While the top queries in men are premature ejaculation and erectile problems, we also see many cases of men who, despite a certain time of manual stimulation or intercourse, never make it to ejaculate or get it with great effort. This is called absent ejaculation (anejaculation) and retarded, respectively, and would be the masculine metaphor of female anorgasmia.
* Paul, 22: I get to orgasm through masturbation but not penetration. If I can keep my erection ejaculate.
* Gustavo, 21: I masturbate two or three times a day and have a good orgasm with ejaculation but I can not with a woman. Can I have children with this problem?
* Rudolph, 42: I was always ejaculatory early and now I pass the opposite end and I can not get a little burning in the penis. Is it something physical or psychological?
* Antonio, 51: Two or three months going problems with my wife and I fail to finish or linger long. I'm as exhausted
* Rosita, 53: My husband is 54 years old and can not ejaculate after 40 minutes of intercourse. This happens for a year and a half. I want to know if you have a solution.
* Claudio, 23: I have good erections and ejaculation can only oral sex.
* Dany, 35: I could never ejaculate except sleeping, what are called nocturnal emissions.
* Ariel, 21: Though I never masturbate to reach orgasm and the same thing happens in relationships. Is it organic or psychological?
This dysfunction before us differs in degree of difficulty. We see men that never end and with a woman; others who can manage by self-stimulation but not when they're with your partner, or if you get a not succeed with another. We see cases that have only ejaculate if "rubbing against the mattress if they masturbate but never touching her hand. For those who have never been able, under any circumstances, reach orgasm, we talk about primary anejaculation. When given in the context of marriage lead to what is called "coital-factor infertility.
Gustavo A concern that we question whether he can have children because of this, we answer that if he can ejaculate from masturbation and sperm are normal in quantity and quality, can make a woman pregnant by a sexological treatment for your problem partially absent ejaculation.
CAUSES Psychopathological
These are some of the most common psychiatric causes may be associated with ejaculatory disorders:
* Depression
* Anxiety disorders (GAD)
* Phobias
* Asthenia
* Sexual Aversion
* Obsessive personalities
* Obsessive Compulsive Disorder (OCD)
The man who suffers from this situation is experiencing a state of anxiety and demand that only manages to sharpen the picture. Is acutely aware of "whether to terminate or not" and this prevents him relax and enjoy the calm and pleasant way of loving encounter. Tend to be people with a high degree of control in almost all activities, costs them loose and get carried away with the pleasurable feelings in many cases with a high level of castration anxiety with phobic and avoidant behaviors. Thus, at the time of greatest joy after orgasm is thinking about achieving the goal "much desired" become stiff and tense, sweat and clench their jaws: so spend a pleasant situation to another struggling.
When intercourse becomes compulsory labor and orgasm an end in itself,
ceases to be something beautiful and desirable.
If you get an orgasm from masturbation or oral sex and not achieved the penetration is very likely that there is no organic cause. If, however, a patient who did not suffer any problem starts with these symptoms may be suspected, usually in people over 50 in any organic correlate such as advanced diabetes, major depression, spinal cord injuries, surgical procedures in the pelvis or abdomen, tumors, multiple sclerosis, Parkinson's, severe trauma, use of medications (especially psychotropic drugs, certain antidepressants, beta blockers-atenolol, propranolol, antiandrogens such as cyproterone or finasteride-of-use in prostatic disorders), alcoholism and abuse of toxic, hormonal problems (low testosterone and DHEA, elevated prolactin, etc.). But in all these cases are clear about the background and still imposes a clinical, urological, sexological and Neurological.
* Rodrigo, 21: The consultants because I think I have a habit that bothers me: since I started masturbating ejaculate just get placed face down rubbing my penis against the bed heavily. A year ago I started my sex and I have never been able to ejaculate. Does this have to do with the above?
In the clinic has been often seen that the habit of producing exclusively by rubbing ejaculation is often associated with delayed ejaculation or total lack of ejaculation. Here we add two points: a high obsessive control of pleasure with a serious difficulty in touching your genitals.
Orgasm and ejaculation
* Monica, 25: My husband ejaculate without orgasm, I want to know why and if you can help it.
* Ricardo, 68: I get to orgasm but not ejaculate, what's wrong?
* William, 43: Can there be ejaculation without erection?
* Beatriz, 38: How common is lack of ejaculation in cases of paraplegia?
* David, 56: I am under treatment from a psychiatrist and he gave me a new drug (three months) not remove semen at the end. That worries me.
Here we must know how to differentiate the so-called retarded ejaculation orgasm aneyaculatorio, where the individual feels he finishes but no semen comes out through the urethra. Some of these cases may be due to the so-called retrograde ejaculation where the seminal fluid going into the bladder, and then many times we found in the urine. The most common causes are resection of the prostate and the consumption of a psychoactive drug (thioridazine or Mellaril). Aneyaculatorio Orgasm may also be due to a lack of semen production or blocking the tubes that carry sperm from the testicles to the urethra, in this case does not appear in urine.
As noted above, Neurological, paraplegia in this case, can inhibit ejaculation.
There may be ejaculation without full erection and can also be given to "squeeze" the semen without the experience of orgasm. Dismissing cases spermatorrhoea (blast of semen) by inflammatory or infectious causes, we see those two situations in some early ejaculatory and erectile dysfunction. It is the anxiety which does not finish and orgasmic pleasure, and this occurs either because bale rushed avoid being down or distressed because they face a conflicting situation, as in the case of a patient, ejaculatory early, which Once you have the wrong path as he drove the car, got scared and ejaculated almost without realizing it. Or else that seeing a strong scene in a movie, without a erection or ejaculate orgasm experience.
Orgasmic delay is commonly observed in both sexes, by the use of certain antidepressants widely used by psychiatrists and clinicians.
POSSIBLE OUTPUTS
Of course the first thing that should be corrected or solve or alleviate the causes that gave rise to. But if it were psychogenic, or phobic obsessive personalities, with excessive emotional control, imposing specific therapies (therapies Sex short), sometimes associated with traditional psychotherapy, and medications-some of which may be associated-that increase the ejaculatory reflex:
* Testosterone and DHEA
* Yohimbine
* Damiana
* Caffeine
* Guarana
* Cyproheptadine
* Bromocriptine (when increased prolactin)
* Dopamine agonists (used in Parkinson's)
* Some antidepressants such as bupropion or Tianeptine
* Viagra (when associated with impotence)
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