Here are the common types of ejaculation disorders:
Men with premature ejaculation find that their ejaculations always or nearly always occur too rapidly within a minute or so of vaginal penetration. They have difficulty delaying this ejaculation in most instances of vaginal penetration. This causes them and their partners significant distress and frustration. It can then lead to avoidance of sexual intimacy.
Premature ejaculation can be classified as acquired or lifelong. Men can acquire the condition at some point in their life, such as after a significant event or change. It can also be a lifelong issue, where they struggle with having very short duration of vaginal penetrative sex from the first time they engage in penile-vaginal sex.
There are 2 types of delayed ejaculation, primary and secondary.
Primary delayed ejaculation applies to men who have always had difficulty ejaculating.
Secondary delayed ejaculation occurs in men who previously had no issues with intercourse but along the way developed this problem.
Delayed ejaculation can be caused by physical and psychological factors.
Physical factors include:
• Side effects from medications, especially antidepressants
• Alcohol and illicit drug use
• Nerve damage
• Pelvic injury
• Hormonal deficiencies like low testosterone
Psychological factors include:
• Mood disorders
• Relationship strains
• Performance anxiety
• Innate beliefs about sex – cultural or religious taboos
If couples define sex as the time period between penetration and ejaculation (also known as the latency period), then it might last just a few minutes when there is an issue of premature ejaculation. But if they include foreplay and other sexual activities such as massage and oral sex etc, the experience can last for a much longer period.
If the individuals are satisfied with the duration of vaginal penetrative sex, even if it lasts for just over a few minutes, then the couple does not have an issue as they are both satisfied with that duration of penetrative sex and it does not cause them distress or frustration.
However, in a couple setting where penetrative vaginal sex mostly occurs under a few minutes (eg 2-3 mins), and one or both partners are unsatisfied, bothered and negatively affected by this, then this can be classified as premature ejaculation.
It is helpful to have realistic expectations – typically, the normal time to ejaculation is between 5 to 7 mins.
Yes! Common drugs for erectile dysfunction like Cialis, Viagra and Levitra can actually alleviate some of the problems with premature ejaculation. As these drugs provide men with stronger vigour of erection, they also reduce what many men call ”performance anxiety”. Since anxiety is often a concern for men with premature ejaculation, a man using drugs like Viagra, Cialis and Levitra then find that not only are their erections stronger, they may also ‘last longer’.
Yes. Sometimes, it only occurs in specific circumstances, such as only with specific sex partners or it occurs with sexual intercourse with a partner but not with masturbation. A man who masturbates a certain way, with a specific intensity or speed that gets him off, might not reach that required threshold of stimulation during intercourse with a partner.
For some men who suffer from delayed ejaculation, ejaculation cannot be achieved at all. While this condition does not pose any serious medical risks, it can be a source of stress and may create problems in your sex life and personal relationships.
Dr Jessherin Sidhu
Affectionately known to her patients as Dr Jess, Dr Jessherin Sidhu adopts a holistic approach to patient care. She is a firm believer that relationships, sexuality and sexual behaviour are factors that have a significant impact on overall health.
With her sex-positive and health-focused approach, Dr Jess encourages safe and open discussions of sexual health issues that extend beyond just treating diseases.
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When I first saw Dr Jess for my issue, I was afraid and apprehensive. Moreover, I wasn't exactly keen in talking to a female doctor as I wasn't sure if she would judge me or be empathetic towards my case. I soon realised that I could not be more wrong. What made the difference was that she was extremely patient and took the time to listen to me, and would sort out every single one of my concerns. She conducts her clinical sessions with extreme professionalism and I always feel comfortable around her. The best part was that she was never judgemental, and never made me incur any unnecessary costs. There are many doctors out there, but most do not take the time to really hear their patients out. I would highly recommend her if you are on the fence about seeing a doctor for your condition, because Dr Jess is a medical practitioner who truly cares about her patients' well being!
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