Ejaculation problems and erection problems are the most common sexual problems in men. However, while the invention of Viagra significantly facilitated the management of erectile dysfunction, ejaculation problems are still as common as before. In this article we will try to discuss the different types of ejaculation disorders and methods of treatment.
Types of ejaculation problems
Ejaculation problems include lack of ejaculation (anejaculation), premature ejaculation, delayed ejaculation, and retrograde ejaculation.
Anejaculation
Lack of ejaculation may be caused by reduced sex drive (reduced libido). This, in turn, may be due to psychological factors (e.g. stress) or physiological factors (e.g. taking certain medications). The cause of the anejaculation can also be alcohol or drug abuse. It can also be caused by some diseases (e.g. hypertension, diabetes). Anejaculation can be divided into one with an orgasm and one without an orgasm. The latter, without additional tests, can be mistaken for retrograde ejaculation.
Premature ejaculation
Premature cjaculation is an ejaculation that occurs before a man wants it. The causes of premature ejaculation are most often sought in the psyche. This may include: fast masturbation during puberty (not to be caught), stage fright, having sex too rarely, and easy excitement.
Read more: Premature Ejaculation
Delayed ejaculation
As in the absence of ejaculation, delayed ejaculation can be caused by reduced sex drive (decreased libido), which may be caused by psychological (e.g. stress) or physiological factors (e.g. taking certain medications). Delayed ejaculation can also result from alcohol or drug abuse as well as it may be caused by illness (e.g. hypertension, diabetes).
Read more: Delayed Ejaculation
Retrograde ejaculation
Retrograde ejaculation is a disorder when, during ejaculation, sperm does not get outside the body, but goes to the bladder. The reason for this phenomenon lies in the malfunction of the bladder sphincter, which does not contract during ejaculation. This may be due to, for example, prostate surgery, autonomic innervation dysfunction, diabetes, and less often alcohol abuse or unusual sexual practices.
Epidemiology
Ejaculation problems are very common. They can happen to almost any man. Sometimes they can result from one-time indisposition, but if they begin to recur, then it you shoul visit a specialist.
Read more: Premature ejaculation as the most common male sexual disorder
Treatment
Depending on whether ejaculation problems are psychological or physiological, treating includes either psychotherapy or pharmacological therapy. You may also need to use both at the same time. Pharmacological methods are used especially in cases where ejaculation problems result from taking antidepressants. In turn, psychotherapy is necessary when ejaculation problems are psychological.
An open and honest conversation with your partner is very important when treating ejaculation problems. It is even recommended to go to psychotherapy together with your partner. Therapy will be much more effective if both people are involved. Especially that problems with ejaculation very often affect the quality and durability of the relationship.
Read more: Sex therapy for couples