Ejaculation and orgasm problems in men

Ejaculation and orgasm problems in men. A sexual problem, or sexual dysfunction, refers to a problem during any phase of the sexual response cycle that prevents the individual or couple from experiencing satisfaction from the sexual activity. Diseases, injuries, mental and social conditions, medical and surgical measures are among the factors that may affect the orgasm function.

While research suggests that sexual dysfunction is common (43% of women and 31% of men report some degree of difficulty), it is a topic that many people are hesitant to discuss. Fortunately, most cases of sexual dysfunction are treatable, so it is important to share your concerns with your partner and doctor.

Also read: 10 most common reasons why men lose their desire

What are ejaculation and orgasm problems?

Ejaculation and orgasm are two different body events, although the experience of ejaculation (ejaculation) is an important part of the orgasm. The ejaculation is a spinal cord under the control of the brain. Seed discharge involves a series of contraction of different muscle groups in the area around the genitals. The orgasm is controlled from the brain and can be described as a “emotional storm” of happiness.

The man has three main forms of impaired sexual function. There are erection problems (erectile dysfunction), ejaculation problems and decreased desire (libido, orgasm problems).

Erectile dysfunction is primarily a problem in men over 40 years of age due to hormone changes, drug side effects, psychological problems, neurological disease or circulatory failure.
Ejaculation Problems. Many conditions in men may cause delayed ejaculation, inability to ejaculate and empty the sperm in the bladder (retrograde ejaculation). The most frequent ejaculation problem is premature ejaculation, which is mentioned in a separate article. Orgasm problems may be lacking orgasm and orgasm without any lust experience.

There are no good data on the occurrence, but ejaculation and orgasm problems such as side effects to diseases, injuries, medical and surgical treatments do not appear to be frequent. Nevertheless, experts assume that such problems are underdiagnosed.

Causes

Diseases, injuries, medical and surgical measures may affect orgasm function and central control of ejaculation, ejaculation reflexes and nerve supply of urinary bladder, prostate, genitals and pelvic floor. Brain injuries, spinal cord injury, multiple sclerosis and diabetes nephropathy can cause both orgasm and ejaculation problems. Ejaculation problems often occur after surgical procedures on the bladder and prostate gland and can also be seen in elderly men with prostate problems. Drugs, including antidepressants (SSRIs), give relatively frequent side effects. The most common causes are nevertheless on the mental level.

Mental causes

Loss of desire (libido) and lack of interest in sexual activity is common in depression. Performance anxiety can occur in men who suddenly experience one or more failing erections while attempting to make intercourse. The focus of the sex act changes from a pleasant experience to an array of anxiety. In later attempts at intercourse, the focus will be closed to the inability to achieve and hold an erection.

The significance of healthy sexual activity declines with the years of medieval men. Sex, a thrilling and stupid experience among young people, loses some of its glory over the years. As the man matures, his interests and feelings change. Other things get a more central place and can even overshadow the sexual activities. If the man in the midst of the gathering grabs himself in thinking of money and business, the mind will wander and the sexual focus will be lost as well as the ability to concentrate on the need to maintain the erection.

Diagnostics

Investigation of disturbed ejaculation and / or absence of orgasm requires the physician to conduct a thorough review of the medical history with emphasis on the sexual relationship between the partners. Men who never get orgasm or never have ejaculation suffer from either a biological defect and / or a psychogen blockage. In men who occasionally experience orgasm and ejaculation, it is most likely a psychological cause or impaired sensitivity in the penis secondary to age, disease or spinal cord injury. In men who suddenly get sexual problems, the explanation is mentally conditioned – the exception is after prostate surgery. Men with erectile dysfunction who may experience spontaneous erections during sleep have no erection failure caused by neurological or circulatory disease.

The purpose of the medical examination is to clarify if there are possible biological reasons. The value of taking hormone tests like testosterone is controversial but probably has little significance.

Treatment

The treatment must be specifically addressed to the cause. Psychological blockages can attempt psychotherapy. In case of decreased sensitivity in the genitals, specific advice and instructions should be given with emphasis on stronger stimuli. Using a powerful vibrator will often cause ejaculation and orgasm. For men who want children, the fertilization aspect is also important.

Psychotherapy is particularly relevant in people where depression, anxiety and distraction destroy sexual pleasure. The treatment involves advice, possibly introducing exercises that both partners participate in. Psychotherapy is especially relevant where performance anxiety is the main problem.

The long-term prospects are slightly varied. Some people still get worse sexual function over the years and opt out of such activities. Others get back the glow and can enjoy the rich sex life until the old age.

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