How To Deal With Delayed Ejaculation

Delayed ejaculation may be defined as persistent inability to reach 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 retarded ejaculation is unable to reach orgasm following a normal level of sexual excitement. The affected man may regularly experience delays in orgasm, or may be unable to reach orgasm at all.

A usual orgasm is made up of two stages: emission and ejaculation. The term emission refers to a sensation of impending ejaculation caused by contractions of the prostate gland, seminal vesicles, and urethra associated with generalized muscular tension, perineal contractions, and involuntary pelvic thrusting. Orgasm is followed by a period of resolution which is characterized by feelings of well-being and relaxation. There is also a refractory period. In this phase, men may be unable to respond to more sexual stimulation, will not become erect, and reach orgasm for a longer or shorter period of time.

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

What we call orgasm is a peak emotional and physical experience, whereas ejaculation is simply 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 can separate these processes and experience ongoing multiple orgasms without the occurrence of ejaculation. After you have ejaculated, a period of time to recover is required prior to a subsequent orgasm.

Orgasm differs between men, and different orgasms may differ in one man. All orgasms share certain characteristics which include rhythmic 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 causes recovery and relaxation. In order for a penis to become erect, its smooth muscles are more relaxed and allow blood to flow into the penis. Though this sounds simple, it is an incredibly complex process mediated by complex cascade 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 predominantly functions of the sympathetic nervous system.

Emission is a parasympathetic activity, but orgasm and ejaculation are mostly 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 system may be disrupted by various abnormalities.

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

The cause of retarded ejaculation
may be related to some physical condition, but is more often psychological. 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 retarded 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 retarded 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 retarded 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 bodily sexual response system than any feelings associated with his partner. Male orgasmic disorder may be part of a wider set 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, psychotherapy will be required. 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.

Article Source: http://www.rightbiz.com

The author is the owner of Overcoming Male Orgasmic Disorder. You can find more articles at Men Come First!.

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