Having trouble ejaculating? Know what is delayed ejaculation

Not as talked about as premature ejaculation, but equally important, Delayed Ejaculation (RE) is a disorder of the orgasmic phase in which the ejaculatory reflex, during masturbation or sexual intercourse, does not occur or occurs after a very long time in comparison. to normal.

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Delayed ejaculation is classified according to:

  1. When the disorder starts: primary ER and secondary ER;
  2. Situation involved: situational ER or absolute ER;
  3. Triggering causes: physical RE or psychological RE;
  4. Disorder intensity degree: mild/moderate ER (grades 1 and 2), severe ER (3 and 4, which corresponds to anejaculation - total absence of ejaculation.

RE of a physical nature can originate from the following causes:

  • Endocrine: such as diabetes and hypothyroidism;
  • Neurological: such as Parkinson's disease, neuropathies and multiple sclerosis;
  • Reactions to certain medications (neuroleptics, narcotics, cannabinoids, serotonergic antidepressants) and alcohol;
  • Surgical-organic causes: such as pelvic, abdominal and perianal operations.

Psychological ER can originate from factors that affect the human psyche during male sexual intercourse, such as:

  • Sexual performance anxiety;
  • Fragility of the male;
  • Inability to control the body;
  • Unconscious selfish act;
  • No longer being able to control your own feelings;
  • Desire to remain firmly in control of your actions.

For diagnosis, the following parameters must be evaluated:

Difficulty ejaculating, is this a problem?
  • Etiological research of ejaculatory delay;
  • Study of the reasons that decrease sexual desire;
  • Analysis of the general characteristics of ejaculation (time, sensations, sperm quality);
  • Psychological study of the patient.

Treatment for delayed ejaculation:

  • Pharmacological therapy: administration of sympathomimetic drugs;
  • Couple's psychotherapeutic approach;
  • Educate the couple on the basic principles of sexual and interpersonal relationships: dialogue plays a fundamental role in relationships;
  • Perform specific sexual tasks;
  • Eliminate negative mental conditioning.