How To Deal With Retarded Ejaculation

Delayed ejaculation may be defined as persistent inability to achieve ejaculation despite lengthy sexual intercourse.

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

A man affected by delayed ejaculation is unable to achieve ejaculation following a normal level of sexual excitement. The man in question may regularly experience problems in reaching ejaculation, or may be unable to achieve orgasm altogether.

A usual orgasm is made up of two stages: emission and ejaculation. The term emission means the sensation of impending ejaculation caused by contractions of the prostate gland, seminal vesicles, and urethra accompanied by generalized muscular tension, contractions of the perineum, and instinctual pelvic thrusting. Ejaculation is followed by a period of resolution which is marked by feelings of well-being and relaxation. There is also a refractory period. In this phase, men cannot normally respond to further sexual stimulation, may not be able to get an erection, and achieve orgasm for a longer or shorter period of time.

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

What we know as orgasm is a high level emotional and physical experience, whereas ejaculation is just a reflex action Which occurs when we are aroused enough to stimulate a reflex occurring at the lower part of the spinal cord. Some men have been able to recognize the individual elements of the two processes, enabling them to experience ongoing multiple orgasms without the occurrence of ejaculation. Once ejaculation takes place, a period of time to recover is required before another orgasm can happen.

The sensation of orgasm differs between individuals, and different orgasms may differ in the same person. All orgasms share certain characteristics which include regular body and pelvic contractions, elevation of the 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 promotes recovery and relaxation. In order for a penis to become erect, its smooth muscles are more relaxed and allow blood to flow into the penis. Though this sounds simple, it is an incredibly complex process mediated by complex cascade of humoral, neurological and circulatory events controlled by the parasympathetic nervous system. Orgasm and ejaculation and subsequent relaxation of the sexual arousal are mostly mediated by the sympathetic nervous system.

So while emission is controlled by the interaction of the parasympathetic and sympathetic nervous systems, orgasm and ejaculation are mostly 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 disrupted 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 some combination of psychological factors. 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 a past history of traumatic sexual encounters such as sexual abuse, rape or incest, having been brought up in an atmosphere 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 bodily sexual response system than any feelings linked to 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 low sexual desire.

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, some form of psychological treatment will be required. 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 support of the sexual partner 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.

The author is the owner of Overcome Retarded Ejaculation. You can find more articles 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