Daniel
Delayed ejaculation, which is also known as difficulty in ejaculation, can be caused by a variety of reasons during sexual intercourse, resulting in slow ejaculation, excessively prolonged intercourse, lack of orgasm, or no orgasm at all, despite having a normal male erection. If left unaddressed, long-term excessive delayed ejaculation can lead to reduced libido, erectile dysfunction, retrograde ejaculation, and chronic prostatitis, among other problems in men. In addition, prolonged delayed ejaculation can also lead to gynecological inflammation in women, making conception less easy, and causing disharmony in the sexual life of both men and women, which can ultimately affect the establishment and maintenance of intimate relationships.
While occasionally delayed ejaculation may not be a significant cause for concern, individuals need to be careful and ensure to take rest. They should avoid having sex when they are stressed or feeling emotionally or physically fatigued. Moreover, the sex life environment should be conducive and comfortable, and prolonging foreplay and creating some fresh and exciting sexual encounters can help alleviate the delayed ejaculation phenomenon.
However, if an individual experience delayed ejaculation or no ejaculation frequently, it is essential to consult a sexual health coach and undertake relevant measures such as self-conditioning or sexual psychotherapy. They may also seek advice from a male hospital to prevent prolonged delayed ejaculation, which may adversely affect the physical and mental health of the couple and their intimate relationship, and cause more harm and pain to both themselves and their partner.
Manifestations of delayed ejaculation
Delayed ejaculation can present as a frustrating and concerning issue for some males during sexual intercourse. Typically, a healthy adult male will experience orgasmic ejaculation within 3-15 minutes of the penis entering the female body, with an optimal time of 7-13 minutes. However, if a male experiences no orgasmic ejaculation or slow or no semen outflow for more than 30 minutes, it is classified as delayed ejaculation.
There are two main types of delayed ejaculation – primary and secondary. Primarily delayed ejaculation refers to never having experienced ejaculation in the vagina, while secondary delayed ejaculation is characterized by normal ejaculation in the past but experiencing delayed ejaculation currently. Primarily delayed ejaculation is considered more complex, requiring the attention of a specialist at a male hospital as soon as possible.
Secondary delayed ejaculation is a relatively rare ejaculation disorder, affecting approximately 4% of patients with ejaculation disorders. There are multiple causes of secondary delayed ejaculation, including pharmacological factors, psychological factors, insufficient sexual stimulation, sexual fatigue, chronic diseases, post-abdominal surgery, and neurological injuries. It is essential to identify the underlying cause of delayed ejaculation to determine the most suitable treatment plan.
Causes of delayed ejaculation
Delayed ejaculation is a sexual disorder that can make it difficult for men to achieve ejaculation during sexual intercourse, or require prolonged stimulation before ejaculation is reached. This condition can have a profound impact on a man’s sexual and emotional health, as well as his relationship with his partner. There are several potential causes of delayed ejaculation, including:
Psychological factors
Psychological factors are often cited as the root cause of delayed ejaculation in men. Mental stress, anxiety, and sexual fear are common culprits. In some cases, excessive contraction of the seminal vesicles after stress can reduce sensitivity and increase the threshold required for ejaculation, leading to delayed ejaculation.
Objective environmental factors
Some objective environmental factors can also contribute to delayed ejaculation. For example, if a man doesn’t have a private or comfortable environment for sexual activity, or if the room is too small, noisy, or uncomfortable, this can cause him to become overly nervous and ultimately lead to delayed ejaculation.
Emotional factors
Emotional factors can also impact a man’s sexual function. In particular, a poor relationship between partners, marital infidelity, or ongoing conflict can impact sexual desire, leading to delayed ejaculation.
Traumatic sexual experience
Men who have experienced traumatic sexual experiences, such as sexual abuse, molestation, or confusion around sexual relationships in childhood or adolescence, may experience delayed ejaculation or non-ejaculation during sexual activity. Without proper counseling or support, these experiences can continue to impact sexuality well into adulthood.
Artificial Sexual Factors
In vitro, ejaculation and other contraceptive methods such as condoms, which are used to block ejaculation, can lead to ejaculation disorders. Excessive delay in ejaculation for the purpose of enhancing sexual ability can also cause erectile dysfunction, retrograde ejaculation, and other concerns.
Low Partner Cooperation
Relationship discord or health problems can cause low partner cooperation during sex, resulting in male frustration during sexual activity and affecting normal play, which can also lead to delayed ejaculation or non-ejaculation.
Sexual Fatigue
Factors such as excessive physical fatigue, ejaculatory exhaustion, or excessive masturbation lead to dysfunction of the spinal ejaculatory center, triggering delayed ejaculation or non-ejaculation.
Retrograde Ejaculation
In certain cases, semen may not be ejaculated from the urethral opening but may be retrogradely ejaculated into the bladder due to disease or excessive delay.
Medication-based Factors
Medications that have an inhibitory effect on sympathetic ganglia such as ganglion blockers, epinephrine, alpha-blockers, antidepressants such as tricyclic drugs and MAO antagonists, anti-hypertensive drugs, benzodiazepines, and antipsychotic drugs can cause ejaculation disorders.
Diseases of the Genitourinary System
Male genital system diseases, infectious diseases, and local lesions can cause delayed ejaculation or non-ejaculation. Tissue structure problems such as congenital or acquired ejaculatory duct obstruction, seminal vesicle dysplasia, or urinary abnormalities can also cause these issues.
Endocrine System Diseases
Endocrine disorders such as hypopituitarism, hyperthyroidism, acromegaly, and mucinous edema can cause delayed ejaculation or non-ejaculation. These disorders can affect the regulation of the sympathetic nervous system, which is involved in semen production and ejaculation.
Self-judgment of delayed ejaculation
Self-analysis to Identify the Cause
If you experience delayed or no ejaculation, it is vital to determine the root cause. Several factors can influence this, such as medication that suppresses sexual desire, excessive emotional or physical stress, dissatisfaction within a relationship, alcohol consumption, and changes in feelings toward partners. Self-reflection can help you identify the underlying reason for your delayed ejaculation.
Understanding Delayed Ejaculation and Non-Ejaculation
Although both conditions share similar symptoms, there is a fundamental difference between delayed ejaculation and non-ejaculation. Delayed ejaculation usually has an irregular occurrence and may be due to psychosexual factors, environmental issues, insufficient sexual stimulation, or sexual fatigue. Non-ejaculation, on the other hand, is usually caused by organic reasons, such as a blockage or abnormality in the vas deferens, ejaculatory duct obstruction, urethral abnormalities, seminal vesicle dysplasia, or neurological diseases.
Seeking Expert Help
Consulting a sexual health coach and undergoing sexual psychotherapy or visiting a hospital is recommended for individuals who have delayed or no ejaculation. A qualified professional can provide guidance and suggest appropriate treatments based on the root cause. Through consultation, you can explore effective solutions that can lead to satisfying and fulfilling sex life.
Solutions for delayed ejaculation
Timely Treatment of Diseases
Men can experience ejaculatory disorders and delayed or non-ejaculation due to several factors, including genitourinary system diseases, endocrine diseases, and neurological injuries. If men experience these issues, they should seek medical help promptly. Timely treatment of these underlying diseases can prevent ejaculatory disorders and delayed or non-ejaculation.
Learn Sexual Knowledge to Avoid Artificial Excessive Delay
Couples can learn the physiological and psychological aspects of sex and each other’s sex-sensitive areas. By learning about sex positions, methods, and patterns of mutual cooperation to stimulate each other, couples can improve their sexual desire, promote orgasmic ejaculation, and avoid artificial excessive delay. They should also understand the correct contraceptive methods and refrain from delaying ejaculation by using distraction for a long time, which can lead to delayed or non-ejaculation.
Perform Sexual Fantasies to Enhance Sexual Stimulation
The brain is the largest sex organ in the human body. Men who have been married for a long time may develop aesthetic fatigue, which makes it difficult for them to achieve orgasm during sex. By giving full play to sexual fantasies during sex, men can stimulate their brains and nerves, leading to orgasmic ejaculation.
Avoid Frequent and Excessive Masturbation
Men who frequently masturbate for an extended period may experience premature ejaculation, impotence, delayed or non-ejaculation, or erectile dysfunction. As a result, men should control the frequency of masturbation by referring to the standards of normal male sexual life.
Carry out Sexual Psychotherapy
Emotional, spiritual, and psychological factors can cause delayed or non-ejaculation. Sexual health coaches can help men by conducting sexual psychotherapy. By eliminating wrong sexual concepts, learning healthy sexual knowledge, and promoting intimacy while relieving mental trauma, men may see noticeable results. Women should also change their attitudes to help male partners overcome anxiety and fear, restore sexual self-confidence, and establish recovery and natural sexual responses.
Concentration Training
Concentration training involves a combination of adjustments to the sexual environment, such as changing the time or position of sex and reducing the frequency of sex. By doing so, it helps men eliminate stress during sex and instead focus on their senses of sexual response. This technique helps men become more present during sex, allowing them to better control their ejaculation response and ultimately enhancing their sexual experience.
Limiting Alcohol Consumption
Excessive alcohol consumption is a significant factor leading to delayed ejaculation and non-ejaculation. Studies show that alcohol has inhibitory effects that may not only affect normal erectile function but also ejaculation. Therefore, men experiencing delayed ejaculation or non-ejaculation should limit alcohol consumption as much as possible to improve their overall sexual health.
Quitting Smoking
Smoking has been associated with many health issues that can negatively affect reproductive organs. Nicotine present in cigarettes can harm reproductive organs and cause them to lose their normal function, leading to ejaculation disorders. Therefore, to prevent delayed ejaculation or non-ejaculation, men should quit smoking or try to smoke less. This simple and effective step can significantly improve overall sexual performance and health.
Conclusion
Delayed ejaculation is a sexual dysfunction characterized by delayed or inability to achieve ejaculation during sexual activity. The typical manifestations of delayed ejaculation can include an inability or difficulty in reaching orgasm and ejaculating, reduced or absent sexual desire, and reduced sexual satisfaction. The causes of delayed ejaculation can be primary, meaning it has been present since the beginning of sexual activity, or secondary, meaning that it has developed later in life. The causes of primarily delayed ejaculation are often psychological and include anxiety, guilt, depression, and relationship issues. The causes of secondary delayed ejaculation can be physical and include medication use, hormonal imbalance, or injury.
For primarily delayed ejaculation, psychological counseling or cognitive-behavioral therapy can be helpful in overcoming any anxiety or relationship issues. For secondary delayed ejaculation, treating any physical health conditions that may be causing it, changing medication, or addressing any hormonal imbalances can be effective. Additionally, the exploration of sexual fantasies or the use of sex toys can also be helpful in managing or resolving delayed ejaculation. Seeking the help of a sexual health professional can be useful in identifying the underlying cause and determining the most effective solution for resolving delayed ejaculation.
