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Title : Delayed Ejaculation: Causes, Diagnosis, Prevention and Treatment of Retarded Ejaculation
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Delayed Ejaculation: Causes, Diagnosis, Prevention and Treatment of Retarded Ejaculation

what ejaculation is delayed

delayed ejaculation is a condition medical in which a man can not ejaculate. Delayed ejaculation is also known as delayed ejaculation may occur either during intercourse or manual stimulation with a partner. Ejaculation is when semen is released through the penis.

Alternative Names

ejaculatory incompetence; Sex - delayed ejaculation; delayed ejaculation; Anejaculation

Causes

most men ejaculate within a few minutes of starting to push during intercourse. Men with delayed ejaculation may be unable to ejaculate, or may only be able to ejaculate with great effort after having sex for a long time (eg, 30 to 45 minutes). delayed ejaculation may be psychological or physical causes. common psychological causes include:

• religious background that causes the person view sex as sinful
• the lack of attraction for a partner
• conditioning caused by the habit of excessive masturbation
• the traumatic events (such as being caught masturbating or having illicit sex, or learning one's partner is having an affair)

Some factors, such as anger toward the partner, may be involved . Physical causes can include:

• The obstruction of the ducts that semen passes through
• Use of certain medications (such as Prozac, mellaril and guanethidine)
• diseases of the nervous system such as stroke or nerve damage in the spinal cord or back
• testosterone deficiency
• nerve damage during surgery in the pelvis

and tests

stimulation of the penis with a vibrator or other device can determine if you have a (often nervous system) physical problem. A nervous system (neurological) examination may reveal other nerve problems that are connected with delayed ejaculation.

Treatment

If you have never ejaculated through any form of stimulation, see a urologist to determine if the problem has a physical cause. (Examples of stimulation may include wet dreams, masturbation or sexual intercourse.) Seeing a therapist specializing in ejaculatory problems if not able to ejaculate in an acceptable amount of time . Sex therapy most often includes both partners. In most cases, the therapist will teach about sexual response. You will also learn how to communicate and guide your partner to provide the right stimulation. Therapy often involves a number of tasks "task". In the privacy of your home, you and your partner involved in sexual activities that reduce performance pressure and focus on pleasure. Usually, you will not have sex for a certain period of time. At this time, gradually you learn to enjoy ejaculation through other types of stimulation. Where there is a problem with the relationship, or lack of sexual desire, you may need therapy to improve their relationship and emotional intimacy. Sometimes, hypnosis can be a useful addition to therapy. This can be useful if a partner is unwilling to participate in therapy. Trying to self-treat this problem is often unsuccessful. If a drug can be the cause of the problem, discuss other medication options with your health care provider. Never stop taking any medicine without first talking with your provider.

Expectations (prognosis)

treatment usually requires about 12 to 18 sessions. The average success rate is 70 to 80%. going to have a better result if:

• You have a past history of satisfying sexual experiences.
• The problem has not been happening for a long time.
• have feelings of sexual desire.
• love for a sexual partner feels.
• is motivated for treatment.
• You do not have serious psychological problems.

If medications are the cause of the problem, the doctor may recommend a change or discontinuation of the drug, if possible. A full recovery is possible, if this can be done.

Complications

If the problem is not treated, the following may occur:

• the avoidance of sexual contact
• inhibited sexual desire
• stress in marriage
• sexual dissatisfaction

If you and your partner are trying to become pregnant, the sperm can be collected using other methods.

Prevention of delayed ejaculation

Having a healthy attitude about their sexuality and genitals helps prevent delayed ejaculation. Realize that you can not bring himself to have one, as you can not force yourself to go to sleep or to perspire sexual response. The harder you try to have a certain sexual response, the more difficult it becomes to respond. To reduce the pressure, focus on the pleasure of the moment. Do not worry about whether or when he will ejaculate. Your partner should create a relaxed atmosphere, and should not press on whether or not you have ejaculated. Openly discuss any fears or anxiety, such as fear of pregnancy or disease, with your partner.

References

Heidelbaugh JJ. Erectile disfunction treatment. Am Fam Physician . 2010; 81: 305-312 Bhasin S, Basson R. Sexual dysfunction in men and women. In: Kronenberg HM, Melmed S, Polonsky KS, Larsen PR, eds. Williams Textbook of Endocrinology . 12th ed. Philadelphia, PA: Saunders Elsevier; 2011: chap 20. Burnett AL. Evaluation and treatment of erectile dysfunction. In: Wein AJ, ed. Campbell-Walsh Urology . 10th ed. Philadelphia, PA: Saunders Elsevier; 2011: chap 24.

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