According to the best sexologist in Delhi, India, 43% of Indian men have premature ejaculation at some point in their life. Furthermore, it is an underdiagnosed problem and, as a consequence, not treated.
What are ejaculation disorders?
The male ejaculation is the expulsion of sperm through the urethra of the male when it is exposed to sexual stimuli. When there is an alteration in this ejaculation process, it is called ejaculation disorder. This type of sexual dysfunction is the most common among men and, in fact, occurs frequently among men of different ages.
The ejaculation process is usually characterized by the expulsion of sperm in a duration of between 15 and 20 seconds and after a certain period of time, although the latter is relative. Another of the main characteristics of these disorders is the influence they exert on the quality of life of patients since it usually causes psychological and emotional problems.
Although there are various ejaculation disorders, the most frequent and common are mainly three: premature ejaculation, retrograde ejaculation, and delayed ejaculation. Sometimes anejaculation can also occur, that is, the absence of ejaculation.
What types of ejaculation disorders are there?
There are mainly three types of male ejaculation disorders:
- Premature ejaculation: This type of ejaculation disorder is the most common. It consists of a lack of control over the ejaculation process, causing it to occur earlier than desired. Normally the time scale used to define this condition is ejaculate between 30 seconds and three minutes from the start of the sexual encounter. In most cases, this problem tends to have a psychological origin although it can also occur due to physiological causes such as infections, hormonal imbalances, or neurological problems.
- Delayed ejaculation: Unlike the previous one, this condition is characterized by obtaining ejaculation much later than expected or desired. Sometimes it can even lead to anejaculation or lack of ejaculation. This type of condition does not normally occur during masturbation, so it is most common for it to come from psychological causes. However, it can also be due to medical causes such as neurological disorders or the consumption of certain substances.
- Retrograde ejaculation: This disorder is characterized by a reverse sperm expulsion, that is, instead of being expelled through the urethra, the sperm is expelled into the bladder. Retrograde ejaculation is usually due to a defect in the bladder neck that sometimes contracts and can cause semen to go to the area of least pressure. This type of condition is usually caused by neurological alterations, previous prostate surgeries, and even on very rare occasions the consumption of drugs.
How is this pathology diagnosed?
The diagnosis of ejaculation disorders is based primarily on the sexologist’s interview with the patient. In this consultation, the patient must provide the sexologist in Delhi, India with his complete medical history. Through it and in conjunction with the interview, the sex specialist in Delhi, India will be able to determine if the patient suffers from said ejaculation disorder always or only on certain occasions. This especially becomes important when there is a difference between the appearance of the disorder when sexual intercourse occurs or when masturbation occurs.
If the alteration in the ejaculatory process occurs only when having sexual intercourse and does not occur during masturbation, then it is very likely that the cause is psychological and not physiological. On the other hand, in case the disorder always occurs both in the case of having sex and masturbating, the top sexologist in Delhi, India will carry out a physical examination of the patient in search of a physiological and clinical cause that produces it.
After the physical examination, the sexologist doctor in Delhi, India may consider it appropriate to perform certain diagnostic tests to determine the existence of said pathology. These can be varied from analysis to a urinalysis or a sperm analysis, among others.
What is the treatment for ejaculation disorders?
The treatment of ejaculation disorders varies greatly depending on the type of condition and, above all, its cause. If it is determined that the cause is emotional or psychological, the patient is referred to a sex doctor in Delhi, India who will help him to solve his problem through his consultations.
However, if the cause is physiological, its treatment will depend on the disorder suffered and on said physiological cause. Thus, for premature ejaculation, the use of anesthetic lubricants to delay ejaculation is usually indicated. In addition, the consumption of medications such as some antidepressants that have been shown to prolong ejaculation time such as paroxetine, fluoxetine or sertraline is also usually indicated.
In the case of delayed ejaculation, as most of the time, it is psychological causes, psychological therapy is usually indicated to solve it. Finally, in terms of retrograde ejaculation, although it has been seen that improvements occur with the consumption of medications such as pseudoephedrine or imipramine, there is currently no definitive treatment to treat this condition.