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.