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Delayed or Impaired Ejaculation, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

Par : Kenneth Kee
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  • FormatePub
  • ISBN978-1-370-87038-7
  • EAN9781370870387
  • Date de parution31/10/2016
  • Protection num.pas de protection
  • Infos supplémentairesepub
  • ÉditeurEditeurs divers USA

Résumé

Delayed or impaired ejaculation is a medical disorder in which a male cannot ejaculate. This is the opposite of premature ejaculation, and occurs when orgasm and ejaculation takes too long to reach. This can happen occasionally to any man, but when it happens too frequently then it may be a problem. It may happen either during intercourse or by manual stimulation by a partner. Ejaculation is when semen is released from the penis.
The man does not need to achieve orgasm every time for the sexual intercourse to be pleasurable and pleasant. His sexual partner may also become not comfortable or feel discomfort with prolonged thrusting. Men with delayed ejaculation may be unable to ejaculate or may only be able to ejaculate with strenuous effort after having intercourse for a long time (for example, 30 to 45 minutes). Delayed ejaculation may have psychological or physical causes.
Frequent psychological causes are:1. Religious background that makes the person view sex as sinful2. Lack of attraction for a partner3. Conditioning caused by a habit of excessive masturbation4. Traumatic events (such as being found masturbating or having illegal sex, or learning one's partner is having an affair)5. Some factors, such as anger toward the partner, may be involved. Physical causes are:1.
Blockage of the ducts that semen passes through2. Use of certain drugs (such as prozac, mellaril, and guanethidine)3. Nervous system diseases, such as stroke or nerve damage to the spinal cord or back4. Testosterone deficiency5. Nerve damage during surgery in the pelvisThe diagnosis of Delayed Ejaculation may involve the effects of prescribed medications:1. Alpha-adrenergic blockers2. Combined alpha- and beta-adrenergic blockers3.
Sympathetic nerve blockers4. Anti-ulcer medications5. Tricyclic antidepressants6. Monoamine oxidase inhibitors7. Selective serotonin reuptake inhibitors8. Other antidepressants9. Neuroleptics10. Mood stabilizersMicroscopic examination of the bladder urine after a dry ejaculation is informative in distinguishing between retrograde ejaculation and emission failure. When medicinal treatment for delayed ejaculation is under being determined, it is essential to exclude iatrogenic causes, such as medicinesMedicines that have been used are:1.
Alpha sympathomimetics (e.g., ephedrine or a combination of phenylpropanolamine hydrochloride and chlorpheniramine maleate)2. Sildenafil3. ImipramineAny psychological intervention must treat both historical factors and current factors that might contribute to the present dysfunction. TABLE OF CONTENTIntroductionChapter 1 Delayed EjaculationChapter 2 CausesChapter 3 SymptomsChapter 4 DiagnosisChapter 5 TreatmentChapter 6 PrognosisChapter 7 Male OrgasmChapter 8 Sexual IntercourseEpilogue