Delayed ejaculation - sexual dysfunction in men, characterized by difficulties in the occurrence of ejaculation. Delayed ejaculation when a man feels sufficient sexual stimulation and has a full erection cialis price, stimulation of the penis but not lead to the desired release of the seminal fluid for a long time since the beginning of intercourse. Delayed ejaculation is accompanied by difficulty in achieving orgasm, the physical and psychological dissatisfaction partners. To clarify the reasons for the delay ejaculation man may need to consult an andrologist, sexologist, therapist, neurologist, endocrinologist; holding ultrasound of the penis and scrotum organs, analyzes on sexual infections and hormones. Algorithm of treatment delay ejaculation depends on the causes of the violation and may include medication, psychotherapy, physiotherapy.
Delayed ejaculation - ejaculation reflex unconscious oppression, accompanied by the late release of seminal fluid or the complete absence of ejaculation in men, despite the desire and aspiration of sexual partners to accelerate this point. Among other forms of abnormal ejaculation (premature ejaculation, retrograde ejaculation, painful ejaculation), delayed ejaculation and anejaculation much rarer. According to statistics, delayed ejaculation affects men 1-2 in 1000. The delay ejaculation as sexual dysfunction, should be distinguished from the conscious, controlled braking ejaculation, practiced by some men. Because of multifactor problems abnormal ejaculation its solution can be in the plane of sexology, psychotherapy, Andrology and Urology, Neurology, Endocrinology.
To delay ejaculation can cause psychological and organic causes of nature. In many cases there is a combination of several factors, which requires inspection at different male experts.
Organic-based delay ejaculation may be congenital or injury scrotum and penis, genital infections, prostatitis, urethritis, prostate adenoma, urethral stricture, surgeries on the prostate gland (prostatectomy, transurethral resection of the prostate). In addition to diseases of male genital organs, delayed ejaculation may be associated with neurological problems (stroke, diabetic neuropathy, Parkinson's disease, spinal cord disease), and hormonal disorders (hypothyroidism, hypogonadism, and others.). Damage to the nerves as a factor in violations of ejaculation occurs after surgery on the abdominal and pelvic organs: proktosigmoidektomii, total cystectomy, resection of abdominal aortic aneurysm, retroperitoneal and para-aortic lymphadenectomy, and so on.
A factor inhibiting ejaculation may be a disparity in the structure of the genitals sexual partners (small penis in men, too wide a woman's vagina), accompanied by a decrease in the mechanical stimulation of the penis when frictions.
Psychological factors that cause delayed ejaculation may include depression, emotional stress, problems of interpersonal relations between sexual partners, various kinds of sexual trauma, complexes and restrictions, lack of sex appeal to your partner. In some cases, delayed ejaculation in normal sexual intercourse is seen in persons suffering from deviant sexual proclivities (homosexual, sadistic, masochistic, and others.). Delay ejaculation may suffer men who have "autoseksualnuyu" orientation, ie. E. Experience more satisfaction from masturbation than from traditional intercourse.
Note that delay ejaculation can be a side effect of some types of drugs taken by a man (antidepressants, antipsychotics, antihypertensives, diuretics), as well as alcohol and drugs. In addition to these pathophysiological and psychogenic factors at the time of ejaculation is influenced by many other factors -. A man's age, his sexual experience, the frequency and regularity of sexual intercourse, the relationship with the partner, etc. In some cases, ejaculation delay is a consequence of sexual fatigue associated with excessive sexual activity men and is temporary, transitory.
Depending on the degree of distinction delay ejaculation and anejaculation - its extreme form, in which ejaculation does not occur for such a long period that the sex partners were forced to stop sexual intercourse and subsequent sexual stimulation. In addition to the absolute inability to achieve ejaculation, also emit relatively anejaculation characterized by the absence of ejaculation during sexual intercourse, but his achievement at petting, masturbation and so forth.
Delayed ejaculation may be primary (accompanying man since the beginning of sexual activity) and secondary, acquired (occurring after a period of normal sexual life). Depending on the circumstances and the repetition frequency distinguish constant (not depending on the situation and repeated regularly) and situational delay ejaculation (occurring from time to time under certain conditions).
The main task of diagnosis is the identification of the causes of delay ejaculation. To do this, in violation of ejaculation man is necessary to address to the urologist, andrologist or andrologist, sexologist. After clearing out the history and examination of the external genitalia is determined by the appointment of an expert analysis, diagnostic studies, and further consultations.
To identify organic causes delay ejaculation is necessary to conduct rectal examination, ultrasound examination of the penis and scrotum organs, the prostate gland. In order to avoid STDs is carried out research of prostate secretion, urethral smear PCR and bacterial inoculation test. The evaluation study shows hormonal status androgen profile (total and free testosterone, SHBG). If there is evidence pointing to comorbidities, a man suffering from delayed ejaculation, should be consulted by specialists - a neurologist, endocrinologist, cardiologist, etc. In the absence of organic and psychological reasons, it is necessary psychosexual examination of the patient..
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