Ejaculation problems are the most common male sexual dysfunction problems. There are number of ways to treat ejaculation disorders but the first step is to get formal diagnosis and try to identify the cause of the problem.
Problems with ejaculation can have physical and / or psychological causes. If the cause is physical, you should see a specialist (e.g. urologist) but if the cause is psychological then sex therapy might be beneficial.
The most common ejaculation problems are:
- Premature ejaculation
- Retarded ejaculation
- Retrograde ejaculation
- Painful ejaculation
Premature ejaculation is the most common ejaculation problem and can affect men of any age. It is estimated that as many as one third of all men may be affected by early ejaculation at some point in their life.
Premature ejaculation refers to an ejaculation during the early stages of sexual excitement, or soon after the insertion of the penis into the vagina.
There are number of ways to overcome early ejaculation, see Treatment For Premature Ejaculation for more information.
Retarded or delayed ejaculation is one of the least understood ejaculation problems.
Retarded ejaculation can be either significant delay before ejaculation is possible (delayed ejaculation) or being unable to ejaculate at all (no ejaculation).
In both cases, retarded ejaculation refers to the inability to achieve ejaculation during sexual activity, i.e. neither during intercourse nor by manual stimulation with a partner.
Delayed ejaculation means persistent and unwanted delay of ejaculation. There is no set timeframe but "normally" taking 30 to 60 minutes to ejaculate indicates delayed ejaculation problem.
The same applies if you are unable to ejaculate at least half of the times when you engage in sexual activity with a partner.
Retarded ejaculation is not believed to be common problem but the consequences can be serious, i.e. the inability to achieve orgasm and infertility if no ejaculation (not to mention the effect on the mental state of the man suffering from the condition).
Retarded ejaculation is sometimes referred to as male orgasmic disorder or anorgasmia (when person cannot achieve orgasm, even with adequate stimulation).
Retarded ejaculation can be lifelong (never been able to ejaculate) or acquired. It can also be global or situational.
Global retarded ejaculation occurs in all sexual situations. While situational occurs only in certain situations, e.g. you may be able to ejaculate when masturbating but not when having sexual intercourse.
Delayed ejaculation can have psychological or physical causes. If you have never been able to ejaculate (lifelong retarded ejaculation) and / or the condition is global, then the problem might have physical cause. While situational ejaculation problems tend to have psychological causes.
Physical Causes For Retarded Ejaculation
Physical causes may include blockage of the ejaculatory ducts, nervous system problems (e.g. stroke or spinal nerve damage) or use of certain drugs (e.g. Prozac).
You need to see a specialist if you delayed ejaculation has physical cause. If physical causes can be eliminated then the cause is likely to be psychological.
Psychological Causes For Retarded Ejaculation
Common psychological causes include attitude to sex (e.g. religious beliefs that sex is sinful), traumatic events (e.g. being discovered masturbating or having illicit sex), lack of attraction for the sexual partner, conditioning (e.g. caused by habit of unusual masturbation).
There are therapists that specialize in treating ejaculation problems like this. Delayed Ejaculation Therapy usually requires 12 to 18 sessions but has high success rate (70 - 80%).
Important part in the therapy is to realize that you cannot force yourself to ejaculate. Just as you cannot force yourself to sweat or fall asleep. And the harder you try, the harder it is likely to become.
Electronic ejaculation or rectal electro ejaculation is a process to retrieve viable sperm from man that cannot produce it himself, e.g. due to retarded ejaculation or retrograded ejaculation. Electro ejaculation may for example benefit men with spinal cord injury, diabetes, Multiple Sclerosis (MS).
Electro Ejaculation uses electric current to induce erection and ejaculation to collect sperm for artificial insemination.
Retrograde ejaculation is another rare ejaculation problem.
Retrograde ejaculation occurs when semen is redirected to the bladder, i.e. instead of being ejaculated through the urethra.
This means men with retrograde ejaculation problems produce no, or very little, semen. This can affect their ability to father a child.
The presence of semen in the bladder is harmless as such. The semen mixes with the urine and leaves the body when you urinate, i.e. the urine after having sex will appear cloudy due to the semen in it.
Retrograde Ejaculation Causes
Retrograde ejaculation is not common problem but men with diabetes and those that have had genitourinary tract surgery are at increased risk of developing this condition.
Some medications may also cause the condition, e.g. drugs used to treat high blood pressure and some mood-altering drugs.
Retrograde Ejaculation Treatment
Retrograde ejaculation problems are usually left untreated unless it interferes with infertility. Medication may work if the cause is due to nerve damage, e.g. because of diabetes, multiple sclerosis, certain surgeries, etc.
Medication usually does not work if the retrograde ejaculation is caused by significant muscle or nerve damage, e.g. after transurethral resection of the prostate or bladder neck surgery.
If treatment has been unsuccessful or not possible, then you are likely to need infertility treatment to be able to father a child. Assisted reproductive technology (ART) is used to recover sperm from the bladder to inseminate the women.
Painful ejaculation problems are usually the sign of some other penis health problems.
Painful ejaculation is felt during or following male ejaculation and is usually described as painful burning sensation.
Painful ejaculation can be felt in the area between the anus and the genitals (the perineum) or in the urethra. It can also cause discomfort in the testes and interfere with sexual pleasure.
Painful Ejaculation Causes
Painful ejaculations are quite common and are usually the sign of some other penis health problem, for example:
- Urethritis (swelling within the urethra)
- Prostatitis (inflammation of the prostate gland)
- Orchitis (inflammation in the testicles)
- Epididymitis (inflammation of the epididymis, tube located at the back of the testicles)
- Infection (including sexually transmitted infections)
- Nerve damage to the penis
- Blockage of the ejaculatory duct
This is why you should always see a doctor as soon as you experience painful ejaculation problems.