What Are Ejaculation Disorders?

Dr. S.K. Jain's Burlington Clinic Pvt Ltd

What Are Ejaculation Disorders?

Dr. Saransh Jain

What Are Ejaculation Disorders?

Dr. Saransh

                       When does an ejaculation problem become a disorder? This is a subjective question and is based on the level of distress that is experienced by the man or his partner. The time from initiating sexual activity to ejaculation varies from one individual to another. This time period is called the ejaculatory latency. What may be a problem for one man may be acceptable to another. Typically, ejaculatory disorders fall into two categories. These are: delayed ejaculation and early ejaculation. This column will explore some of the psychological factors and treatment options related to these two distinct male dysfunctions.

There are different types of ejaculation disorders in men, including:

• Premature ejaculation: This refers to ejaculation that occurs before or soon after penetration.
• Inhibited or retarded ejaculation: This is when ejaculation is slow to occur.
• Retrograde ejaculation: This occurs when, at orgasm, the ejaculate is forced back into the bladder rather than through the urethra and out the end of the penis.

                     When does an ejaculation problem become a disorder? This is a subjective question and is based on the level of distress that is experienced by the man or his partner. The time from initiating sexual activity to ejaculation varies from one individual to another. This time period is called the ejaculatory latency. What may be a problem for one man may be acceptable to another. Typically, ejaculatory disorders fall into two categories. These are: delayed ejaculation and early ejaculation. This column will explore some of the psychological factors and treatment options related to these two distinct male dysfunctions.

                        In the vast majority of cases, the most effective therapeutic approach for ejaculatory dysfunction is a combination of biologic and psychologic therapy. In this way, both the emotional and physical aspects of the problem can be addressed. From an emotional standpoint, it is important to understand the history and background of the individual. Issues such as depression, anxiety, past sexual experiences, psychological trauma and relationship history are important considerations that need to be discussed early in the evaluation.

                    Regardless of the psychological issues, a good medical or urologic work-up is always encouraged before embarking on a behavioral treatment program. In this manner, any medical considerations that contribute to the problem can to be understood from the onset. From a medical perspective, ejaculatory dysfunction is often considered to be a nerve related issue. In such cases, penile sensitivity may be evaluated using various instruments that produce vibration. In addition, a medical history is obtained paying particular attention to any previous neurologic injury or trauma to the penis. Other sexual dysfunctions such as low desire and erectile dysfunction may also accompany the ejaculatory problem and need to be addressed.

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