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How To Deal With Retarded Ejaculation

Delayed ejaculation may be defined as persistent inability to attain orgasm despite prolonged sexual contact.

The Diagnostic and Statistical Manual of Mental Disorders(DSM-IV-TR), places this disorder among the sexual dysfunctions, along with premature ejaculation.

A man affected by delayed ejaculation is unable to attain orgasm even after a normal sexual excitement phase. The man in question may regularly experience delays in orgasm, or may be unable to attain orgasm altogether.

A normal orgasm is made up of two parts: emission and ejaculation. The word emission refers to a sensation of impending ejaculation caused by contractions of the prostate gland, seminal vesicles, and urethra associated with generalized muscle tension, perineal contractions, and involuntary pelvic thrusting. Ejaculation is followed by a period of resolution which is marked by feelings of well-being and relaxation. There is also a period during which sexual activity is not possible. In this phase, men may be unable to respond to more sexual stimulation, will not become erect, and attain orgasm for a longer or shorter period of time.

Despite the fact that we speak of orgasm and ejaculation as though they were the same thing, they are separate processes which occur almost simultaneously.

What we know as orgasm is a peak emotional and physical sensation, whereas ejaculation of semen is just a reflex action Which occurs when we are aroused enough to stimulate a reflex occurring at the lower end of the spinal cord. Some men have been able to recognize the individual elements of the two processes, enabling them to experience multiple orgasms without the occurrence of ejaculation. After you have ejaculated, a period of recovery time is required before another orgasm can happen.

The sensation of orgasm differs between individuals, and individual orgasms may differ in the same person. All orgasms share particular characteristics including regular body and pelvic contractions, increased heart rate, muscle tension and the sudden release of tension.

Our sexual response cycle is under the control of the sympathetic and the parasympathetic nervous systems. The sympathetic nervous system causes action whereas the parasympathetic system promotes recovery and relaxation. In order for a penis to become erect, its smooth muscle fibres are relaxed and allow blood to flow into the penis. This process is mediated by an intricate system of humoral, neurological and circulatory events controlled by the parasympathetic nervous system. Orgasm and ejaculation and the after effects of relaxation of the sexual arousal are mostly mediated by the sympathetic nervous system.

Emission is a parasympathetic activity, but orgasm and ejaculation are predominantly under the control of the sympathetic nervous system. We know that orgasm has more to do with the brain than with the body. The fact that orgasm occurs during sleep is supportive of this concept. In any event, this may be blocked by various circumstances.

If delayed ejaculation only occurs under a particular set of circumstances, such as in one situation, it is known as "situational" rather than "generalized" delayed ejaculation.

The cause of delayed ejaculation
may be physical, but is more often some combination of psychological factors. The physical causes include hormonal problems such as hypogonadism, hyperthyroidism, hypothyroidism, and excessive production of the hormone prolactin. Other physical causes include certain medications, including drugs to treat high blood pressure, and antidepressants.

The most common causes of delayed ejaculation are psychological. Some likely candidates include depression, anxiety, and fear of picking up a sexually transmitted disease or HIV. Other possible factors include an unsatisfactory sexual relationship with one's partner, a history of strict sexual taboos in the family.

A diagnosis of delayed ejaculation depends on the following factors being noticeable: a persistent or recurrent delay in, or absence of, orgasm following a level of normal sexual excitement that would be expected to produce orgasm. Most males who have delayed ejaculation also complain of anxiety, shame and frustration, and low sexual self-esteem. Although this particular sexual problem usually occurs during partner sex, it can happen during masturbation as well! If it occurs during masturbation, it's more likely to be about the man's body than any feelings associated with his partner. Male orgasmic disorder may be part of a complex of sexual malfunctioning that can range across erectile dysfunction, ejaculation problems such as premature ejaculation or retrograde ejaculation, and low sexual desire.

Delayed ejaculation is found in all men. It may develop around puberty or it may start later in life.

If some obvious physical cause is linked to male orgasmic disorder, the cure may be easy; for example, cessation of excessive drinking or a change in medications. But in most cases, some form of psychological treatment will be suggested. Since most men are too embarrassed to seek professional advice, the availability of self-help programs on the internet is a blessing. Treatment usually requires the support of the sexual partner for both the psychological and the physical aspects of the treatment. Behavioural programs can allow a man to recover the ability to ejaculate normally quite easily and quickly.