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.
Delayed ejaculation is classified according to:
- When the disorder starts: primary ER and secondary ER;
- Situation involved: situational ER or absolute ER;
- Triggering causes: physical RE or psychological RE;
- 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:
- 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.