Live Life Team
The process by which the semen squirts out from the penis of the men during a sexual orgasm is known as ejaculation. The problems that a man will face while ejaculating are:
Premature ejaculation where the man ejaculates very quickly at the time of sexual intercourse. The normal time taken by men for ejaculation after the insertion of the penis into the vagina is about four to five minutes. So anyone who ejaculates before four minutes is considered to have the problem of premature ejaculation.
Delayed ejaculation where the person does not ejaculate during the sex, despite his wish and normal erection. Some of the causes of delayed ejaculation include diabetes and hypertension.
Retrograde ejaculation occurs when the sperms moves back to the bladder instead of coming out through penis. Even though the person will experience orgasm, there will be no semen associated with the orgasm.
Symptoms
A man develops premature ejaculation or delayed ejaculation because he has a psychological feeling that he is suffering from some problem.
A person may not ejaculate while having sex with his partner due to some sort of anxiety related to sex.
The other symptom associated with retrograde ejaculation is the flow of cloudy urine the first time the person urinates after sex.
In rare cases, a man may find blood in his semen. This is known as haematospermia. This may be due to the inflammation of the prostate or urethra as a general reaction to an infection like swelling.
The other causes of presence of blood in semen are traumatic injuries in genital area, sexually transmitted infection like chlamydia or gonorrhoea and prostate cancer.
Causes
Premature ejaculation is of categorised into two:
The primary premature ejaculation where the person had always had premature ejaculation from he being sexually active and the secondary premature ejaculation where ejaculation was normal earlier.
The psychological factors for primary premature ejaculation are conditioning due to masturbation or having sex during teenage, any traumatic events related to sex at a very young age and if the person has been taught that sex is appropriate only under certain cases.
Secondary premature ejaculation can occur due to
Psychological problems like problems or conflicts that remain unresolved in a emotional and sexual relationship, anxiety while having a sexual relation, stress and depression.
Physical problems like Multiple sclerosis, Diabetes, Disease of the prostate, Hypertension, Hypothyroidism and excessive consumption of alcohol.
Delayed ejaculation may be due to depression, stress etc or physical problems like diabetes, injuries to the spinal cord etc.
Retrograde ejaculation occurs as a result of the damage of the muscles or nerves around the bladder’s neck.
Treatment<
For premature ejaculation treatment includes self care techniques like masturbating two hours before sex and use of thicker condom to reduce the sensation, couples therapy where the squeezing and stop and go techniques are taught and use of over the counter drugs like local anaesthetics in combination with the stop-go or squeeze techniques.
For delayed ejaculation, medication combined with psychological therapies help in improving the situation.
Only if the men having retrograde ejaculation want to have a baby, artificial insemination of IVF is used.
