Most of the sexual health issues are primarily not big problems.
Many of them are very basic issues and because of ignorance, myths, and social taboos lead to development of anxieties, distress and further worsening of the problem.
Often men are concerned about their performance in bed with their partner.
Ejaculation problems are common sexual problems in men.
The two main problems are:
- Premature ejaculation
- Delayed ejaculation
This article is about Delayed ejaculation: (male orgasmic disorder) is defined as either:
- Experiencing a significant delay before ejaculation
- Being unable to ejaculate at all called anejaculation, even though the man wants to, and his erection is normal.
You may have delayed ejaculation if:
- You experience a repeated and unwanted delay before ejaculation lasting for 30 to 60 minutes
- You’re unable to ejaculate at least half the times you have sex
It is a condition in which it takes a long period of sexual arousal to reach climax and release semen from the penis. Some people with delayed ejaculation need a lot of time of sexual stimulation to have an orgasm and ejaculate.
Delayed ejaculation can be a brief or lifelong problem.
Common Causes
Possible psychological causes can be:
- Early sexual trauma
- Strict upbringing
- Depression, stress, anxiety or other mental health conditions.
- Relationship problems due to stress, not communicating well or other concerns.
- Anxiety about performance.
- Poor body image.
- Cultural or religious taboos.
- Differences between the reality of sex with a partner and sexual fantasies.
Physical causes may include:
- Multiple sclerosis
- Surgery to the bladder or prostate gland
- Increasing age
- Certain birth defects that affect the reproductive system.
- Injury to the spinal cord or pelvic nerves that control orgasm.
- Certain infections, such as a urinary tract infection.
- Neurological diseases, such as diabetic neuropathy, stroke or nerve damage to the spinal cord.
- Hormone-related conditions, such as low thyroid hormone level, called hypothyroidism, or low testosterone level, called hypogonadism.
- A condition in which the semen goes backward into the bladder rather than out of the penis, called retrograde ejaculation.
- Side effects of certain medicines including Antidepressants, particularly selective serotonin reuptake inhibitors (SSRI’s), Medications to treat high blood pressure, such as beta-blockers, Antipsychotics, used to treat episodes of psychosis, Muscle relaxants such as Balcofen, which is widely used to treat motor neurone disease and multiple sclerosis, Powerful painkillers, such as methadone (which is also widely used to treat people addicted to heroin)
Delayed ejaculation can suddenly start to happen after previously having no problems.
It can occur in all sexual situations, or only in certain situations. For example, you may be able to ejaculate normally when masturbating, but not during sex. When ejaculation only occurs in certain situations, there’s usually a psychological cause.
Further Complications of delayed ejaculation:
- Less sexual pleasure for you and your partner.
- Stress or anxiety about having sex.
- Marital or relationship problems due to a poor sex life.
- Not being able to get your partner pregnant, called infertility.
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