Ejaculatory dysfunction
Ejaculatory Dysfunction is a broad term that encompasses several conditions related to the ejaculation process in males. These conditions can significantly impact a man's sexual health and overall quality of life. Ejaculatory dysfunction can be classified into four main types: premature ejaculation, delayed ejaculation, retrograde ejaculation, and anejaculation.
Premature Ejaculation
Premature ejaculation is the most common form of ejaculatory dysfunction. It is characterized by a lack of control over ejaculation, which occurs sooner than desired, often within one minute of sexual penetration. This condition can lead to distress, frustration, and avoidance of sexual intimacy.
Delayed Ejaculation
Delayed ejaculation is a condition where a man takes an unusually long time to reach orgasm and ejaculate, despite adequate sexual stimulation. In severe cases, ejaculation may not be achieved at all. This condition can cause significant distress and can lead to relationship problems.
Retrograde Ejaculation
Retrograde ejaculation is a condition where, at orgasm, the semen is forced back into the bladder rather than being expelled through the penis. This condition is often identified by producing cloudy urine after sexual climax. While it doesn't pose serious health risks, it can lead to infertility.
Anejaculation
Anejaculation is the inability to ejaculate semen despite stimulation to the penis. This condition can be either total (no ejaculation ever occurs) or situational (ejaculation only occurs in certain situations). Anejaculation can be a cause of male infertility.
Causes
The causes of ejaculatory dysfunction can be psychological, such as anxiety, stress, or relationship issues, or physical, such as hormonal imbalances, nerve damage, or the side effects of certain medications.
Treatment
Treatment for ejaculatory dysfunction depends on the underlying cause. It may involve psychological counseling, medication, or in some cases, surgery. It's important to consult with a healthcare provider for an accurate diagnosis and treatment plan.
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Contributors: Prab R. Tumpati, MD