Types of ejaculation disorders

The process of ejaculation is normally associated with the appearance of an erection and is the result of frictions during sexual intercourse. It takes place in two phases. The first phase is the allocation of the tail of the appendage to the proximal part of the urethra, where there are spermatozoa and the secret of seminal vesicles. The second phase consists in the allocation in the lumen of the proximal part of the contents of the prostate. At this phase there is an active reduction of the striated muscles of the penis, the perineum, due to which the ejaculate is thrown out. Regulation of ejaculation is carried out by the autonomic nervous system.

The main types of ejaculation disorders are:

1. Premature ejaculation.
2. Delay( retardation) of ejaculation.
3. Aspermatism is the absence of ejaculation.
4. Painful sensations in ejaculation.

1. Premature ejaculation is the most common form of impaired sexual function and occurs in one form or another in 30% of men.

Details about the treatment of premature ejaculation.

2. Ejaculation delay occurs much less frequently and is manifested by a very long sexual intercourse without ejaculation. Sexual intercourse with active frictions can take a long time, while the man does not feel the urge to ejaculate.

Possible causes:

1. Psychogenic.
2. Incorrect development of the neck of the bladder - the cyst of the Mullerian duct, the anomaly of the wolf's duct.
3. Infectious: prostatitis, urethritis, tuberculosis of the genitourinary system.
4. Iatrogenic( consequences of the transferred operations): operations on pelvic organs.
5. Neurogenic: multiple sclerosis, diabetic polyneuropathy, spinal cord injuries, Parkinson's disease.
6. Endocrine: hypogonadism, diabetes, hypothyroidism.
7. Drug administration: tricyclic antidepressants, serotonin reuptake inhibitors( used in the treatment of depression), thiazide diuretics( diuretics).

Treatment

Depending on the causes of the disorder, the following medications are prescribed:

• Yohimbine( from a wide range of sexual disorders).
• 5HT1A receptor agonists( used for anxiety disorders).
• 5-H receptor antagonists of serotonin.
• Dopamine reuptake inhibitors( used in cases of anejaculation with antidepressant medications).

3. Aspermatism - a condition in which sexual intercourse does not end with ejaculation. Depending on the reasons for the lack of ejaculate aspermatism is divided into two types: true and false .

1. With true aspermatism, ejaculation is absent due to a disruption in its production. This is due, above all, to the dysfunction of the testicles responsible for the formation of spermatozoa, and the accessory genital glands responsible for the production of seminal fluid.
2. With false aspermatism, the passability of the urethra for ejaculate or the functional relationship of the neck of the bladder and the ejaculatory discharges is impaired. With such a pathology, the seminal fluid is ejected into the bladder cavity( retrograde ejaculation).

Read more about Aspermatism.

4. Pain sensations in ejaculation most often indicate an inflammatory process in the seminal tubercle or prostate. Hidden inflammatory processes, for example, after the transferred epididymitis, can also cause painful sensations within a few minutes after sexual intercourse. This case requires the submission of tests to determine the causes of discomfort.

Possible causes of ejaculation disorders

Ejaculation disorders cause a wide range of causes, for each type of pathology. Of the general possible causes are:

• inflammatory diseases( prostatitis, vesiculitis, colliculitis, urethritis, etc.);
• consequences of surgery, trauma;
• psychological disorders;
• neurological disorders.

Attending physician:

Primary treatment - urologist;

Secondary treatment - psychotherapist / sexologist, neurologist, andrologist.

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