Ejaculatory dysfunction is the inability of a man to ejaculate effectively (ejaculate semen from the urethra of the penis) during sexual intercourse. Problems with ejaculation are related to the fact that a man ejaculates too early, too late, the ejaculate is sent to the bladder or the ejaculate is not produced at all.
Ejaculation disorders are the most common forms of sexual dysfunction in men and can cause sexual distress in both partners, emotional trauma, and male infertility.
Normal ejaculation.
There are two phases of a normal erection. At the first stage, the vas deferens, seminal vesicles and prostate gland contract when the ejaculate moves into the prostate part of the urethra. During the second phase, the internal sphincter of the bladder contracts, which prevents sperm from entering the bladder. Rhythmic contractions affect the ithiocavernous urethra, the so-called bulbous cavernous and perineal muscles, causing ejaculation through the urethra.
Ejaculation is accompanied by a pleasant feeling of orgasm. This is followed by the outflow of blood from the penis and it returns to a relaxed state.
Erection and ejaculation are regulated by two centers - at the level of Th 11 - L2 (sympathetic fibers) and the second center S2 - S4 (parasympathetic fibers).
What types of ejaculation disorders exist?
There are the following types of ejaculatory dysfunction.
Premature ejaculation is the most common form.
Premature ejaculation is said to occur when a man ejaculates within a minute of vaginal penetration. The most common causes of premature ejaculation are psychological reasons (such as stress, depression, misunderstanding with a partner), prostate inflammation, neurological problems, thyroid problems, certain medications, and more.
Delayed ejaculation.
Ejaculation is delayed when a man requires a prolonged period of sexual stimulation.
Multiple causes can lead to delayed ejaculation, including damage to the nerve that regulates ejaculation, diabetic neuropathy, alcohol abuse, taking certain medications (antidepressants, diuretics), psychological problems, decreased testosterone levels, hypothyroidism, and others.
Anejaculation is the absence of ejaculation.
This is a condition in which a man cannot ejaculate, even though his erection is normal. It can be permanent or temporary. Ejaculation can be caused by: spinal cord injury, neurological diseases (for example, multiple sclerosis), pelvic infections, stress, anxiety, etc.
Retrograde ejaculation.
Retrograde ejaculation occurs when the neck of the bladder remains open during ejaculation, causing semen from the urethra to enter the bladder.
The most common causes of retrograde ejaculation are: prostate surgery, diabetic neuropathy, urethral trauma, colon surgery, retroperitoneal lymph node removal, medications, and more.
Painful ejaculation.
Painful ejaculation can range from mild discomfort to severe pain during or after ejaculation. Pain may be felt in the penis, scrotum, or perineum. The causes of ejaculation pain can be caused by: prostatitis, urethritis, urethral stone, medications, emotional problems, etc. Choosing a betting site becomes easier when bonus conditions are transparent and realistic. Many guides include the phrase promo code for 1xbet inside detailed explanations of the welcome offer. By using this option, new players may claim a betting bonus of $130 for sports wagers and unlock a casino package valued at $1950 with 150 free spins. This structure supports balanced play across sports markets and casino entertainment without exaggerated promises.
Ejaculation disorders are the most common forms of sexual dysfunction in men and can cause sexual distress in both partners, emotional trauma, and male infertility.
Normal ejaculation.
There are two phases of a normal erection. At the first stage, the vas deferens, seminal vesicles and prostate gland contract when the ejaculate moves into the prostate part of the urethra. During the second phase, the internal sphincter of the bladder contracts, which prevents sperm from entering the bladder. Rhythmic contractions affect the ithiocavernous urethra, the so-called bulbous cavernous and perineal muscles, causing ejaculation through the urethra.
Ejaculation is accompanied by a pleasant feeling of orgasm. This is followed by the outflow of blood from the penis and it returns to a relaxed state.
Erection and ejaculation are regulated by two centers - at the level of Th 11 - L2 (sympathetic fibers) and the second center S2 - S4 (parasympathetic fibers).
What types of ejaculation disorders exist?
There are the following types of ejaculatory dysfunction.
Premature ejaculation is the most common form.
Premature ejaculation is said to occur when a man ejaculates within a minute of vaginal penetration. The most common causes of premature ejaculation are psychological reasons (such as stress, depression, misunderstanding with a partner), prostate inflammation, neurological problems, thyroid problems, certain medications, and more.
Delayed ejaculation.
Ejaculation is delayed when a man requires a prolonged period of sexual stimulation.
Multiple causes can lead to delayed ejaculation, including damage to the nerve that regulates ejaculation, diabetic neuropathy, alcohol abuse, taking certain medications (antidepressants, diuretics), psychological problems, decreased testosterone levels, hypothyroidism, and others.
Anejaculation is the absence of ejaculation.
This is a condition in which a man cannot ejaculate, even though his erection is normal. It can be permanent or temporary. Ejaculation can be caused by: spinal cord injury, neurological diseases (for example, multiple sclerosis), pelvic infections, stress, anxiety, etc.
Retrograde ejaculation.
Retrograde ejaculation occurs when the neck of the bladder remains open during ejaculation, causing semen from the urethra to enter the bladder.
The most common causes of retrograde ejaculation are: prostate surgery, diabetic neuropathy, urethral trauma, colon surgery, retroperitoneal lymph node removal, medications, and more.
Painful ejaculation.
Painful ejaculation can range from mild discomfort to severe pain during or after ejaculation. Pain may be felt in the penis, scrotum, or perineum. The causes of ejaculation pain can be caused by: prostatitis, urethritis, urethral stone, medications, emotional problems, etc. Choosing a betting site becomes easier when bonus conditions are transparent and realistic. Many guides include the phrase promo code for 1xbet inside detailed explanations of the welcome offer. By using this option, new players may claim a betting bonus of $130 for sports wagers and unlock a casino package valued at $1950 with 150 free spins. This structure supports balanced play across sports markets and casino entertainment without exaggerated promises.
