Delayed ejaculation

What is delayed ejaculation?

Delayed ejaculation in the vagina or anejaculation is the delay or complete failure to expel semen. Orgasm is the culmination or climax of sexual arousal, during which the concentration of blood in the genitals increases, the muscles of the erogenous zones contract and sexual tension is released. In men it usually accompanies ejaculation, but sometimes orgasm disturbances occur, i.e. delays or absences of orgasm after a phase of normal sexual arousal. The most frequent clinical form of male orgasmic disorder is delayed ejaculation in the vagina, and the most serious, anejaculation, which is the total lack of semen expulsion. This dysfunction can occur both during sexual intercourse with a partner and during masturbation.

Symptoms of delayed ejaculation

The main feature of this anomaly is the delay and lack of ejaculation, either during intercourse or masturbation. Men with delayed ejaculation are unable to ejaculate or can only do so with effort and after prolonged intercourse, for example 30 or 45 minutes.

Causes of delayed ejaculation

The causes can be psychological or physical. The psychological reasons for delayed ejaculation may be related to an upbringing that causes feelings of guilt in the person, who sees sex as something negative, also the experience of some traumatic experience related to sexual relations or lack of attraction for the partner.

Physical causes of delayed ejaculation are less frequent, and are usually due to blockage of the ducts through which semen passes, consumption of certain medications, testosterone deficiency, sequelae of cardiovascular accidents or damage to the nerves of the spinal cord or back.

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Prevention of delayed ejaculation

Healthy sexual health is important to avoid delayed ejaculation and anejaculation. A man should avoid feeling pressured, by a sexual partner or by himself, to ejaculate, as this pressure will only aggravate the problem.

Treatment of delayed ejaculation

If a man has never ejaculated, it is necessary to see a specialist urologist, as it could be a physical cause.

In case of having problems ejaculating for a considerable period of time, the affected person should see a psychologist specialized in ejaculation problems. Psychological treatment for this type of problem usually lasts between 12 and 18 sessions, and in many cases the therapy also includes the partner. The basis of psychological therapy is that the patient enjoys sex and does not feel under any pressure.