Most cases of ed are secondary. This means that erectile function has been normal but becomes problematic. Causes of a new and persistent problem are usually physical. In rare cases, a person may have primary ed. This is where a person has never achieved an erection. The cause of primary ed may be psychological or the result of a physical condition. A person should consult a medical professional if they experience persistent erection problems, as an underlying medical condition could be causing the issue. A proper diagnosis can help address any underlying medical issues and help resolve sexual difficulties.

About 80% of the time, a physical issue triggers ed, the most common being chronic high blood pressure, or hypertension. Men with hypertension are at least two times more likely to have ed than men with normal blood pressure. Researchers believe these numbers could be much higher since men often don’t report ed to their health care providers. Hypertension damages your blood vessels, making it difficult for the arteries that supply your penis to function normally. As a result, your penis can’t get enough blood to make or keep it erect. Men with hypertension are twice as likely to have low testosterone compared to men without this condition.

Emotional Causes of ED

In case of lack of any anatomical deformity, the causes of ed can be purely psychological. This is because a man might have experienced ed at some point in life and failed to maintain an erection. It is also a condition, i. E. , primary ed. Here are some psychological factors that affect a man’s erection and cause ed. Severe anxiety guilt fear of intimacy most of the ed cases are secondary, which refers to problematic erections. In reality, certain common psychological factors may cause ed, such as emotional stress, work stress, body fatigue, anxiety, etc. Additionally, there can be an overlap of several factors which may cause a persistent condition of ed.

Many of the nerve signals needed for an erection come from the brain. Emotional problems may play a role in men who suddenly develop impotence.

Health and ED History

There are several different possible causes of ed. They may be physical, psychological, or both. Certain medications put you at greater risk, especially when they interact with your hormone levels, blood circulation, or nervous system. In addition, some medical conditions inhibit blood flow to the penis, which may interfere with your normal arousal response. Age also impacts your ability to get and maintain an erection. The most common psychological cause of ed is anxiety. You may experience sexual performance anxiety or have anxiety related to something else that interferes with your ability to achieve or maintain an erection. Because your state of mind has such a significant influence on your sexual drive, relationship issues, a history of trauma, or mental health issues may contribute to erectile dysfunction.

Ed is common and has a significant impact on men and their partners. The first step is acknowledging that ed is affecting you and that it bothers you. If so, then it is time to get help. Often your primary care health provider can start the evaluation of your ed to determine if there are any potential reversible causes. It is important to be evaluated if you have ed as ed is often caused by medical conditions, which if not recognized and treated, could cause you harm. Did you know that the ed is a strong predictor of underlying cardiovascular disease? if you have underlying cardiovascular disease, your primary health care provider or a specialist (if needed) needs to make sure it is safe for you to participate in sexual activity.

If you have any medical questions or concerns, please talk to your healthcare provider. The articles on health guide are underpinned by peer-reviewed research and information drawn from medical societies and governmental agencies. However, they are not a substitute for professional medical advice, diagnosis, or treatment. Getting (and maintaining) an erection requires a surprising amount of things to go right. Your brain sends signals through your nerves and hormones, which have to communicate with your blood vessels and muscles before an erection can happen. If one thing goes wrong in that complicated exchange between your cardiovascular and nervous systems—not to mention your hormone levels, blood vessels, and mood—the result can be erectile dysfunction (ed).

According to scientists , your man’s sperm will taste differently if he’s been ingesting these substances: bitter: coffee, alcohol, cigarettes sharp: red meat, asparagus, broccoli, garlic, dairy, chocolate, greasy food, spinach mild: vegetarian diet , made mostly of fruits like apples and pineapples, parsley and peppermint candy. Sweet: naturally-fermented drinks like ginger ale, kefir and apple cider. If your husband isn’t up to completely changing his diet to please your palate, there are always compromises. Sex experts say that simply reducing red meat in the diet can improve the taste. You can also try letting your man drink cinnamon, lemon or green tea more often.

[ad_1] sperm taste is affected by what you eat, as are all secretions from the body. It is a fact that your sperms taste can be improved and making your semen taste better, can be done with a few simple diet changes. Diet has a major influence on sperm taste as it’s a secretion from the body like any other. Just as your sweat can smell strongly after eating a heavily spiced meal your sperm will also reflect the spices in its taste. The make up of sperm semen is made up of ninety percent (90%) seminal fluids including fructose (sugar) protein, and various trace minerals and nutrients.

For sperm to taste better, he should eat: Celery

Before i discuss foods that can affect sperm health, it’s worth noting that most studies dealing with nutrition aren’t set up to show that eating particular foods cause disease; most studies are only set up to show associations, not causes. 1. Processed meats this is not surprising—recent studies link processed meats to all sorts of illnesses. Processed meats include hot dogs, salami, beef jerky, bacon, etc. I get it; they’re delicious. Yes, bacon can make anything taste better. In the case of sperm, several studies connect eating processed red meat with decreased sperm counts and altered sperm motility. It’s not clear how these foods affect sperm, but it appears the effect isn’t a positive one.

There is a common myth propagated throughout women’s magazines that a man’s diet can have a radical effect on the taste of his sperm. But can you really make sperm taste sweeter? in the interest of science we decided to find out. We took three adventurous couples and turned them in to our truth about food guinea pigs. For three days prior to the experiment the men were to abstain from alcohol and to eat a bland diet containing no spicy or strong tasting food such as garlic or asparagus. "all could taste a distinct difference" we then asked the women to steer clear of any canoodling for two nights before the test to make sure there were no sneak previews of what diet their respective partners had been put on.

For sperm to taste better, he shouldn't eat: Red Meat

For these guys, manipulating the taste of their spunk isn’t an idle hobby — it’s a whole identity dyrk cut out alcohol and pizza , and frozen blueberries are his idea of a “sugary snack. ” for joseph, drugs of any kind are off the table, and “ coffee and other forms of caffeine are no exception. ” jason avoids red meat “like the plague,” and nick used to keep an emergency can of pineapple juice in his room, “just in case. ”these men aren’t getting a jumpstart on their new year’s resolutions or trying to transform their corporeal husks into temples — they’re trying, desperately, to improve the flavor profile of their cum.

Pineapple juice is supposed to be great for increasing semen production in men. Thus, you must try to have it at least once a day. At the same time, you must avoid soft drinks and other drinks that have caffeine in them since they result in dehydration.

Sperm taste is affected by what you eat, as are all secretions from the body. It is a fact that your sperms taste can be improved and making your semen taste better, can be done with a few simple diet changes. Diet has a major influence on sperm taste as it's a secretion from the body like any other. Just as your sweat can smell strongly after eating a heavily spiced meal your sperm will also reflect the spices in its taste. The make up of sperm semen is made up of ninety percent (90%) seminal fluids including fructose (sugar) protein, and various trace minerals and nutrients.

“this tastes funky,” isn’t an appreciative comment in any scenario, especially if it concerns the taste of your sperm. No two people’s semen taste alike, but at the end of the day, the taste of everyone’s semen boils down to either good or bad. Your diet, lifestyle, and hygiene are three of the main factors that decide your semen’s taste. The normal ph range of sperm is about 7. 2 to 8. 2. Eating certain foods such as pineapple, cinnamon, and oranges help improve the taste of semen. These foods do so by cutting down on sperm’s natural alkalinity levels .

"Eating pineapple makes it taste like warm nothing"

Making sperm taste better is a topic that has been discussed in various forums and blogs, but many of the suggestions are not backed by scientific evidence. However, there are a few things that can be done to potentially improve the taste of semen. First and foremost, it is important to maintain a healthy diet. Eating a diet that is high in fruits and vegetables, and low in processed foods, can help to improve the taste of semen. Fruits such as pineapple and papaya contain enzymes that can help to improve the taste of semen. Vegetables such as asparagus and celery have also been known to improve the taste of semen.

5 Can I Change the Taste of my Semen?

(image credit: unknown) your question ‘i’ve stepped up my exercise routine over the past few months, and started using protein powders. My girlfriend loves my improved physique – but she’s not loving going down on me any more, because she reckons the supplements have made my spunk “not so nice,” as she politely puts it. Getting head is my favourite sexual indulgence, but i don’t want her to have a bad time. What can i do?’ will p, via twitter bad luck will – your efforts to trim your tum seem to have landed you with some rum cum! your lifestyle and overall health, what you eat and drink, how often you ejaculate, and taking medications or supplements can all have an effect on the taste, smell, and consistency of semen.

“intimacy” products have gone surprisingly mainstream. Between the epsom salts and ace bandages in your local pharmacy, innovations in personal lubricants (his and hers!) and condoms (climax control!) are keeping pace with razors (eight vibrating blades!), making it harder than ever to make americans blush. But masque, a dissolving strip designed to mask the taste of seminal fluid, might be the product to do it. The product’s story begins in 2006, when a florida entrepreneur was dining with his wife and two other couples. As it invariably does in florida, the conversation turned to oral sex, and the men wondered aloud: in the midst of this most charitable act, why does the generosity seem to run out at the moment when it’s most desperately needed? the wives at the table weren’t overly sympathetic, but they agreed: “if you can make it taste like chocolate syrup, we’re in.

✅ how to improve the flavor of your semen after reviewing many studies and also doing some tasting, i am in a position to confirm which are the foods that help improve the taste and quality of semen. As many professionals affirm, among them sexologists, urologists, nutritionists and also prostitutes, the semen of a man is what he eats and this is true. Surely you already know that the seminal liquid is slightly salty and hot, but to understand why there are foods that improve and others that contaminate the flavor of your semen, you should know that the seminal fluid is composed of 96% water, 1% of sperm and the rest of various nutrients; that is why the more water you drink or contain the food you eat, the easier it will be to absorb it and the more it will help the taste of the semen to become sweeter.

Sperm taste is affected by what you eat, as are all secretions from the body. It is a fact that your sperms taste can be improved and making your semen taste better, can be done with a few simple diet changes. Diet has a major influence on sperm taste as it's a secretion from the body like any other. Just as your sweat can smell strongly after eating a heavily spiced meal your sperm will also reflect the spices in its taste. The make up of sperm semen is made up of ninety percent (90%) seminal fluids including fructose (sugar) protein, and various trace minerals and nutrients.

Depending on several factors, including diet, hydration, and the concentrations of each component, the taste of both male and female ejaculate can vary loads. That said, taste is largely dependent on flavor and texture. Generally, the texture of semen is that of a viscous fluid. In reference to its viscosity, semen can be described as anything from “slightly watery” to “creamy” to “thick”. The amount of protein present and the frequency of ejaculation demonstrate a fair amount of sway over viscosity in male ejaculate. According to ken saladin, a distinguished professor of biology and author of anatomy & physiology: the unity of form and function , semen will be thicker if there is more protein in it or if ejaculation is less frequent.

Juice or eating the fruit? your food intake determines the taste of your semen. While there's not been much research in this aspect, experts suggest that the quality of food intake impacts the taste of the semen. Not just food but even drinks and tobacco consumption affect the taste and smell of our bodily fluids and secretions. This includes sweat, saliva, and semen as well. Human sperm is alkaline, and this means that semen is naturally bitter-tasting. However, you can expect an improved taste with more fluid consumption and hydration. Also read: 5 hidden benefits of shilajit apart from sexual wellness you didn’t know about.

9 Tips to Make Your Semen Taste Better

Generally speaking, nutrition has big impact on the composition of your semen. It goes without saying that eating certain foods can influence the taste of your ejaculate. It’s not uncommon for the taste of your semen to change from day to day, but this page can provide you with some good tips for overall improvement in taste.

By el fury · 8 comments i think we’d all prefer to live in a world where semen tasted like chocolate. Such a world would have no war and no crime… but then again, it might not have civilization either. In our fallen world, for better or worse, the taste of semen generally ranges from neutral to yuck, which can be a major turn-off and a significant reason for a wife to be reluctant to perform oral sex. In our recent post titled “level-up your sex life” we talked about giving the wife as many orgasms as she wants, and we also shared some encouragement from both husbands and wives to include more oral sex in your marriage.

Here are some ideas that may help to enhance the style of your semen. While there’s no scientific evidence to back these tips up, there are anecdotal reviews and common sense. Changing your diet and intake of other chemical substances into your physique will have an effect on your body’s output, together with your semen. While some individuals profess to enjoy the taste of spunk, most report it to be saline, bitter, or acrid, likening it to salty bleach. Because the taste is a giant obstacle to having their associate swallow, many men wonder what they can do to make their cum taste higher.

‌pay attention to the look and smell of your partner's semen. The color and smell of it will help you know if there is a problem. It should have a whitish to grayish color and faint to no smell. If the semen has a foul smell, there could be an infection or health problem. Red-colored semen can indicate inflammation of the glands that produce it. Yellow or green semen can be caused by an infection, medication, or vitamins. Talk to your partner about any concerns you may have. ‌how semen tastes can also indicate if there’s a problem. What’s considered “healthy” tasting semen can be different from person to person.

So! we made it, on to the good stuff! which foods should you be eating more of to make your semen taste the best it possibly can? citrus fruit – citrus fruits such as sweet oranges and mandarins are extremely popular. Maybe this is why! not only very good for you over all and part of your 5 a day they have an amazing effect on the taste of your cum. Very versatile too! you can blend them into a smoothie or eat them whole as they are. Bananas – now these gems of a fruit may be one of the best to make your semen taste amazing for various reasons.

June 26, 2018 whether you’re apprehensive about going down on your man and swallowing his load for the first time or you already know that you don’t enjoy the taste of semen, you might be wondering how to make semen taste better — or if it’s even possible. Science has yet to take a stab at this subject, but the odds are in your favor if you believe others’ experiences. What is semen we already have a guide about what cum tastes like. You should check it out if you’re interested in that more general question. You’ll find out that the flavor can vary from person to person and even from day today because of factors such as diet.

A doctor will only consider surgery in the most severe cases of ed, after other treatment options have not succeeded. It’s recommended that people with ed attempt as many non-surgical treatments as possible befor

30 systematic reviews were included. For premature ejaculation, several treatments, including oral pharmacotherapy (selective serotonin inhibitors, phosphodiesterase type 5 [pde5] inhibitors, tricyclic antidepressants, and opioid analgesics), topical anesthetics, and combined drug and behavioral therapies demonstrated significant improvements of 1–5 minutes in the intravaginal ejaculatory latency time. Pharmacologic interventions (pde5 inhibitors, penile injection, and testosterone), shockwave therapy, lifestyle modifications, and combined therapies (pde5 inhibitors and psychological intervention) were effective in treating erectile dysfunction. Most pharmacologic therapies were associated with adverse effects.

Sexual problems are not only limited to problems with erections. Premature and delayed ejaculation are common concerns we see in our clinic. Premature ejaculation can be defined as ejaculation that is too soon, that is, not satisfactory for patient or partner. The time that defines premature ejaculation is obviously very subjective. A normal time to ejaculation for one person can be too short or too long to another. Furthermore, patients can have this condition since their first experience (lifelong) or could have developed it over time (acquired). Most patients and professional societies agree however that ejaculating within one minute of penetration is distressful for most.

Seeking help for premature ejaculation from a gp (doctor) or sex therapist is a good idea. Treatments for premature ejaculation vary depending on the cause and whether it is lifelong or acquired. Treatments include: ‘the stop-start technique’. If you feel close to ejaculating during sexual activity, stop and rest until the feeling has gone, and then start again. ‘the squeeze technique’. If you feel close to ejaculating, squeezing your penis just below the glans (the ‘head’ of the penis) can make the feeling go away.

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8735 just about every man will have some sort of sexual problem during his lifetime – but not nearly enough of them will discuss them with their doctors , or even their partners. Erectile dysfunction, or ed, which is trouble getting or maintaining an erection, gets a lot of attention, but many men suffer from equally troubling sexual problems, explains ali dabaja, m. D. , a urologist at henry ford health. What’s more, many sexual problems occur at the same time as ed, so it’s almost a chicken-and-egg-type scenario. Issues like premature ejaculation, for example, can lead to erectile dysfunction.

Delayed ejaculation - MyDr.com.au

The previous post discussed my response to a urology colleague who asked about the cause of greater numbers of men complaining about delayed ejaculation (de) in his practice. This post describes my suggestions to him for diagnosing the problem, how most of his colleagues currently treat de, and an alternative approach he could provide to improve that condition for his own patients. Men with de find it difficult or impossible to ejaculate and/or experience orgasm. De is a failure to ejaculate during masturbation and/or partner manual, oral, coital, or anal stimulation. Diagnosis of de requires distress about the symptom(s), adequate sexual stimulation, and a conscious desire to achieve orgasm.

The sexual tipping point® (stp) model is an integrated approach to the etiology, diagnosis and treatment of men with delayed ejaculation (de), including all subtypes manifesting ejaculatory delay or absence [registered trademark owned by the map educational fund, a 501(c)(3) public charity]. A single pathogenetic pathway does not exist for sexual disorders generally and that is also true for de specifically. Men with de have various bio-psychosocial-behavioral & cultural predisposing, precipitating, maintaining, and contextual factors which trigger, reinforce, or worsen the probability of de occurring. Regardless of the degree of organic etiology present, de is exacerbated by insufficient stimulation: an inadequate combination of “friction and fantasy”.

What is delayed ejaculation? also known as male orgasmic disorder, delayed ejaculation occurs when a man can’t ejaculate for a prolonged period, or at all, despite wanting to. If you’re often unable to ejaculate during sex or repeatedly last 30 to 60 minutes, then you may have delayed ejaculation. What causes delayed ejaculation? delayed ejaculation can be caused by physical or psychological conditions. Physical causes of delayed ejaculation include: pelvic nerve injury strict upbringing delayed ejaculation treatment: the best method of treatment depends on what’s causing your delayed ejaculation. Once you’ve considered this, there are several methods you can try: if your condition is psychological, you may want to speak to a sex therapist about any trauma or past experience that’s triggered your delayed ejaculation.

Premature ejaculation - MyDr.com.au

The treatment of retrograde ejaculation depends to some extent on the cause. Anatomic causes are rarely curable, which results in the need for sperm harvesting from the bladder for patients wishing to initiate a pregnancy. Pharmacologic causes are generally reversible by withdrawal of the offending medication. Neurologic causes are difficult to treat if there is complete nerve damage, such as may occur in spinal cord injured patients. In patients with a partial neural injury (diabetes), the use of certain medications (pseudoepohedrine, for example) may convert the patient to an antegrade ejaculator. The management of premature ejaculation (pe) is best handled in a combined psychotherapy and pharmacologic fashion.

Premature ejaculation (pe) is one of the most common male sexual disorders. It is defined as ejaculation that occurs sooner than desired, either before or shortly after penetration, causing distress to either one or both partners. Pe may be associated with other health problems, such as anxiety. It is often associated with erectile dysfunction (ed).

Posted: august 23, 2022 two of the most common types of sexual dysfunction in men are erectile dysfunction and premature ejaculation. What many don’t realize is that they may actually be connected. In many cases, underlying and untreated erectile dysfunction (ed) may lead to premature ejaculation, even without you knowing you have ed. Many people don’t realize that erectile dysfunction can lead to premature ejaculation, which can negatively affect your sex life and relationships. In this article, we’ll explore the link between these two common conditions as well as treatment options available for both. If you think you have erectile dysfunction or premature ejaculation, reach out to our team.

If you are facing erectile dysfunction or premature ejaculation, it will relieve you to know that you don’t have to live with it. Both premature ejaculation and erectile dysfunction are curable. The choice of treatment depends upon the root cause of the condition. For instance, if the underlying cause of premature ejaculation in your case is erectile dysfunction, treating the erectile problems would suffice. All you need to do is seek medical advice as soon as you notice the symptoms of ed or pe. Your doctor will run some diagnostic tests and then suggest the best-suited treatment. Sometimes you might have to try the hit and trial method to understand what treatment works best for you.

Retrograde ejaculation is the process whereby the semen is passed in a retrograde fashion into the bladder as opposed to out the urethra. There are 3 potential causes to this problem; anatomic (following bladder neck surgery or from a congenital process), neurologic (due to disorders that interfere with the ability of the bladder neck to close during emission, such as diabetes mellitus, retroperitoneal surgery) and pharmacologic (due to paralysis of the bladder neck by certain medications). This process is diagnosed by the finding of seminal fluid and/or sperm within a urine specimen obtained immediately after orgasm. The treatment of retrograde ejaculation depends to some extent on the cause.

There are a number of treatment options men may come across when researching treatments for premature ejaculation on the internet. However, there is little evidence that show they work. These treatments include: hormone therapies, in this case, ejaculation occurs, but the ejaculate goes backward (retrograde) into the bladder instead of coming out of the end of the penis. The ejaculate typically comes out later in the urine. The hallmark sign of this condition is when very little or no fluid comes out of the penis during ejaculation. A urinalysis can help diagnose retrograde ejaculation. We will have you urinate into a cup soon after ejaculation.

Questions to ask your doctor

For many people, a physical exam and answering questions (medical history) are all that's needed for a doctor to diagnose erectile dysfunction and recommend a treatment. If you have chronic health conditions or your doctor suspects that an underlying condition might be involved, you might need further tests or a consultation with a specialist. Tests for underlying conditions might include: physical exam. This might include careful examination of your penis and testicles and checking your nerves for sensation. Blood tests. A sample of your blood might be sent to a lab to check for signs of heart disease, diabetes, low testosterone levels and other health conditions.

If premature ejaculation is interfering with your sex life, talk to your doctor. They will perform a physical exam and ask you some questions. Based on your answers, your doctor may order some lab work and will provide a diagnosis. They will also be able to answer your questions and reassure you that this is a common problem.

If you've been having trouble achieving orgasm, talk with your primary care doctor. Your doctor might refer you to a specialist — such as a doctor who specializes in male genital problems (urologist), a doctor who specializes in the hormonal systems (endocrinologist), a doctor who diagnoses and treats mental health problems (psychiatrist), or another type of specialist. The following information will help you prepare for your appointment, and understand what to expect from your doctor.

Although the treatments described above can help with erectile dysfunction, there are no treatments yet that really help with ejaculation. Ejaculation and orgasm are much more complicated processes than genital arousal, and are very hard to achieve without intact connections between the spinal cord and brain. Between 35 and 50 per cent of men with ms experience problems with ejaculation. Problems can include delayed ejaculation or not being able to ejaculate at all. Being able to maintain an erection for longer can help, but ejaculation may remain a problem. Although ms does not affect fertility itself, unsurprisingly if you can't ejaculate you might have a problem trying to father a child.

Ejaculatory dysfunction is the inability for a man to efficiently ejaculate at the moment of sexual climax. It’s the most common form of male sexual dysfunction and often the underlying cause of male infertility. Ejaculatory disorders aren’t uncommon. In fact, approximately 30-40% of men experience premature ejaculation (pe) during their life . Research has also found that one in five men aged 18-59 report having incidences of pe. Ejaculatory dysfunction can be classified into four different types: premature, delayed, retrograde, and anejaculation. These conditions impact ejaculation in different ways and cause sexual dissatisfaction and stressful relationships for men. If you believe you have any of these conditions, it’s best to contact a men’s medical clinic for a professional diagnosis.

Treatment Options for Delayed Ejaculation at UCLA

Treatment options for premature ejaculation include sexual therapy, psychotherapy and medications. Antidepressants such as prozac, zoloft, paxil and other selective serotonin-reuptake inhibitors are often prescribed because delayed ejaculation is a side effect of antidepressants. Topical anesthetic creams containing lidocaine or prilocaine may be prescribed to dull feeling in the penis and help delay ejaculation. Applied a short time before intercourse, the cream is wiped off once sensation to the penis has been dulled enough to help delay ejaculation. Tactics for delaying ejaculation such as the stop-and-start technique and squeeze technique may also be recommended. For men whose pe is not attributed to physical or medical conditions, sexual therapy, talk therapy and psychotherapy may be helpful.

If your ejaculatory function is painful, premature or delayed, it is important to speak to your doctor to help determine the cause and explore treatment options. The most discussed problem is premature ejaculation, which is defined as less than one minute of sexual activity prior to ejaculation. Treatment for premature ejaculation typically starts with medications, as well as reviewing a patients medical history. The most common causes of premature ejaculation include medication and surgery. Treatment in this case would be changing medication or waiting for complete recovery from surgery to see if function improves. If we feel the problem may be resolved through counseling, we can refer patients to our board-certified sex therapist.

Causes of premature ejaculation

Premature ejaculation is a condition in which a man ejaculates before he wishes to or after little sexual stimulation. Premature ejaculation is a common physiological condition, estimated to occur in 25% to 40% of adult men, and is thought to be the most frequent male sexual dysfunction. Premature ejaculation can cause marked distress and difficulties between a man and his partner, and can make it more difficult for a man and his partner to conceive, but men with premature ejaculation typically do not seek treatment. In most patients the cause of premature ejaculation is not known and the condition is usually life-long, suggesting that it is a born behavioral variation rather than a disease.

Premature ejaculation. This refers to ejaculation that occurs before or very 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. Premature ejaculation, the most common form of sexual dysfunction in men, often is due to nervousness over how well they will perform during sex. But causes are often unclear. In some cases, premature and inhibited ejaculation are caused by a lack of attraction for a partner, past traumatic events, and psychological factors, including a strict religious background that causes the person to view sex as sinful.

Premature ejaculation is uncontrolled ejaculation either before or shortly after sexual penetration. It happens with minimal sexual stimulation and before the person wishes. It may result in unsatisfactory sex for both partners. This can increase the anxiety that may add to the problem. It is one of the most common forms of male sexual dysfunction. It has probably affected every man at some point in his life.

Delayed ejaculation (de) describes a man's inability or persistent difficulty in achieving orgasm , despite typical sexual desire and sexual stimulation. Generally, a man can reach orgasm within a few minutes of active thrusting during sexual intercourse , whereas a man with delayed ejaculation either does not have orgasms at all or cannot have an orgasm until after prolonged intercourse which might last for 30–45 minutes or more. Delayed ejaculation is closely related to anorgasmia. In the diagnostic and statistical manual of mental disorders (dsm), fifth edition, the definition of de requires 1 of 2 symptoms: either a marked delay in or a marked infrequency or absence of ejaculation on 75% to 100% of occasions for at least 6 months of partnered sexual activity without the individual desiring delay, and causing significant distress to the individual.

Many medications might delay orgasm. These drugs aren't approved by the food and drug administration to treat premature ejaculation, but some are used for this purpose. They include antidepressants, pain relievers and drugs for erectile dysfunction. These medications might be prescribed for either on-demand or daily use. Also, they may be prescribed alone or with other treatments. Antidepressants. A side effect of certain antidepressants is delayed orgasm. For this reason, selective serotonin reuptake inhibitors (ssris) are used to treat premature ejaculation. Ssri s include paroxetine (paxil, pexeva, brisdelle), escitalopram (lexapro), citalopram (celexa), sertraline (zoloft) or fluoxetine (prozac). The ssri dapoxetine is often used as the first treatment for premature ejaculation in some countries.

Most men ejaculate within a few minutes of starting to thrust during intercourse. Men with delayed ejaculation may be unable to ejaculate or may only be able to ejaculate with great effort after having intercourse for a long time (for example, 30 to 45 minutes). Delayed ejaculation can have psychological or physical causes. Common psychological causes include: religious background that makes the person view sex as sinful lack of attraction for a partner conditioning caused by a habit of excessive masturbation traumatic events (such as being discovered masturbating or having illicit sex, or learning one's partner is having an affair) some factors, such as anger toward the partner, may be involved.

Delayed ejaculation occurs when a man needs more than 30 minutes of sexual stimulation to reach orgasm and ejaculate. Ejaculation is when semen is discharged from the penis. Some men can only ejaculate with manual or oral stimulation. Some cannot ejaculate at all. A lifelong problem with de is very different from a problem that develops later in life. Some men have a generalized problem in which de occurs in all sexual situations. For other men, it only occurs with certain partners or in certain circumstances. This is known as “situational delayed ejaculation. ”in rare cases, de is a sign of a worsening health problem such as heart disease or diabetes.

Fast facts on delayed ejaculation

You may find that your erectile dysfunction is different depending on the situation. Some people may be unable to get an erection at all, others may find that they cannot maintain an erection for long enough. For premature or delayed ejaculation you will find that when you reach orgasm is either too fast or too slow. If you have retrograde ejaculation, you may find that you produce little or no semen when you have an orgasm. You may also see that your urine is cloudy after having sex.

How we reviewed this article:

Hossein sadeghi-nejad, md, facs, and richard watson, md, facs a b s t r a c t introduction. Premature ejaculation (pe) is the most common form of male sexual dysfunction. Until very recently, scientific investigation of pe has been hampered by a lack of standardized definitions and objective, validated questionnaires. Small numbers of randomized controlled studies evaluating various treatment options have also added to the challenges facing the clinicians who manage pe. Aim. This article provides a summary of some of the more relevant the peer-reviewed literature pertaining to the medical therapy of premature ejaculation. Methods. A retrospective review of peer reviewed publications relevant to the field of premature ejaculation and related medical therapies.

Lifelong delayed ejaculation is defined as lifelong, consistent, bothersome inability to achieve ejaculation, or excessive latency of ejaculation, despite adequate sexual stimulation and the desire to ejaculate. (expert opinion) acquired delayed ejaculation is defined as an acquired, consistent, bothersome inability to achieve ejaculation, or an increased latency of ejaculation, despite adequate sexual stimulation and the desire to ejaculate. (expert opinion) clinicians should assess medical, relationship, and sexual history and perform a focused physical exam to evaluate a patient with delayed ejaculation. (clinical principle) clinicians may utilize additional testing as clinically indicated for the evaluation of delayed ejaculation. (conditional recommendation; evidence level: grade c).

There are several different medications which can delay ejaculation. They belong to a class of medications known as selective serotonin reuptake inhibitors (ssris) which are types of antidepressants. These medications include sertraline (zoloft), paroxetine (paxil), and fluoxetine (prozac). When these drugs are used to treat depression, men notice the side effect that it may cause them to take a longer period of time to reach ejaculation. The medications likely affect the “thermostat” in the brain which controls the signal for ejaculation. Although these drugs are not indicated for the treatment of premature ejaculation, they are frequently used with benefit in men who have premature ejaculation.

De can be caused by physical issues, psychological issues, or both. Physical causes of delayed ejaculation: many conditions can contribute to de: spinal cord injury bladder and prostate surgery certain substances: anti-depressants, blood pressure treatment such as beta blockers, antipsychotic drugs, muscle relaxants, strong painkillers, recreational drugs, steroids and alcohol. Ageing can also have a part to play. The penis may lose some of its sensitivity with age and testosterone levels decrease in older men, slowing the arousal process. Equally, a female partner’s vagina may become more slack with age, providing less sensation during penetrative sex. Pelvic floor exercises are a good way for women to maintain condition in the muscles around the vagina.

Psychosexual factors are suspected to be the main cause of delayed ejaculation when no organic cause has been identified. Psychotherapeutic treatments are patient-centred and include: cognitive behavioural therapy and sex education; masturbatory retraining and adjustment of sexual fantasies; psychotherapy targeting the areas of conflict and sensate focus exercises; altering one’s orientation from oneself to one’s partner; sexual anxiety reduction by teaching individual mindfulness and breathing techniques, progressive relaxation, and increasing sensory tolerance; couples’ sex therapy and the use of interactional techniques; the sexual tipping point model, which emphasizes the utility of a biopsychosocial- cultural perspective combined with special attention to the patient’s narrative.

How can I prevent delayed ejaculation?

While premature and delayed ejaculation problems are common, retrograde ejaculation is rare. It is a medical condition wherein the semen moves backwards to the bladder rather than forwards through the urethra. The neck of the bladder should ideally close up at the moment of orgasm, but muscle or nerve damage can prevent this. This leads to retrograde ejaculation. The primary symptom is the cloudy urine released after sexual intercourse. The condition does not impede the male’s ability to enjoy sexual intercourse. It also has no ill effect on the health of the male, but it does render the male infertile.

When should I see my healthcare provider about delayed ejaculation?

Doctors noticed that men and women on antidepressants have delayed orgasms. Drugs such as fluoxetine, paroxetine, sertraline, clomipramine and tramadol affect serotonin levels. Some doctors use these drugs "off-label" (for a different reason than the drug's original use) to treat pe. If one drug does not work, your doctor may suggest you try a different drug. For others, α1-adrenoceptor antagonists are another option for drug therapy. These drugs may induce ejaculatory dysfunction such as retrograde ejaculation and/or failure of emission. Drugs for pe can be taken each day or only before sex. Your health care provider will suggest when you should take a drug based on your activity level.

Currently, there aren’t any fda-approved medications for treating delayed ejaculation. However, several medications may be used off-label by a urologist or health care provider with experience in urology to treat delayed ejaculation symptoms. These vary in effectiveness and may cause side effects. Medications for delayed ejaculation include : it’s worth nothing that these are just a few of the common medications sometimes associated with the treatment of delayed ejaculation, but the list is actually pretty extensive. It’s also worth noting that not all of these medications have proven effective in testing and many are associated with significant side effects. If your delayed ejaculation is caused by an existing medication, your healthcare provider may recommend switching medications or reducing your dosage.

A physical exam and medical history might be all that are needed to recommend treatment for delayed ejaculation. However, if delayed ejaculation appears to be caused by an underlying problem that might need treatment, you might need further tests or you might need to see a specialist. Tests for underlying problems can include:

delayed ejaculation is the inability to ejaculate at will, so that ejaculation takes much longer than desired or does not happen at all. Some men find that they can only reach orgasm (come) and ejaculate after long periods of stimulation, even though they have the normal desire and a normal erection. This may happen only with sexual intercourse with a partner or may occur at all times, including with masturbation. This may or may not cause relationship problems or embarrassment. You may have delayed ejaculation if: you cannot ejaculate when you want to and experience an unwanted delay of 30 to 60 minutes.

It's normal to have delayed ejaculation (de) from time to time, just like it's normal to have erectile dysfunction during your lifetime. De is only a problem when it goes on for a long time or causes stress for you or your partner. Though what's “normal” in sexual behavior ranges, most men climax within a few minutes during intercourse. Men with de often need 30 minutes or more of sexual stimulation to have an orgasm. Some can only come when masturbating.

Ejaculatory dysfunction occurs when a man has a problem properly ejaculating his semen, either ejaculating too soon, too late, back into his own bladder or not at all. These situations can result in poor sexual satisfaction by the man and his partner, ineffective reproduction and emotional trauma. Ejaculation disorders, also called aspermia, can be caused by a problem at birth (primary) or by acquired dysfunctions (secondary) after birth (often much later in life), such as disease, injury and adverse drug reactions. The four types of ejaculation dysfunction are premature ejaculation, delayed ejaculation, retrograde ejaculation and anejaculation. Normal ejaculation involves an emission step, when semen is positioned in the penis near the prostate, and an ejaculation step, when the semen is forcefully expulsed from the penis.