Sexuality 10

Every fourth man suffers from a male orgasmic disorder

Either premature or delayed ejaculation bothers even every fourth man. Yet, men's orgasm problems are spoken less than potency problems.

The general reason why a man visits a sex specialist doctor is premature ejaculation. The problem bothers every fourth man. About half of the men suffering from the problem, the situation is so difficult that they need help.

Unlike many people think, premature ejaculation is not just a problem for young men. The trouble is common among all ages. Most men suffer years before seeking treatment.

The desired intercourse duration is 7 to 13 minutes and the usual duration is 5-6 minutes. Premature ejaculation is defined in medicine by the man ejaculating always or almost always within a minute of commencement or even before. This causes concern, anxiety and frustration.

Medication extends the enjoyment

Premature ejaculation hurts the relationship. It adversely affects both sexual self-esteem, satisfaction, and quality of life. Over time, the problem leads to a reduction in sex or even a breakdown of a relationship. A troubled man often has a high threshold for starting a relationship.

The cause of premature ejaculation is unknown, but hereditary factors are of great importance. Fortunately, there is help available. The only effective treatment is drug therapy.

More than half of the patients benefit from dapoxetine. It must be taken an hour before intercourse and the effect will last for 3-4 hours. With the drug, ejaculation time is increased by three to four times.

Side effects of the drug include nausea and dizziness.

A good option is also SSRIs (esitalopram, fluoxetine, fluvoxamine, paroxetine, sertraline and citalopram). Originally, these drugs came into the market as antidepressants, but they have been found to be helpful to many other troubles. The disadvantage is that they must be taken daily.

There is little scientific evidence of the effectiveness of therapeutic techniques, but they also help some patients.

If a man's ejaculation is premature and no effective cure is found, a good way to ensure pleasure is for example oral sex.

If you do not get an orgasm

At the other end of orgasmic disturbances, delayed ejaculation is experienced. This concerns about 5% of men. They have an inability to reach an orgasm.

The most common form of disturbance is that the man can not ejaculate, but manages by hands or with oral sex. Some people get orgasm in intercourse, but only after very long stimulation.

The cause of delayed ejaculation is unknown and there is no medical treatment. For example, Viagra and other erection drugs do not work for orgasm problems. The problem is the most difficult in sexual medicine.

Sexuality 7

What could be the cause for delayed ejaculation?

Orgasmic disorder can arise independently or it may be due to illness. Since there is no delayed ejaculation treatment, a person can only attempt to eliminate the possible cause of the problem.

Some medications hinder or prevent the obtaining of an orgasm. These include, for example, antipsychotics used in the treatment of psychoses, some medicines used in the treatment of hypertension, and opiates used in the treatment of pain and cough. Alcohol and other substances can also prevent or delay the orgasm.

Some men get help with the treatment of testosterone deficiency. If the cause is thyroid dysfunction, its repair can help.

Unfortunately, there is sometimes no reason to be found, and no effective drug has been invented.

Intercourse is not compulsory

Orgasm and ejaculation are two different things. They are transmitted through various nerve mechanisms. A man can get ejaculation without orgasm and vice versa. Most of the time, however, they happen at the same time.

Total absence of an ejaculation is rare. More commonly, ejaculation fails in intercourse, but it can be achieved by other means.

Good sex is more than just intercourse. It is also intimacy, communication, caressing and caring.

When a man gets older, the man also needs more physical stimulation to excite erection and ejaculation.

If the problem is psychic and the orgasm disorder is related to a particular situation, it is worth discussing with your partner who is suffering from an orgasm problem, because both can in vain blame themselves or others. Psychological causes are difficult to treat by medical methods.

Internet porn distorts things

Man's sexuality is not just a physical performance. The younger the man the more likely the cause of orgasmic problems is psychological.

Young men search online through information on what is normal sexuality. Online porn gives a one-sided picture of sexuality.

Everything you see in porn movies is actors acting. Young men learn a pattern that is not true. The usual sex is then different. That's not all that porn movies offer.

However, many are accustomed to the strong stimulation of porn movies. When there is no similar thing in a regular relationship, the man gets confused. This leads to erection problems and complicated ejaculation.

The problem is being investigated by therapeutic methods: the patient must be told what is true and what is not.

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