Ejaculatory Disorders Explained
Ejaculation problems often go by the name aspermia, ejaculatory dysfunction, or ejaculatory disorder. Such situations prove frustrating to couples and may significantly affect both their mental and emotional wellness. Ejaculatory dysfunction is more prevalent in men as they grow older.
What Causes Ejaculatory Dysfunction?
Problems with ejaculating are caused by a few reasons such as:
- Erectile Dysfunction – Occurs when a man is unable to maintain an erection.
- Psychological problems – Ejaculatory problems may result from psychological issues such as depression, anxiety, low confidence, and other mental illnesses.
- Neurological issues – Men may experience ejaculatory dysfunctions resulting from multiple sclerosis or Parkinson’s disease.
- Drug Abuse – Excessive use of alcohol and other drugs.
- Side Effects – Using certain types of medication such as antidepressants could lead to ejaculatory problems.
- Injuries to nerves – Nerve signals to the penis facilitate ejaculation. Therefore, any harm to the spinal cord or pelvis nerves could lead to ejaculatory issues.
- Medical conditions – Some conditions such as unregulated blood pressure or diabetes may contribute to developing an ejaculatory disorder.
Classification of Ejaculatory Disorders
The disorders are divided into:
1. Impaired Ejaculation
This ejaculatory disorder is also referred to as delayed ejaculation (DE) and is prevalent in 1-4% of men. DE is a scenario where a man is unable to achieve orgasm within a reasonable amount of time. In some cases, the man is incapable of achieving ejaculation at all. This is usually quite frustrating since the woman’s vaginal lubrication may run out after she climaxes before her partner. This ejaculatory problem is further divided into:
- Long-term DE – This type of delayed ejaculation presents itself from the onset of puberty.
- Acquired DE – Usually occurs later in life after a significant period of standard sexual functionality.
- Contextual DE – Only occurs under certain conditions or circumstances.
- Generalized DE – Happens in any circumstance and is not limited to sexual relationships or stimulation.
Delayed ejaculation usually results from several underlying factors such as psychological issues, chronic conditions, nerve damage, and medication effects. Physiological problems may result from traumatic experiences that lead to anxiety or depression, which result in ejaculatory dysfunction. Damage to the pelvic or spinal nerves may also lead to DE. Congenital disabilities or infections also cause delayed ejaculation. Specific congenital disabilities and UTIs in men negatively impact their reproductive system and may lead to delayed orgasms.
2. Early Ejaculation
Premature Ejaculation (PE), also goes by the name rapid ejaculation, or early ejaculation is a common type of ejaculatory dysfunction affecting an average of 20-30% of men regardless of age. PE is characterized by accelerated ejaculations as opposed to what both partners would prefer. PE is usually not a cause for alarm, but it may lead to conflicts between a couple and affect sexual pleasure and desire. Rapid ejaculation is classified into:
- Primary PE – This type of PE occurs frequently or always, after a man’s first sexual encounter.
- Secondary PE – Develops as life progresses even after having healthy and prolonged ejaculations for a while.
Several unique factors may cause premature ejaculation. The most common cause is age, which affects how you maintain an erection. Unregulated levels of chemicals and hormones such as neurotransmitters and testosterone may also lead to this ejaculatory disorder. PE may also be because of mental and physical health issues. Individuals may develop PE associated with mental health due to a history of sexual abuse, low self-esteem, and depression. In some cases, physical causes such as prostate or urethra inflammation may lead to PE and erectile dysfunction.
3. Retrograde ejaculation
Retrograde ejaculation (RE) is a type of ejaculatory disorder that is relatively uncommon. RE develops when the muscle tasked with shutting the bladder sphincter malfunctions, which causes the backward travel of semen back to the bladder during ejaculation. Individuals who have experienced RE claim that their urine is usually cloudy following an orgasm.
In some cases, retrograde ejaculation may cause infertility in men. However, infertility cases in men due to this disorder are limited to just 0.3-2%.
Some risk factors associated with developing RE include:
- Multiple sclerosis
- Enlarged prostate
- Parkinson’s disease
Psychological and physical issues also cause the ejaculatory disorder. For example, radical prostatectomy to treat cancer may cause nerve injury. The surgery may also affect your bladder, prostate, and sperm vesicles, consequently leading to RE.
It is vital to note that retrograde ejaculation is more prevalent in men who have undergone bladder and prostate surgery. The use of medications for treating depression, high blood pressure, and swollen prostates has also been associated with RE development.
This ejaculatory disorder is characterized by a total inability to ejaculate. This disorder is common and especially poses a problem to couples trying to conceive since it affects fertility in men. Anejaculation occurs when the seminal prostate tubes cannot perform their standard task of semen release. Anejaculation is additionally classified into:
- Orgasmic anejaculation disorder – Is a scenario where a man achieves climax but cannot release semen. Orgasmic ejaculations are usually related to physical causes such as clogged tubes or nerve injuries.
- Situational anejaculation disorder – Occurs when a man is only able to ejaculate under certain conditions. It is often prompted by conditions such as stress.
- Anorgasmic anejaculation disorder – Anorgasmic anejaculation is usually characterized by the lack of ability to ejaculate when awake. However, ejaculations are more likely to occur while you sleep.
- Total anejaculation disorder – Characterized by a situation where a man is unable to achieve orgasm under any circumstance.
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Ejaculatory disorders are a common problem that may be experienced by men from time to time. The problem may occur naturally or result from lifestyle decisions like alcohol and drug abuse. In some cases, the problem may persist, especially if it occurs during sexual maturity.
If you experience any ejaculatory dysfunction symptoms, ensure you consult a medical professional for more advice about using Erecerxyn.