What you would like to understand about delayed ejaculation

If a person takes longer than a half-hour of penetrative sex to ejaculate, despite a traditional erection, it’s known as delayed ejaculation.

Delayed ejaculation affects around 1 to 4 per cent of men. It can trigger anxiety about general health, sexual dissatisfaction and low libido. Relationship problems involve a fear of rejection and concern for couples wishing to start a family. It may result in distress for both persons.

Most men will suffer delayed ejaculation at some point in their lives, except for some, it’s a lifelong problem.

Fast facts on delayed ejaculation here are some key points about delayed ejaculation. More detail and supporting information are within the body of this text.

Delayed ejaculation may be a sexual dysfunction affecting a man’s ability to succeed in an orgasm.

The typical time it takes for ejaculation to happen upon stimulation varies between individuals, with no particular figure for what’s “normal”.

Most causes are psychological, but organic reasons also are possible and are ruled out first during diagnosis.

No pharmacological therapy is available for psychological causes of delayed ejaculation.

Causes

Delayed ejaculation can have a biological or psychological cause. It is often a lifelong condition where a person has always had difficulty reaching an orgasm. Still, more commonly, delayed ejaculation occurs after a period of normal function. There also can be an overlap between the 2.

Physical causes of delayed ejaculation include:

Medication side effects: Delayed ejaculation could also be an adverse effect of antidepressants, especially selective serotonin reuptake inhibitors (SSRIs), anti-anxiety drugs, vital sign medication, painkillers, and other medications.

Alcohol or the utilization of certain recreational drugs can have an impression.

Nerve damage, including stroke, medulla spinalis injury, surgery, MS, and severe diabetes, can cause abnormal ejaculatory function.

 Ageing can decrease the sensitivity of the penis to sexual stimulation.

psychological cause if it only happens in specific situations

An acquired case is typically determined as having a psychological cause if it only happens in specific situations. For example, it’s more likely that delayed ejaculation features a psychological basis if a person can ejaculate normally while masturbating but experiences a delay during sex with a partner.

Some of the psychological factors which will underlie delayed ejaculation include:

Early life history, including abuse, difficulties bonding, and abuse. neglect by parents, negative

sexual upbringing and unexpressed anger

unwillingness to enjoy the pleasure

religious belief, perhaps that sexual intercourse may be a sin

fear of, for instance, semen or female genitals or of somehow hurting or defiling a partner through ejaculation

Fear of pregnancy

Issues of lost confidence or performance anxiety – for example, concern about body image that interrupts the method of sexual stimulation

Particular sorts of masturbatory behaviour may play a task in developing delayed ejaculation.

One specialist in delayed ejaculation found a relationship between the condition and, therefore, the following masturbatory patterns:

Masturbating more often, typically quite three times every week

having a method of masturbation that can’t be matched by sexual activity, mainly a high-speed, high, or high-intensity form

if the partner’s hand, mouth, or vagina is unable to duplicate the learned style, simply

the sex partner differs from the fantasy used during masturbation to succeed in an orgasm

Dr Michael Perelman is a clinical professor of urology, psychiatry, and reproductive medicine at the Weill Medical College of Cornell University, New York. He noticed that most men with cases of delayed ejaculation reported no problems reaching an orgasm and ejaculating during masturbation.

Some men with the condition needed an “idiosyncratic” self-manipulation to succeed in orgasm. Like rubbing the penis against the bedsheets, masturbating with pressure on a specific spot when reading erotic books part, and even masturbating by “urethral instrumentation” – inserting a far-off body down into the opening of the penis.

Diagnosis

Delayed ejaculation is diagnosed when a person cares about a few significant delays or infrequency of achieving ejaculation during most sexual encounters for six months or more and when other problems are ruled out.

A doctor will speak with the patient about symptoms and how often they occur for a diagnosis to be recommended. They will then rule out other alternative medical problems, like infections, hormonal imbalance, etc., which might involve blood and urine tests.

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