How To Deal With Retarded Ejaculation

Delayed ejaculation may be defined as recurrent inability to achieve ejaculation despite prolonged sexual intercourse.

The Diagnostic and Statistical Manual of Mental Disorders(DSM-IV-TR), places this disorder among the sexual dysfunctions, along with premature ejaculation.

A man affected by delayed ejaculation is unable to achieve ejaculation even after a normal sexual excitement phase. The man in question may regularly experience delays in ejaculation, or may be unable to achieve orgasm at all.

A usual orgasm is made up of two parts: emission and ejaculation. The term emission refers to a sensation of approaching ejaculation caused by contractions of the prostate gland, seminal vesicles, and urethra accompanied by generalized muscular tension, perineal contractions, and involuntary pelvic thrusting. Ejaculation is succeeded by a period of resolution which is marked by feelings of relaxation and well-being. There is also a refractory period. In this phase, men may be unable to respond to further sexual stimulation, will not become erect, and achieve orgasm for a longer or shorter period of time.

Despite the fact that we speak of orgasm and ejaculation as though they were the same thing, they are separate processes which occur almost simultaneously.

What we call orgasm is a peak emotional and physical experience, whereas ejaculation of semen is just an unconscious reflex Which occurs when we are aroused enough to stimulate an unconscious reflex mediated in the lower part of the spinal cord. Some men can separate these processes and experience ongoing multiple orgasms without the occurrence of ejaculation. Once ejaculation takes place, a period of recovery time is required before another orgasm can happen.

Orgasm differs between individuals, and different orgasms may differ in one man. All orgasms share particular characteristics including regular body and pelvic contractions, increased heart rate, muscle tension and the sudden release of tension.

Our sexual response cycle is controlled by a balanced interplay between the two major nervous systems, the sympathetic and the parasympathetic. The sympathetic nervous system causes action whereas the parasympathetic system causes recovery and relaxation. When the penis becomes erect, its smooth muscles are relaxed and allow blood to flow into the penis. This process is mediated by an intricate system of humoral, neurological and circulatory events controlled by the parasympathetic nervous system. Orgasm and ejaculation and the after effects of relaxation of the penis are predominantly functions of the sympathetic nervous system.

So while emission is controlled by the interaction of the parasympathetic and sympathetic nervous systems, orgasm and ejaculation are predominantly under the control of the sympathetic nervous system. We know that orgasm has more to do with the brain than with the body. The fact that orgasm occurs during sleep is supportive of this concept. In any event, this may be blocked by various abnormalities.

If delayed ejaculation only occurs under a particular set of circumstances, for example with only one sexual partner, it is known as "situational" rather than "generalized" delayed ejaculation.

The cause of delayed ejaculation
may be related to some physical condition, but is more often psychological. The physical causes include hormonal problems such as hypogonadism, hyperthyroidism, hypothyroidism, and excessive production of the hormone prolactin. Other physical causes include certain medications, including drugs to treat high blood pressure, and antidepressants.

The most common causes of delayed ejaculation are psychological. Some likely candidates include depression, anxiety, and fear of getting the partner pregnant. Other possible factors include an unsatisfactory sexual relationship with one's partner, a history of strict sexual taboos in the family.

A diagnosis of delayed ejaculation depends on the following factors being noticeable: a persistent or recurrent delay in, or absence of, orgasm following a level of normal sexual excitement that would be expected to produce orgasm. Most males who have delayed ejaculation also complain of anxiety, shame and frustration, and low sexual self-esteem. Although this particular sexual problem usually occurs during partner sex, it can happen during masturbation as well! If it occurs during masturbation, it's more likely to be about the man's body than any feelings associated with his partner. Male orgasmic disorder may be part of a wider set of sexual malfunctioning that can range across erectile dysfunction, ejaculation problems such as premature ejaculation or retrograde ejaculation, and hypoactive sexual desire disorder.

Delayed ejaculation is found in all men. It may develop around puberty or it may start later in life.

If some obvious physical cause is linked to male orgasmic disorder, the cure may be easy; for example, cessation of excessive drinking or a change in medications. But in most cases, psychotherapy will be advisable. Since most men are too embarrassed to seek professional advice, the availability of self-help programs on the internet is a blessing. Treatment usually requires the partner's assistance for both the psychological and the physical aspects of the treatment. Behavioural programs can allow a man to recover the ability to ejaculate normally quite easily and quickly.

Article Source: http://www.articleopus.com

The author is the publisher of Overcoming Male Orgasmic Disorder. You can find more information at Men Come First!.

Please Rate this Article

5 out of 54 out of 53 out of 52 out of 51 out of 5 

Not yet Rated