patient with ejaculation disorders, prostatitis is diagnosed.
As the inflammatory process develops, changes occur in the seed tubercle. Receptors lose their sensitivity. At an early stage of prostatitis, the patient suffers from excessive arousal, which manifests itself in premature ejaculation and spontaneous erections.
As the disease progresses, the clinical picture changes. At the advanced stage, the erection center is depleted, the patient is diagnosed with a delay in orgasm, and later the impossibility of ejaculation.
Moreover, prostatitis does not lead to impotence, but only reduces erectile function. In a man, arousal passes directly during intercourse. The concomitant manifestations of the disease - pain during frictions - also interfere with the full achievement of orgasm.
As a result, all manifestations of inflammation in the aggregate lead to an extension of the time of sexual intercourse. Unpleasant sensations also affect the quality of orgasm, a man experiences weak ejaculation.
For starters, it is worth understanding that the consequences and complications of the disease will pass only if the catalyst for disorders - prostatitis - is eliminated. Self-medication is dangerous. Without undergoing a course of drug therapy, it is impossible to cope with inflammation of the prostate.
For any problems with rapid ejaculation or its absence, it is important to consult a doctor without delay. During the recovery period, non-traditional methods of traditional medicine will help as a preventive measure.
There is no single treatment for premature ejaculation in prostatitis. If the problem is caused by inflammation of the tissues in the area of the seminal tubercle, then the symptoms will go away on their own if the main catalyst that caused the disturbance is eliminated.
Drugs for treatment:
Medicines are prescribed in the form of tablets, injections and rectal suppositories. Widely used microclysters, facilitating the impact on the prostate gland. Drugs administered rectally act directly on the prostate tissue, which increases their effectiveness.
Good ejaculation after prostatitis treatment is restored as the disease goes away. The only exceptions are cases of advanced inflammation, with irreversible changes in the structure of the gland.
Folk remedies for the treatment of prostatitis and premature ejaculation are used as an additional measure to the main drug therapy.
There are several effective recipes:
Weak premature ejaculation is not a sentence.A correct diagnosis and prescribed therapy will help to fully restore men's health and eliminate the consequences of prostatitis.