Ejaculatory Dysfunction, (Different Types) A Simple Guide To ...

Kenneth Kee

• 03 augustus 2017
• 9781370437931

Samenvatting:

Ejaculatory dysfunction is the inability of a man to successfully ejaculate semen from the penis at the occasion of sexual climax.
Typically, ejaculatory disorders fall into two categories.
These are: delayed ejaculation and early ejaculation.
In the vast majority of cases, the most effective therapeutic approach for ejaculatory dysfunction is a combination of biologic and psychological therapy.
The main types of male sexual dysfunction are:

1. Erectile dysfunction (difficulty getting/keeping an erection)
2. Ejaculatory Dysfunction
   a. Premature ejaculation (reaching orgasm too quickly)
   b. Delayed or inhibited ejaculation (reaching orgasm too slowly or not at all)
   c. Retrograde or no ejaculation (dry orgasm)
3. Low libido (reduced interest in sex)
   Ejaculatory dysfunction is one of the most frequent male sexual disorders, but is still often misdiagnosed
   A normal sexual response cycle consists of four interactive, nonlinear stages:
   1.Desire,
   2.Arousal,
   3.Orgasm and
   4.Resolution
   In males, orgasm normally coincides with ejaculation, but represents a distinct cognitive and emotional cortical event.
   Psychological causes might include:
4. Concern about sexual performance
5. Marital or relationship problems
6. Depression, feelings of guilt
7. Effects of past sexual trauma
8. Work-related stress and anxiety
   Physical causes of overall ejaculatory dysfunction may be:
9. Low testosterone levels
10. Prescription drugs (antidepressants, high blood pressure medicine)
11. Blood vessel disorders such as atherosclerosis (hardening of the arteries) and high blood pressure
12. Stroke or nerve damage from diabetes or surgery
13. Smoking
14. Alcoholism and drug abuse
    Problems with ejaculation are:
15. Premature ejaculation (PE) 75%— Ejaculation that occurs before or too soon after penetration
16. Inhibited or delayed ejaculation 8% — Ejaculation does not happen or takes a very long time
17. Retrograde ejaculation — During orgasm, the ejaculate is forced to return back into the bladder rather than through the end of the penis
18. Anejaculation — Absence of ejaculation
    Normal ejaculation involves:
19. An emission phase, when semen is positioned in the penis near the prostate, and
20. An ejaculation phase, when the semen is forcefully expelled from the penis.
    Ejaculation occurs at sexual climax, or the expulsion of the sperm.
    Climax is different from an orgasm, which is centered in the brain and associated with ejaculation.
    The mechanics of ejaculation are similar to a sneeze: both are reflexes with a point of no return.
    The average time from sexual penetration by the male to ejaculation is nine minutes
    Diagnosis:
    Sexual History
21. Blood tests to check the testosterone levels, blood sugar (for diabetes), and cholesterol
22. Blood pressure check
23. Rectal exam to check the prostate
24. Examination of the penis and testicles
25. Other tests can show if the patient have problems with the nerve impulses or blood flow to the penis.
    Treatment:
    Treatments for ejaculatory dysfunction are medications, behavioral therapy (for premature ejaculation) and sometimes surgery.

TABLE OF CONTENT
Introduction
Chapter 1 Ejaculatory Dysfunction
Chapter 2 Causes
Chapter 3 Diagnosis
Chapter 4 Treatment
Chapter 5 Anejaculation
Chapter 6 Delayed ejaculation
Chapter 7 Retrograde ejaculation
Chapter 8 Premature ejaculation
Epilogue