What is delayed ejaculation?
Delayed ejaculation refers to an inhibition of ejaculation. The
man is unable to ejaculate, either during intercourse, or with
manual stimulation in the presence of a partner.
What is the cause?
Most men ejaculate within 2 to 4 minutes after onset of active
thrusting in intercourse. Men with retarded ejaculation may be
entirely unable to ejaculate in some circumstances (for example,
during intercourse), or may only be able to ejaculate with great
effort and after prolonged intercourse (for example 30 to 45
minutes). The most common causes are psychological. Common
psychological causes include:
* A strict religious background causing the person to view sex as
sinful
* Lack of attraction for a partner
* Conditioning caused by unique or atypical masturbation patterns
* Traumatic events (for example learning that one's partner is
having an affair)
* Organic causes are also possible; a variety of drugs may
sometimes impair ejaculation.
* Neurological diseases may also cause delayed or an inability to
ejaculate such as strokes and nerve damage to the spinal cord or
back.
How is it diagnosed?
If the man is unable to ejaculate in a reasonable length of time
with some form of stimulation (as with masturbation), it is a good
indicator that organic factors are likely to play a role in the
problem. Stimulation of the penis may determine if an underlying
physical often neurological problem exists. A neurological
examination may uncover other neurological defects associated with
delayed ejaculation.
What is the treatment?
If the man has never ejaculated through any form of stimulation
(such as wet dreams, masturbation, or intercourse) in his life, a
urologist should be consulted to determine if there is a
congenital or physical abnormality. If, however, he is able to
ejaculate in a reasonable period of time by some form of
stimulation, he should seek sex therapy from a therapist
specialising in this area. Treatment usually includes both
partners. This includes educating the couple about the
fundamentals of sexual response and how to communicate and guide
the partner to provide ideal stimulation, rather than trying to
force a sexual response to occur.
Therapy then commonly involves a series of homework assignments
wherein the couple, in the privacy of their home, engage in sexual
activities that minimise performance pressure and maximise
focusing on pleasure. Typically, sexual intercourse will be
prohibited for a limited period of time, while the couple
gradually enhance their ability to enjoy ejaculation through other
types of stimulation.
In cases where there is a problematic relationship or an
inhibition of sexual desire between the couple, therapy to enhance
the relationship and emotional intimacy may be required as a
preliminary step.
Self-treatment of this problem will probably be unsuccessful in
most cases. If a medication is believed to be the cause of the
problem, the man's physician should review other medication
options. This may be difficult in certain instances, especially
when the medication is working appropriately to solve a
pre-existing medical or a psychological problem. What is the prognosis?
Outpatient treatment generally requires about 12 to 18 sessions
with an average success rate in the range of 70 to 80%. A more
positive outcome is associated with having a previous history of
satisfying sexual experiences, a short duration of the problem,
feelings of sexual desire, feelings of love toward one's sexual
partner, motivation for treatment, and absence of serious
psychological problems.
If medications are the source of the problem, a full recovery
should be expected if the physician is able to switch or
discontinue the medication.
Can it be prevented?
Healthy attitudes toward sexuality and one's own genitals helps
prevent delayed ejaculation. It is also vitally important to
realise that one cannot always control a sexual response, just as
you cannot force yourself to go to sleep or to perspire. The
harder one tries to have a certain sexual response, the more it
becomes inhibited.
To minimise the pressure, a man should absorb himself in the
pleasure of the moment, without worrying about whether or when he
will ejaculate. The partner should create a relaxed atmosphere,
free of pressure. Finally, any fears or anxieties, such as fear of
pregnancy or disease, should be openly discussed.
Delayed Ejaculation - treatment of Delayed
Ejaculation, Delayed Ejaculation types, Disease medicines, Delayed
Ejaculation symptoms, Delayed Ejaculation and Disease symptoms, Delayed
Ejaculation symptoms Disease and diagnosis, Symptoms and Solutions, Signs
and Symptoms, type of Delayed Ejaculation, cause common, common Delayed
Ejaculation, Delayed Ejaculation List, causes list, Infectious Delayed
Ejaculation, Causes, Diseases , Types, Prevention, Treatment and Facts,
Delayed Ejaculation information, Delayed Ejaculation: Definition, Delayed
Ejaculation names, medical Delayed Ejaculation, medical Delayed Ejaculation
and disorders, cell Delayed Ejaculation, Delayed Ejaculation Worldwide,
Delayed Ejaculation Research, Delayed Ejaculation Control, Delayed
Ejaculation Center, Digestive Delayed Ejaculation Week, Information about
Delayed Ejaculation, causes of different Delayed Ejaculation, Delayed
Ejaculation Articles, Delayed Ejaculation and conditions, Health and Delayed
Ejaculation, Delayed Ejaculation Patients, Delayed Ejaculation and Sciences,
causes of alzheimer's Delayed Ejaculation, Delayed Ejaculation causes,
alternative medicine heart Delayed Ejaculation, body ailments, Delayed
Ejaculation medicines, medical antiques, type of blood Delayed Ejaculation