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Violations of ejaculation - classification, causes, symptoms, diagnosis and treatment

Ejaculation disorder The process of ejecting sperm from the male's sexual organ is called ejaculation.Emission of sperm is possible only in a state of excitation.Often, violations of ejaculation are associated with improper operation of the muscular system.

Ejaculation disorder is a disorder of the reproductive system in which ejaculation is delayed, occurs prematurely, or is completely absent.

Ejaculation disorder or lack of it is a symptom of a serious illness that requires qualified treatment.

Important! Violation of ejaculation is a dysfunction of the penis.This pathology ranks second among other pathologies of the male reproductive system.

Table of contents: Types and classification of ejaculation disorders Causes of ejaculation disorders Signs of ejaculation disorders Diagnosis of pathology Treatment of ejaculation disorders Complications of ejaculation disorders Prevention measures

Ejaculation is a complex process consisting of two stages :

  1. Sperm output to the posterior urethra.
  2. Ejection of sperm.

If at any stage a failure occurs, there is a violation of ejaculation as a whole.

Types and classification of ejaculation disorders


Types of ejaculation disorders depend on:

  • clinical form of the disorder;
  • when the ejaculation occurs;
  • time of occurrence of violations.

By the time of the onset of the pathology,

  • is distinguished;
  • secondary.

Primary disorders begin to manifest at the stage of intimate development and early sexual life.Secondary disorders occur after a period of full and normal intimate life.

There are several types of violation of the flow mechanisms and clinical indicators of :

  • premature ejaculation;
  • painful ejaculation;
  • ejaculation delay;
  • retrograde ejaculation;
  • complete absence of ejaculation.

Premejaculation Premature ejaculation is a sexual disorder in which ejaculation occurs before the introduction of the penis into the vagina, or immediately afterwards.Premature ejaculation can be of two types: the true one - the consequence of physiological factors, and the false one - emerged against the background of a psychological standing.

Important! Premature ejaculation is considered the norm if the sexual intercourse occurs after a long abstinence and the phenomenon is no longer repeated.

Painful ejaculation is characterized by painful sensations that occur during ejaculation.This occurs more often due to the fact that there are inflammatory processes of the reproductive system( prostatitis, vesiculitis).

Delayed ejaculation - a man's inability to reach orgasm by ejaculation.At the same time, the functioning of the male's genitals is not broken.This type of pathology is extremely rare.

Retrograde ejaculation is a kind of pathology in which the ejection of sperm occurs in the opposite direction and flows towards the bladder.

Causes of ejaculation disorders

There are many reasons that contribute to the development of pathology, and divide them into two groups:

  • the true causes - of a physiological and organic nature;
  • psychological - arising from psychological characteristics.

The true causes of the development of ejaculatory disorders include:

  • endocrine diseases;
  • Prostatitis;
  • surgical interventions;
  • urethritis;
  • genital tract injury;
  • Prostate adenoma;
  • trauma of the spine and pelvis;
  • hormonal disorders;
  • presence of infectious diseases;
  • short frenum;
  • increased sensitivity of the penis head.

Attention! Violation of ejaculation can be caused by taking medication, narcotic drugs and a large amount of alcohol.

Violations can be caused by psychological reasons, which include:

  • irregular sexual life;
  • inferiority complexes in intimate life;
  • overexcitation;
  • stress;
  • conflicts;
  • depression.

Surgical operations that can cause erectile dysfunction:

  • plastic of the neck of the bladder;
  • surgeries on the organs of the peritoneum;
  • removal of benign prostatic tumors;
  • operations on the pelvic organs.

Important! Diabetes mellitus is the cause of erectile dysfunction.The disease gradually leads to pathology.

Signs of ejaculation disorders

Violated ejaculation is the main symptom of sexual dysfunction.A man can not achieve satisfaction because of prolonged, rapid or painful ejaculation.

The main symptom of premature ejaculation is the onset of ejaculation before the onset, or just a few seconds after the onset of sexual intercourse.

The symptom of ejaculation delay is not the possibility to achieve satisfaction for half an hour or more, despite the efforts.

With a retrograde disorder, a small amount of sperm is observed, which is directed towards the bladder.At the same time after intercourse urine becomes turbid.

Doctors also pay attention not only to the amount of sperm emitted, but also to its consistency, color and odor.These characteristics may indicate the presence of serious diseases.

Diagnosis of pathology

Diagnosis of ejaculation disorders is carried out in two stages. The patient consults with the andrologist or urologist .The doctor conducts a survey to assess the patient's physical health, and to identify possible mental disorders.

Important! If a man is physically absolutely healthy, he may need to consult a psychologist, sexologist or sex therapist to identify factors that affect sexual life.

In the second stage, the doctor prescribes a set of studies and analyzes:

  • a prostate secretion study;
  • general urinalysis;
  • analysis for PPI;
  • TANK seeding a smear from the urethra;
  • spermogram;
  • study for infections.

Before taking the tests, you must give up alcohol and refrain from having sexual intercourse.

Also, the doctor can prescribe an ultrasound or MRI of the entire body, or the pelvic area of ​​the patient.

Treatment of ejaculation disorders

The choice of treatment for sexual dysfunction depends on the type of pathology or causes of the diseases. Based on these factors, one of the following treatment methods is individually selected:

  • drug therapy;
  • introduction of drugs into the penis;
  • visit to the psychologist;
  • application of analgesic ointments;
  • restoration of blood circulation in the genital organs;
  • herbal medicine;
  • physiotherapy.

To cure pathology only by eliminating the physical cause is impossible, therefore treatment is a whole complex of measures.

The obligatory factor is the normalization of the regime of the day and nutrition.Psychological trainings are effective.These measures will reduce the level of stress, get out of depression and maintain the patient's nervous system in the norm.

Important! In case of violations of ejaculation, do not resort to treatment with folk remedies.Only a qualified person will be able to help you.

pills If the reason is the taking of medications, the treatment is reduced to a dose adjustment.

As additional methods apply massage, acupuncture, stimulation by an electric current, reception of baths etc.

Attention! Surgical intervention is resorted to in extreme cases.For the treatment of the disorder, a short frenum plastic and a denervation-reengervation of the head are carried out.

According to statistics in most cases, treatment can completely eliminate ejaculation and restore the reproductive function of men.

However, there are cases when it is impossible to restore the childbearing function completely.The success of treatment depends on the qualification of the specialist and the prescribed method of treatment.

Complications of ejaculation disorder

Lack of qualified treatment can lead to quite serious consequences.

If the cause of the disorder is a disease, infection or pathology, the absence of therapy can trigger the development of a disease that can lead to death.

Psychological reasons can provoke uncontrolled aggression and instability of emotions.

Violation can lead to the rejection of an intimate life, which can lead to stagnation of sperm, which in the future will lead to impotence and inability to fertilize.

Preventive measures

In order for the sex life of a man to be complete, it is necessary to regularly undergo examinations and examinations.Protect against infections will help contraceptive.Keep a regular sex life and at the first symptoms, contact a specialist.

Radevich Igor Tadeushevich, doctor of sexopathologist-andrologist of the 1st category

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