The most frequent sexual challenges for males are erectile dysfunction and ejaculatory disorders. However, with the release of Viagra, erectile dysfunction issues have been far less common and easier to cure. Ejaculatory issues, on the other hand, remain widespread among males and can cause feelings of shame and humiliation in individuals who suffer from them.
Ejaculatory dysfunction is defined as a man’s inability to effectively discharge sperm from the penis during sexual pleasure. Ejaculatory dysfunction is the most frequent kind of male sexual dysfunction and a leading cause of male infertility.
There are four forms of ejaculatory dysfunction: premature ejaculation, delayed ejaculation, retrograde ejaculation, and anejaculation (no ejaculation). Medication, behavioural treatment (for premature ejaculation), and, in certain cases, surgery is used to treat ejaculatory dysfunction.
What exactly is ejaculatory disorder?
Ejaculatory dysfunction occurs when a man has difficulty ejaculating his sperm, either too soon, too late, back into his own bladder, or not at all. These circumstances may lead to a lack of sexual pleasure for both the male and his partner, inadequate reproduction, and mental anguish.
Ejaculation abnormalities, also known as aspermia, may be caused by a congenital defect or acquired dysfunctions (secondary) after birth (typically much later in life), such as sickness, injury, or severe medication reactions.
Normal ejaculation consists of an emission phase in which semen is positioned in the penis near the prostate, followed by an ejaculation step in which the semen is forcibly expulsed from the penis.
Ejaculation mechanics are comparable to sneezing in that both are reflexes with a point of no return. The average period between male sexual penetration and ejaculation is nine minutes.
Ejaculatory dysfunction assessment:
In most cases, the initial step in identifying and analyzing ejaculatory dysfunctions is to ask a patient about his personal history. This may tell if the issue has always been there, indicating whether it is related to a congenital defect or an acquired condition. Seek help from ed medications online if you are not comfortable going to a doctor physically.
Evaluation components include:
- Physical examination of the genitalia and testicles for structural abnormalities.
- Semen sample for sperm presence and health assessment
- If no ejaculate was formed, a post-ejaculate urine sample was taken.
- Hormone analysis
- Transrectal ultrasonography (TRUS) is used to detect structural issues.
The four forms of ejaculation diseases are listed here, along with their causes, symptoms, and therapies.
Causes and therapies of premature ejaculation:
Premature ejaculation (PE) occurs when a man ejaculates within a minute after vaginal intercourse, or when he ejaculates sooner than he or his partner would want. PE affects around 30% of men and is the most frequent kind of ejaculatory dysfunction. The majority of PE cases are curable.
Premature ejaculation is caused by erectile dysfunction, anxiety, heightened sensitivity, and neurological issues.
Premature ejaculation cure:
PE may be treated with medications, physical therapy, and psychotherapy. The treatment’s purpose is to reduce penile sensitivity while increasing the patient’s control over his behavioural reactions.
For many men, oral medicines might cause ejaculation to be delayed. For males with PE, urologists may give one of the numerous medicines. The option is determined by whether the PE is main or secondary.
Another treatment is a lidocaine-prilocaine ointment administered to the penis before intercourse to lessen sensitivity and postpone ejaculation.
However, as always suggested, it would be best to consult the experts before taking any medication or opting for any other treatment options for premature ejaculation. You can do this consultation easily online these days through the best digital healthcare platforms from the comfort of your home. Go on and read this article to know about one such best platform that could be your go-to option as well for the same.
While drugs may give temporary relief, the only method to treat premature ejaculation is via behavioural therapy. This might include sex education to improve behaviour as well as psychological treatment to address factors like anxiety that may be triggering PE. Relaxation techniques and ways of extending arousal without erection or ejaculation may be taught.
The behavioural change includes techniques such as:
- When the peak comes, the stimulation is reduced
- Changing stimulation before the climax
- Mental diversion from the stimuli
Causes and remedies of delayed ejaculation:
Delayed ejaculation occurs when ejaculation is delayed for an extended length of time following sexual stimulation. This happens to many guys from time to time as a typical occurrence, but it may be troublesome if it continues over a long period of time or irritates either sex partner.
Delayed ejaculation may be a long-term issue that begins with sexual engagement. It might also be an acquired condition that develops after a period of normal ejaculation. It may be generic or situational, meaning it only happens with particular partners or circumstances.
Physical, psychological, or medication-related factors may all contribute to delayed ejaculation. Drinking, diuretics (drugs or food and beverage additives that increase the body’s loss of water), high blood pressure, or the use of antidepressants, anti-seizure, or antipsychotic medicines are all potential causes.
Causes that are physical:
- Birth flaws
- Infections
- Injuries to the pelvic nerves
- Hormone imbalances
- Psychiatric disorders
- Surgery on the prostate.
- Psychological factors
- Depression
- Anxiety about the sex life
- Problems with sexual fantasies
- Self-image consciousness issues
- Personal issues in a sexual relationship
- Treatment for postponed ejaculation
Underlying mental health and psychological disorders may be addressed via psychotherapy. Some mental health counsellors have received specialised training in dealing with sexual difficulties. Counselling may be done with only the guy or with him and his companion.
A few drugs are also used to treat delayed ejaculation These are not authorised for treating delayed ejaculation, but they are recommended for the treatment of other disorders. This is known as “off-label” usage.
Causes and treatments of retrograde ejaculation:
At sexual completion, part or all of the ejaculate is sent back up into the bladder rather than out of the body via the penis, which is known as retrograde ejaculation.
Retrograde ejaculation may result in fertility problems but not in any other complications. Doctors often diagnose it by physical examinations and the ordering of testing on a post-ejaculation urine sample, which may reveal semen in the urine.
The source of retrograde ejaculation is a flaw in the muscle at the bladder’s neck, which generally stops ejaculate from flowing back into the bladder through the tube that transports ejaculate from the gland to the urethra. The malfunction might be caused by nerve damage caused by a medical condition (diabetes, spinal cord injury), a response to certain drugs, or surgeries (bladder, prostate).
Unless retrograde ejaculation is causing infertility that the guy desires to reverse, it is typically not required to treat it. One method of therapy is to discontinue drugs that might induce retrograde ejaculation.
Off-label medications may assist the bladder neck muscle in remaining closed during ejaculation, preventing ejaculate from entering the bladder.
To avoid retrograde ejaculation, assisted reproductive methods such as intrauterine insemination (a kind of artificial insemination) may be utilised. This may include retrieving sperm from the male’s body and placing it in the female’s uterus or injecting it straight into an egg in her ovary (intracytoplasmic sperm injection).
Causes and treatments of anejaculation:
Anejaculation is among the types of disorder which happen when there is no ejaculation during sexual climax. This may be complete anejaculation, which occurs at all times during sexual stimulation, or situational anejaculation, which occurs only under particular circumstances.
Anejaculation may be primary (existing from the beginning of the sexual response) or secondary (caused by an acquired illness such as diabetes or multiple sclerosis).
Stress or psychological concerns related to a certain partner or scenario are common causes of situational anejaculation. This might imply that the guy can ejaculate with one partner but not another, or in one location but not another.
Total anejaculation may be anorgasmic, implying that the guy would never experience orgasm and ejaculate. Total anejaculation may also be orgasmic, which means the guy is having an orgasm but does not ejaculate. Despite the absence of orgasm in anejaculation, the man may still release sperm while sleeping.
Anejaculation may be caused by drug reactions, as well as surgical operations that damage the nerves involved in ejaculation. The most probable reason is a psychological problem related to upbringing and a lack of love.
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The most prevalent treatment for anejaculation is psychological counselling and sexual therapy to address underlying problems. Sexual therapy may include sex education to help the afflicted individual comprehend the arousal process better. It may also include treatment to promote a pleasant response to touching and proceed toward orgasm and ejaculation.
Anejaculation treatment for infertility comprises sperm retrieval and placement choices using what physicians refer to as assisted reproductive technology.
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Penile vibratory stimulation, a treatment for males having anejaculation as a consequence of spinal cord damage, may result in ejaculation. This therapy employs a vibrating device meant to raise the penis and aid in ejaculation.
