What is Ejaculation?

Ejaculation is the process by which a penis ejects semen. This process is mainly associated with orgasm as a result of sexual stimulation or sexual intercourse.

What is an Ejaculatory Problem?

When a man experiences problem while ejaculating sperms, like not able to ejaculate when normally he should, this physical condition is referred to as ejaculatory problem. Ejaculatory problem is among the common sexual problems suffered by men. PDE5 inhibitors have solved the problem of main erectile dysfunction but ejaculatory problems continue to be there, causing discomfiture and ignominy in most delightful private moments of a man.

Types of Ejaculatory Problems

Mainly there are three types of ejaculatory problems.

Early Ejaculation or Premature Ejaculation

What is Early Ejaculation or Premature Ejaculation?

The World Health Organization (WHO) has recommended replacing the phrase premature ejaculation with early ejaculation. When man ejaculates earlier than desired by him or his sexual partner, it is called premature ejaculation. Early ejaculation is generally not caused by physical or penis structural problem. The reasons that are responsible for premature ejaculation are: Stress, over stimulation, guilt.

What are the symptoms of Premature Ejaculatory problem?

Actually, there is no standard set medically to decide how long a man should take before ejaculating. Premature ejaculation is taken to be the one which occurs before time, causing unsatisfactory sexual intercourse.

The experts classify this problem mainly into two categories:

Primary premature ejaculation : When a man has been experiencing premature ejaculation since his very first sexual situation, including masturbation and vaginal sex.

Secondary premature Ejaculation : A man may develop the problem after experiencing many satisfactory sexual intercourses and activities without any ejaculation problem. 

What are the causes behind premature ejaculation?

Medically, this problem is considered psychological rather than physical. Most men experience difficulty in controlling ejaculation during the time when they are in adolescence, into a new relationship with a new partner, after divorce, during any type of mental stress or a phase of depression or guilt from past experiences.

How premature ejaculatory problem is diagnosed?

The diagnosis of this sexual problem depends mainly on the analysis of a man's sexual history. Doctors involve both the partners and ask very personal questions to determine sexual behavior of the couple. Psychological therapists can be of great help in this case.

The psychiatrist or the doctor may ask the following questions from you:

What are the treatments of early ejaculatory problem?

As mentioned earlier, this problem is considered psychological and so the treatment generally involves three types of therapies:

Most of the time, two therapies are combined to treat the condition, either psychological therapy and medication or Sexual Therapy and medication or psychological therapy and sexual therapy.

Psychological therapy : Psychological therapies are helpful when a man suffers from stress or depression or there is conflict in the marriage or relationship. This therapy involves counseling and talks whereby a person talks about his relationships and personal or professional problems which are causing him depression or stress.

Sexual Therapy : It involves educating the man about different techniques such as squeeze method, so that the ejaculation can be delayed. It also focuses on various ways of sexual intercourse for enduring the pleasure of sex.

Medications : Doctors prescribe selective serotonin reuptake inhibitors (SSRIs), which have a normal side-effect of delaying ejaculation. Medicines like sertraline, paroxetine or fluoxetine may be prescribed to you to facilitate delayed ejaculation. When these types of medicines fail to improve the situation, tricyclic antidepressant like clomipramine (Anafranil), can be given to help the man in delaying ejaculation.

There are creams like topical anesthetic creams which contain lidocaine and prilocaine, which may help by reducing sensation in your penis. This can be applied a half an hour before the intercourse and wipe it off when the penis has missed enough sensation to holdup ejaculation.

Delayed Ejaculation or Retarded Ejaculation

What is Delayed Ejaculation or Retarded Ejaculation ?

When a man is not able to ejaculate during the intercourse or manual stimulation, this situation is called retarded ejaculation. There are instances of not having ejaculation at all even after putting great efforts or prolonged intercourse in men with the problem of retarded ejaculation.

What are the causes of Delayed Ejaculation?

Even this type of ejaculatory problem involves human psychology and psychological problems are the main reason behind delayed ejaculation.

However, there may be some organic problems like strokes or nerve damage to the spinal cord or back which can also be responsible for this condition. In other circumstances, it is found that medicines such as Prozac, Mellaril and guanethidine may mess up ejaculation.

How the problem of Delayed Ejaculation is diagnosed?

Delayed Ejaculation or Retarded Ejaculation is diagnosed in the same way as premature ejaculation, because same psychological problems are associated with this. Sometimes other physical problems like medications being used, history of trauma in pelvic nerves, and spinal cord injury are taken into consideration. The doctor thoroughly examines physical as well as neurological issues to determine the cause of delayed ejaculation.

What is the treatment of Delayed Ejaculatory problem?

The treatment depends upon finding out the underlying problem causing delayed ejaculation. However mainly there are three ways to treat the problem:

Sexual therapy : If the problem is psychological, sexual therapy may solve the problem.

Changing medications : When the problem of delayed ejaculation is caused by certain medication, the doctor advises to change the medication.

Lifestyle change : The doctor advises to avoid alcohol abuse and use of illicit drugs.

Dry Orgasm

What is Dry Orgasm?

When a man reaches the sexual climax which does not result in ejaculation, it is called Dry Orgasm. In this type of orgasm the man does not have semen discharge. Although it is not considered as a serious sexual problem, it has the potential to impair fertility.

What causes Dry Orgasm?

Retrograde ejaculation : According to the experts retrograde ejaculation may result in dry orgasm. In retrograde ejaculation, the semen does not emerge through the penis, rather enters the bladder. This problem is caused by diabetes, prostrate surgery and as side-effect of using alpha blockers.

Lack of semen production : Damage to the prostrate or seminal vesicles hamper semen production. Prostatectomy, surgical removal of bladder and radiation therapy in the pelvic area, are the reasons for damaging semen production.

How Dry Orgasm is diagnosed?

The experts diagnose dry orgasm based on certain aspects:

What is the treatment of Dry Orgasm?

Normally, the treatment of dry orgasm depends upon the primary cause. In case of retrograde ejaculation and infertility, doctors retrieve the sperms from urine after orgasm to use it in artificial insemination.

More on Ejaculatory Problems :

• What is Ejaculation?
• Premature or Early ejaculation
• Retarded or Delayed ejaculation
• Dry Orgasm