Retarded Ejaculation

To the treatment for delayed ejaculation / retarded ejaculation

Sexual therapy for retarded ejaculation

With the condition of delayed ejaculation a man will not be able to have an orgasm during sexual intercourse, no matter how long it lasts.

The Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR), puts this disorder among the sexual dysfunctions, along with rapid ejaculation.

A man with the condition of retarded ejaculation simply cannot achieve orgasm even if he has experienced what woudl seem to be normal levels of sexual excitement. Such a man may find this happens all the time - that he cannot easily reach orgasm - or he may find that he is unable to attain orgasm in any circumstances, sometimes even during masturbation.

Bear in mind that although we nearly always refer to orgasm and ejaculation as though they were simultaneous and indeed identical, they are actually quite separate and distinct processes which normally occur about the same time or even simultaneously.

What we have labeled "orgasm" is a supremely pleasant emotional and physical experience, whereas by comparison, the phenomenon of ejaculation, delightful though it undoubtedly is, comprises simply an unconscious reflex response that is generated by the effective and sexually  prolonged stimulation of certain nerves in the genital region. Some men have been able to separate and recognize the different parts of the two processes of orgasm and ejaculation, which has let them experience multiple orgasms without having any ejaculation whatsoever. You may see that this has a bearing on the subject of retarded ejaculation or delayed ejaculation. After you have had an ejaculation, you may not be able to have another orgasm for a variable period of time - this period of time is known as the refractory period.

The experience and sensation of orgasm is different for all men and of course it is also true that one orgasm may well be different to the next in the same person. All orgasms include certain features: rhythmic body and pelvic muscular contractions, a higher heart rate, greatly increased muscle tension and a final phase, possibly explosive, of release of tension.

Our sexual responses are determined and controlled by both the sympathetic and the parasympathetic - the fight or flight - nervous systems. The sympathetic nervous system generally causes action and by contrast the parasympathetic system induces recovery and relaxation. In order for a man's penis to become erect, the smooth muscle fibers of the penile cavities are relaxed so that there can be a flow of blood into the penis. This process is mediated - controlled - by an intricate network of humoral, neurological and circulatory events, all of which are controlled by the relaxation inducing parasympathetic nervous system. A man's orgasm and his associated ejaculation, and the subsequent and consequent relaxation and release of sexual arousal which follows his ejaculation are mostly controlled by the sympathetic nervous system.

The phase of sexual activity known as emission is a parasympathetic nervous system activity, while by contrast orgasm and ejaculation are actually predominantly under the determination and control of the sympathetic nervous system. Of course orgasm has very much more associations with the brain than with the body,  as is demonstrated for example by the fact that orgasm occurs during sleep.

If retarded ejaculation - or delayed ejaculation - only occurs under a particular set of sexual circumstances, for example as it may occur with only one particular sexual partner, it is known by the cumbersome title of "situational" rather than "generalized" male orgasmic disorder or retarded ejaculation.

The cause of this rather distressing retarded ejaculation may be physical, but is more often based in the psychological realm. The physical causes can be varied and include hormonal problems such as hypogonadism, hyperthyroidism, hypothyroidism, and an excessive level of the hormone prolactin. Other causes range through drugs, such as those used to treat high blood pressure, and drugs used to control depression.

The most likely and possibly the most common causes of retarded ejaculation are psychological issues and problems. Some extremely probable candidates include various forms of depression, a high level of anxiety, and fear of one's partner becoming pregnant. There are of course many other psychological factors which can come into play here including traumatic sexual encounters including sexual abuse, rape or abuse in the form of incest, and repression of sexual urges and interests due to an excessively repressive sexual environment in the family of origin.

A diagnosis of retarded ejaculation includes certain characteristics: repeated delay in achieving orgasm, even when there has been a normal level of sexual excitement, a level which under any other circumstances would allow a man to reach orgasm. Many of the men who experience retarded ejaculation also find they have a low level of what we can call sexual self-esteem. Male orgasmic disorder as a problem occurs most often during sex with a partner (either male or female), it can also happen during a man's sol sexual experiences of masturbation! If it does indeed happen during masturbation, the likelihood is that the man may have trained himself only to ejaculate during certain methods of masturbation rather than have a problem associated with his partner. Such cases of delayed ejaculation may be part of a complex of sexual problems in a man which range across erectile dysfunction, and include ejaculation problems such as premature ejaculation or retrograde ejaculation, and other issues such as low sexual desire.

Delayed ejaculation occurs in all  kinds of men, of all intelligence levels, ages and men of all races and sexual orientations. It may begin to develop around the time of puberty or it may commence later in life.

If male orgasmic disorder is the result of or caused by a physical condition, the solutions and cure for delayed ejaculation is usually easy; for example, stopping drugs or taking different medications. But in most cases, counseling can be very helpful indeed because the origin of the problem is psychological. The fact is that most men are too awkward or even embarrassed to seek professional sexual therapeutic advice, so the ready availability of self-help programs such as this one on the internet is a blessing. Self help or sexual therapy treatment usually requires the help of a man's sexual mate. The good news is that primarily behavioral programs will always help a man to rediscover his faculty for ejaculation.

[ Treatment of delayed ejaculation; the way to cure retarded ejaculation ]

Can't Reach Orgasm Or Ejaculate During Sex?

(Or Maybe Even Masturbation?)

If you are not able to have an orgasm during sex, then you are very much not alone! About ten percent of men have this problem. You may not wish to seek out professional sexual therapy, but rather deal with the problem yourself.

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