Sexual Disorders

Ejaculation Problems: All You Need to Know to Manage Your Sexual Dysfunction

Ejaculatory disorder is a highly widespread sexual dysfunction in men. Around 75% have rapid ejaculation, 8% delayed, and the rest struggle with retrograde ejaculation.  

Reports show that 4% to 39% of men have rapid, also known as premature ejaculation. But, did you know there is also a 91% chance this could be a hereditary problem? That’s right, most premature ejaculation cases are inherited from father to son. 

The problem is, not everyone fully understands ejaculation problems or where they are coming from. They have no idea how to test their body for dysfunction problems. That’s why a proper sexual dysfunction guideline becomes necessary. 

This is a detailed overview of all the prevalent causes of any dysfunction, including the possible ways to treat it.  

What Is Actually Sexual Dysfunction?

When something interrupts your sexual response cycle and keeps you from achieving ideal sexual satisfaction, that’s what we call male sexual dysfunction. It is an issue that can happen anytime during sex. 

In fact, about 31% of the male population have reported experiencing some kind of dysfunction, whether it is temporary premature ejaculation, lifelong premature ejaculation, or any other dysfunction.

A typical sexual response cycle features passion, enjoyment, and orgasm. With proper sexual arousal and desire, people become excited during sex. This is a typical sexual response in men. The dysfunction, however, blocks these responses and interferes with your sex life. 

What’s Causing These Sexual Problems? 

Anyone can develop a dysfunction, regardless of their sexual orientation. There are many reasons as to why it can happen. 

It could result from a psychological cause, like stress, anxiety, depression, and poor self-esteem. Our brain plays a valuable role in getting sexual excitement. When there are events that get in the way of these feelings, they could worsen erectile dysfunction. 

Then, you also have physical causes, like diabetes, cardiovascular complications, or unstable blood pressure

Your system must work properly so that you can enjoy sex. Whenever something is interfering with your organs, that’s when you can experience this kind of dysfunction. 

Take erectile dysfunction, for example. Experts believe that men can’t keep an erection because they have countless worries or poor psychological and physical health. Retrograde ejaculation is another typical issue often caused by anxiety. It can happen in people with unresolved romantic problems or constant stress at work. 

Bad habits are another possible contributor. Smoking, drinking, and using illegal substances can cause ejaculation problems. They can worsen your overall health and result in numerous issues. 

But do have in mind that each of these dysfunction problems can have its own set of causes. If you learn to recognize them, you can treat the problem. 

What Are the Typical Ejaculation Problems?

It is normal to want to enjoy sex. But, when erectile dysfunction gets in the way, you can’t make the most of your intimate experience. When it comes to ejaculatory dysfunction, there are three main problems men have to face. That includes:

  • Premature ejaculation

  • Retrograde ejaculation

  • Delayed ejaculation

Each of these problems has its own impact. They have unique causes and require a distinct way of treatment. Here is all the information you need to know to understand them.

Premature Ejaculation

  • Causes: physical (prostate problems, thyroid complications, drug abuse) and psychological (traumatic sexual experience, strict upbringing, stress, depression, or extreme sensitivity). 

Premature ejaculation happens when a man ejaculates too fast. It affects 20% to 30% of men. This makes it the most prevalent issue. Because of that, both men and their partners can’t enjoy their sex completely. 

Researchers analyzed 500 couples from various countries to find the typical time it would take for a male to ejaculate. Based on the reports, the average time is 5 ½ min. Of course, every couple can enjoy sex differently and have their own definition of how long sex should be.

The goal was to see how premature ejaculation affects individuals. It seems that with premature ejaculation, males would ejaculate just 1 min after entering their partner, regardless of their sexual activity

Retrograde Ejaculation

  • Causes: physical (nerve or muscle damage around the bladder, prostate gland or bladder surgery, multiple sclerosis, diabetes condition, alpha-blockers, and hypertension)

Retrograde ejaculation is a very rare dysfunction issue. It occurs when the semen goes back to the bladder and doesn’t pass through the urethra to come out of the penis. You’ve reached the climax during sex, but only a little semen comes out. This is what experts call a “dry orgasm.” 

Due to the dry orgasm, men might also notice cloudy urine immediately when they go to the bathroom after sex. That’s because there is still semen in the urine. 

Even though it is not dangerous, it could result in impotence. Studies show that this particular dysfunction is the reason behind 0.3% to 2% of infertility cases. That’s why it could become a serious issue if you don’t get adequate treatment. 

Those affected can still have an orgasm but may reduce their possibility of fathering a child in the near future. Thus, it is essential to get the seminal vesicle functions back on track to ensure proper ejaculation.

Delayed Ejaculation

  • Causes: physical (medication abuse, alcohol abuse, spinal cord injury, birth defect, pelvic injury) and psychological (poor body image, performance anxiety, unfulfilled sexual fantasies that don’t match their partner’s needs)

Delayed ejaculation, also known as retarded ejaculation, is easy to recognize. When a person is struggling to ejaculate, that’s when they suffer from delayed ejaculation. According to statistics, delayed ejaculation has a prevalence rate of 1% to 5% in all sexually active men

Although it is not as widespread as premature ejaculation, it’s still important to learn all about it. Delayed ejaculation can be classified as being incapable of ejaculating at all (no matter how long or short the sex is). Or it can delay your orgasm for a very long time. 

Individuals with delayed ejaculation will experience a constant and unwanted delay of 30-60 min. However, 50% of the time, they may not be able to ejaculate after sexual intercourse. 

Tests Used to Find a Sexual Problem

Do you want to know if you have a certain ejaculatory dysfunction? Are you worried you might have delayed ejaculation? Then you should consult with a specialist who can help evaluate all the ejaculation disorders.

They can help you revamp your sexual experience and solve all the ejaculation problems. A urologist will help evaluate any dysfunction. But, if you think you have trouble with your hormones (low testosterone, for example), the endocrinologist can help. 

These doctors will use different methods to analyze their current health state and ejaculation issues. Take a look at the table below to find out more. 

There Is Blood In My Sperm, Should I Be Worried?

Having blood in the sperm after ejaculation is called (haematospermia). It can be a sign of a bigger problem. For most patients, it is not a serious issue, and it goes away on its own. It lasts for a couple of days, and the sperm gets back to normal.

When the urethritis (urethra) becomes infected, or a person is suffering from prostatitis, that’s when they might notice blood in the sperm. If the problem persists for more than a few days, contact your local clinic. 

What Are the Treatment Possibilities for Any Dysfunction

Depending on what ejaculation problem you are dealing with, the doctor can suggest behavioral techniques, medications, counseling, or topical anesthetics.

However, it may take a while for you to find the perfect combination to manage this sort of problem. Here are some of the most used treatment options for dysfunction during sex. 

Couples Therapy

Most long-term relationships take a toll on people’s sex life. Whether it is from stress or any event that might have contributed to the dysfunction. With couples therapy, patients learn how to explore themselves, their desires, and experiment with sexual stimulation.

They get to solve multiple issues that could be the trigger. This therapy is often used for premature ejaculation or any ejaculation issue. The therapist will show patients a few handy options that will help “unlearn” the premature ejaculation habit. 

Medication and Topical Products

If the dysfunction is caused by anxiety or depression, like with delayed ejaculation, for instance. That’s when patients may have to take SSRIs (selective serotonin reuptake inhibitor) or antidepressants. Options like paroxetine, fluoxetine, and sertraline can help. 

But, it will take one or two weeks for the effects to kick in. If you are also struggling with a health condition, such as diabetes, you will need to control the blood pressure and insulin levels. So, you will need adequate blood pressure medication to keep your health in check.

Another option is Phosphodiesterase-5 inhibitors. Products like Viagra (sildenafil) are popular in sexual medicine. 

When dealing with extreme sensation, doctors may suggest using topical anesthetics. They can lower these uncomfortable sensations and allow people to enjoy sex. When paired with a condom, the sensations will be even easier to manage. 

Sex therapy

Sex therapy is the perfect mix between psychotherapy and counseling. The therapist will suggest a couple of options that can alter your sexual behavior. The whole purpose of sex therapy is to get patients to accept and understand their emotions. Especially those that trigger their dysfunction. 

To improve your sexual climax, the therapist might suggest to you:

  • change the foreplay and add more vibratory stimulation

  • use more lubricants 

  • get rid of the distractions

But first, they will need to get ahold of the patient’s depression, anxiety, or trauma for them to enjoy sex. The process begins when both partners agree they will share the responsibility for managing the dysfunction. 

The therapist can then start educating the patients with a few sexual tactics they can use in the bedroom. However, to achieve the results you are hoping for, you must be open and honest about every problem you might be having. 

If you want to find a proper sex therapist, you can ask for a social worker or psychologist referral. 

Detox

Based on clinical reports, men who abuse substances have a high risk of experiencing serious dysfunction. Both women and men expose their bodies to dangerous substances that can cause heart, breathing, and psychological difficulties. 

If you want to solve the dysfunction, you have to drop all your bad habits. That includes alcohol, drugs, and tobacco. The reason for that is simple. These products can squeeze the blood vessels and worsen your dysfunction. 

Each of these bad habits has its own role to play. For example, alcohol has a direct impact on the central nervous system. It causes disinhibition and depression. Although it can also be used as an aphrodisiac when consumed in small amounts, many people tend to abuse it. 

With time, the alcohol will deteriorate your sexual health and impair your erection. That’s why it will be in your best interest to detox the system from any ethanol. 

Smoking makes it difficult for you to initiate and maintain an erection. Because it creates potent vasoconstrictor effects, it delays ejaculation and makes it difficult to lubricate. 

While drugs, like cocaine, affect your norepinephrine and dopamine levels. The longer you use them, the harder it gets to feel a sexual desire. The psychoactive substances in these products can become a serious issue in the long run. So, you have to cleanse the system to get the results you need. 

Conclusion

Understanding ejaculation problems is not as hard as it looks. With all the information listed here, you will immediately recognize the problem and start with proper treatment. If you think the dysfunction needs immediate attention, don’t hesitate to contact a specialist. 

Sources

  1. Stanley Ducharme. (2003). Ejaculation Problems: Too Fast, Too Slow or Not at All?. Boston University School of Medicine. Retrieved from: https://www.bumc.bu.edu/sexualmedicine/informationsessions/ejaculation-problems-too-fast-too-slow-or-not-at-all/
  2. Cleveland Clinic. (2020). Sexual Dysfunction. Retrieved from: https://my.clevelandclinic.org/health/diseases/9121-sexual-dysfunction
  3. Mayo Clinic. (2020). Erectile Dysfunction. Retrieved from: https://www.mayoclinic.org/diseases-conditions/erectile-dysfunction/symptoms-causes/syc-20355776
  4. National Health Service. (2019). Male Sexual Problems. Retrieved from: https://www.nhs.uk/live-well/sexual-health/male-sexual-problems/
  5. Nicholas Gillman. (2019). Premature Ejaculation: Aetiology and Treatment Strategies. National Institutes of Health. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6915345/
  6. Ibrahim A. Abdel-Hamid. (2018). Delayed Ejaculation: Pathophysiology, Diagnosis, and Treatment. National Institutes of Health. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5756804/
  7. Arie Parnham. (2016). Retrograde ejaculation, painful ejaculation and hematospermia. National Institutes of Health. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5002007/
  8. WebMD. (2019). What tests are used to evaluate sexual problems? Retrieved from: https://www.webmd.com/sexual-conditions/qa/what-tests-are-used-to-evaluate-sexual-problems
  9. Gregory Thompson. (2019). Sex Therapy for Erection Problems. University of Michigan. Retrieved from: https://www.uofmhealth.org/health-library/hw111056
  10. Dirk Rösing. (2009). Male Sexual Dysfunction Diagnosis and Treatment From a Sexological and Interdisciplinary Perspective. National Institutes of Health. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2801066/#s3title
  11. Deepak S. Ghadigaonkar. (2009). Sexual Dysfunction in Persons With Substance Use Disorders. Journal of Psychosexual Health. Retrieved from: https://journals.sagepub.com/doi/full/10.1177/2631831819849365

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