How long ejacuation
However, if the retrograde ejaculation has been caused by significant muscle or nerve damage, treatment may not be possible. Men who want to have children can have sperm taken from their urine for use in artificial insemination or in-vitro fertilisation IVF.
If you're having problems with your sex life and are seeking treatment, it is usually recommended you involve your partner as much as possible. Communicating your concerns can often go a long way to helping to resolve them. And, in some cases, your partner may also have their own problems that are contributing towards problems with your sex life. For example, some women are unable to reach climax during "normal" intercourse and require manual or oral stimulation.
Read more about why talking about sex is important. Finding blood in your semen haematospermia can be alarming. However, in most cases it's not serious and will pass within a few days. The most likely cause is infection of your urethra urethritis or prostate prostatitis. See your GP or visit your local genito-urinary medicine GUM clinic if the symptoms persist, because the causes may be more serious.
Page last reviewed: 24 July Next review due: 24 July Ejaculation problems. Ejaculation problems are common sexual problems in men. The 3 main types of ejacualtion problems are: premature ejaculation delayed ejaculation retrograde ejaculation If you have a persistent problem with ejaculation, visit your GP, who will discuss the problem with you and may examine you or refer you to a specialist.
Premature ejaculation Premature ejaculation is the most common ejaculation problem. Causes of premature ejaculation Various psychological and physical factors can cause a man to suddenly experience premature ejaculation.
Common physical causes include: prostate problems thyroid problems — an overactive or underactive thyroid gland using recreational drugs Common psychological causes include: depression stress relationship problems anxiety about sexual performance particularly at the start of a new relationship, or when a man has had previous problems with sexual performance It's possible, but less common, for a man to have always experienced premature ejaculation since becoming sexually active.
A number of possible causes for this are: conditioning — it's possible that early sexual experiences can influence future sexual behaviour. For example, if a teenager conditions himself to ejaculate quickly to avoid being caught masturbating, it may later be difficult to break the habit a traumatic sexual experience from childhood — this can range from being caught masturbating to sexual abuse a strict upbringing and beliefs about sex biological reasons — some men may find their penis is extra sensitive Treating premature ejaculation There are a number of things you can try yourself before seeking medical help.
Measures you can try yourself It can sometimes help to: masturbate an hour or 2 before having sex use a thick condom to help decrease sensation take a deep breath to briefly shut down the ejaculatory reflex an automatic reflex of the body during which ejaculation occurs have sex with your partner on top to allow them to pull away when you are close to ejaculating take breaks during sex and think about something boring Couples therapy If you're in a long-term relationship, you may benefit from having couples therapy.
During these sessions, the therapist will: encourage couples to explore any relationship issues they have, and give them advice about resolving them show the couple techniques that can help you "unlearn" the habit of premature ejaculation the 2 most popular techniques are the "squeeze" and "stop-go" techniques In the squeeze technique, your partner masturbates you, but stops before the point of ejaculation and squeezes the head of your penis for between 10 to 20 seconds.
These techniques may sound simple, but they require lots of practice. SSRIs used for this purpose include: paroxetine sertraline fluoxetine Some men may experience an improvement as soon as treatment begins.
Side effects of SSRIs are usually mild and should improve after 2 to 3 weeks. They include: fatigue feeling sick and being sick diarrhoea excessive sweating Read more about the side effects of SSRIs. Common side effects include: headaches dizziness feeling sick Phosphodiesterase-5 inhibitors Phosphodiesterase-5 inhibitors, such as sildenafil sold as Viagra , are a class of medicine used to treat erectile dysfunction.
Topical anaesthetics and condoms The use of topical anaesthetics such as lidocaine or prilocaine can help but may be transferred and absorbed to the vagina, causing decreased sensation.
Delayed ejaculation Delayed ejaculation male orgasmic disorder is classed as either: experiencing a significant delay before ejaculation being unable to ejaculate at all, even though the man wants to and his erection is normal You may have delayed ejaculation if: you experience a repeated and unwanted delay before ejaculation lasting for 30 to 60 minutes you're unable to ejaculate at least half the times you have sex Causes of delayed ejaculation Like premature ejaculation, delayed ejaculation can be caused by psychological and physical factors.
Physical causes of delayed ejaculation include: diabetes usually only type 1 diabetes spinal cord injuries multiple sclerosis surgery to the bladder or prostate gland increasing age Many medicines are known to cause delayed ejaculation, including: antidepressants , particularly selective serotonin reuptake inhibitors SSRIs medicines to treat high blood pressure , such as beta-blockers antipsychotics , used to treat episodes of psychosis muscle relaxants such as baclofen, which is widely used to treat motor neurone disease and multiple sclerosis powerful painkillers , such as methadone which is also widely used to treat people addicted to heroin Delayed ejaculation can suddenly start to happen after previously having no problems, or less commonly the man may have always experienced it.
Treating delayed ejaculation Sex therapy Sex therapy is a form of counselling that uses a combination of psychotherapy and structured changes in your sex life. These may include: viewing erotic videos and magazines before having sex to increase the feeling of stimulation erotic fantasies and "sex games" to make your lovemaking more exciting using lubricating creams, or jellies, to make the physical act of sex more comfortable and relaxing using sexual aids, such as vibrators, to increase pleasure Read more information about what a sex therapist can do.
Switching medicine There are a number of medicines that can be used if it's thought SSRIs are responsible for causing delayed ejaculation. These include: amantadine — originally designed to treat viral infections buproprion — usually prescribed to help people quit smoking yohimbine — originally designed to treat erectile dysfunction These help block some of the chemical effects of SSRIs that may contribute towards delayed ejaculation.
Alcohol and drugs Alcohol misuse and drug use can be separate underlying causes of delayed ejaculation, so addressing these problems may help. Pseudoephedrine Pseudoephedrine tablets may be tried, but these will need to be prescribed "off-label". Retrograde ejaculation Retrograde ejaculation is a rarer type of ejaculation problem. The main symptoms of retrograde ejaculation include: producing no semen , or only a small amount, during ejaculation producing cloudy urine because of the semen in it when you first go to the toilet after having sex Men with retrograde ejaculation still experience the feeling of an orgasm and the condition does not pose a danger to health.
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