There are different types of ejaculation disorders, such as premature ejaculation, delayed ejaculation, retrograde ejaculation. All of them are called ejaculation problems collectively. Ejaculation problem treatment options are determined by the type of ejaculation disorder. Below we are going to discuss each type individually and treatments options.
Complications in ejaculation which to some people is also known as Erectile Dysfunctions are common in various forms in men. Ejaculation problems occur in not one but various ways, the major are:
This is one of the major problems experienced in ejaculation and is the most common problem. His problem is experienced where the male in question during the course of having sex releases the semen way too quickly with little penile stimulation. Many men have problems in considering what time is the right time to ejaculate so as to deem their sexual experience a happy and successful one. In situations like this it is always best to discuss with your partner so no one is left disappointed.
Study carried out among 500 couples from five different countries gave the average time in which the male ejaculates from the start of sexual intercourse with his partner; this time was calculated to be about five and a half minutes in which it takes the male to ejaculate. Men who have the problem of premature ejaculation either have one of the two types which are:
- Secondary premature ejaculation: The secondary premature ejaculation is a problem which occurs in men who use to have normal ejaculation time. This problem is not a lasting one for them.
- Primary or lifelong premature ejaculation: This problem is not so common in men; this is when the man since becoming sexually active has always had the problem of premature ejaculation. Primary or lifelong ejaculation is known to affect 1 out of 50 men in England. In cases like this it is impossible to delay premature ejaculation most times and this problem has the ability to instill shame and loss of self-esteem in one.
There is no set time to describe a delayed ejaculation if the time to achieve ejaculation is too long, however a time which could be used to describe this problem could be when it takes 30 to 60 minutes for ejaculation to occur. Alternatively, when one is not able to achieve ejaculation at least half the time of sexual intercourse it is also be said to be a delayed ejaculation problem. This problem could be classed in two;
- Significant time delay in ejaculating
- Difficulty in ejaculating when willing
As with premature ejaculation, having primary and secondary ejaculation so does delayed ejaculation occur. Primary delayed ejaculation is not so common and only affects 1 out of 1000 men.
There are situations in which delayed ejaculation occurs, for instance, one can reach completion while masturbating but the case can be different during sexual intercourse. A major cause of delayed ejaculation is the psychological cause.
Out of the mentioned ejaculation problems, this is the least common. It is a rare type of ejaculation problem. This problem occurs when the sperm travels backwards entering the bladder and not coming out the end of the urethra. Retrograde ejaculation does not affect one’s ability to reach completion during sex and is also not dangerous to health.
SYMPTOMS OF EJACULATION PROBLEMS
- Premature Ejaculation: The primary symptom here is the inability to prolong sexual intercourse without ejaculating or the inability to delay ejaculation for more than a minute even during masturbation.
- Delayed Ejaculation: The major symptom here is when it takes one up to 30 minutes in getting an orgasm.
- Retrograde Ejaculation: There are various symptoms which show this problem, they are dry orgasms where little or no semen exits the penis, cloudy urine due to the presence of semen and male infertility.
EJACULATION PROBLEM TREATMENT OPTIONS
Treatments have been made available in treating these ejaculation problems.
Counselling is a popular method in which couples take part in in trying to solve premature ejaculation. This method gives the couples techniques to help their partner in delaying premature ejaculation. Other ways in treating premature ejaculation are;
- Topical Anaesthetics: The use of creams or sprays which contain numbing agents such as lidocaine or prilocaine is a way to go in treating premature ejaculation anaesthetically. This method is carried out in applying the chosen cream or spray before sex in reducing sensation thereby delaying ejaculation. These creams are available at over the counter stores.
Although there are available medications for the treatment of premature ejaculation, they are not approved specifically by the Food and Drug Administration for use. These medications are known to either be used alone or as a combination, the oral medications are:
- Antidepressants: The use of antidepressants such as sertraline (Zoloft), paroxetine (Paxil) or fluoxetine (Prozac, Sarafem) which are selective serotonin reuptake inhibitors (SSRIs) is known to cause a side effect which results in the delay of ejaculation. SSSRIs are not the only antidepressants which can be used; doctors also prescribe the tricyclic antidepressant clomipramine (Anafranil) which also have the same side effect in causing ejaculation delay. The use of antidepressants however can cause other unwanted side effects which include drowsiness, nausea, dry mouth and decrease in libido.
- Analgesics: This is another form of medication whose side effect is also ejaculation delay. Tramadol may be prescribed when SSRIs fail to work, the use of this drug brings other side effects which are unwanted such as dizziness, headaches and nausea.
- Phosphodisterase-5 Inhibitors: Medications such as sildenafil (Viagra, Revatio), tadalafil (Cialis, Adcirca) or vardenafil (Levitra, Staxyn) which are used In the treatment of erectile dysfunctions are also known in the treatment of premature ejaculation. This drug also comes with unwanted side effects which may include nasal congestion, headaches and visual changes.
The treatment on of delayed ejaculation depends on the underlying cause of the problem. There are various causes of delayed ejaculation among them are psychological problems, here, the recommended treatment is counselling. Another cause could also be due to the side effect of a drug where change of medication is recommended. Physicians are able to determine if a certain medication is the cause of delayed ejaculation. In cases where the problem is a lifelong problem a urologist can be consulted to carry out tests so as to determine the possibility of it being a structural birth defect.
In coming up with suitable treatments for delayed ejaculation, some medications but not specifically approved for use have been found to help. There a few medications according to the Mayo clinic which are said to treat the delayed ejaculation problem, these include;
- Cyproheptadine (Periactin) is an allergy medication
- Amantadine (Symmetrel) is a drug for treatment of Parkinson’s disease
- Buspirone (Buspar) is an anti-anxiety medication
In general, delayed ejaculation can be treated in resolving the physical or mental cause leading to this problem. Delayed ejaculation is sometimes found to be cover for another medical condition but can be resolved through treatment.
As earlier discussed retrograde ejaculation does not pose any risk to one’s health and one is still able to have an orgasm though without ejaculating semen into their partner. This can only be a problem when one is looking to get their partner pregnant.
Infertility procedures, assisted reproductive technology, are procedures which are carried out in assisting to make one get pregnant where medication does not succeed. Intrauterine insemination is a technique used where sperm recovered from the bladder and processed in the laboratory is inseminated into one wanting to get pregnant. Through the use of more advanced assisted reproductive techniques men with retrograde ejaculation are able to get their respective partners pregnant.
DIAGNOSING EJACULATION PROBLEMS
- Medical History: Here, the doctor asks a number of questions which include what symptoms and how long the symptoms have been noticed, any health problems, what sort of medications have been in use and also about any surgery that may have happened.
- Physical Examination: this includes having an exam carried out on the penis, testicles and rectum.
- Urine Tests: This is carried out to rule out any possible infection.
- Blood Tests: This test is carried out to check testosterone (hormone) levels in those who display premature ejaculation or have trouble in maintaining an erection.