Delayed ejaculation

Definition of delayed ejaculation

We speak of delayed ejaculation when - during masturbation, sexual intercourse or any other appreciable and adequate sexual stimulation - the ejaculatory reflex does not arise or occurs only after an excessively prolonged period of time.

Delayed ejaculation is a common disorder of the orgasmic phase, although less frequent than premature ejaculation: the delay of the ejaculatory act, therefore of the emission of sperm from the penis, results in a recurrent orgasmic postponement which, often, degenerates into a real anorgasmia (inability to reach the peak of pleasure).

Classification

There is no "single form of delayed ejaculation: the problem must" be distinguished according to the moment of appearance of the disorder (during the life of the subject) and according to the characteristics of the same; also the situation that has been created, and the degree of intensity of the same, represent two parameters useful for cataloging the different forms of ejaculatory delay.

Classification based on the time when the disorder occurs

Delayed ejaculation is divided into primary and secondary, based on the moment of life in which it occurs.primary", When delayed ejaculation appears from the very first sexual intercourse, and of"secondary”If the ejaculatory delay begins after an appreciable period of normal sexual activity.

Classification according to the situation created

If the situation is considered, "delayed ejaculation is defined as"situational"When it occurs occasionally, based on the" environment, partner and situation; instead, it is a matter of delayed ejaculation absolute when the man, during the sexual act or masturbation, is not able to reach orgasm when he wants it.

Classification according to the triggering causes

A "further classification of the disorder must" be carried out according to its characteristics: in this regard, we distinguish the "delayed ejaculation on an organic basis - the less frequent form, caused by the intake of certain drugs, neurological diseases or diabetes - by delayed ejaculation psychological, whose origin has its roots in the male psyche.

Classification based on the degree of intensity of the disturbance

The mild or moderate form of "delayed ejaculation" is divided into two further degrees:

Grade 1: the sexual act lasts for a long time and the man's coital thrusts are particularly energetic, in order to reach orgasm more quickly.
Grade 2: The man with delayed ejaculation cannot consume intercourse naturally, but manual mechanical stimulation is an effective alternative solution.

Both degrees of intensity are strongly conditioned both by psychological factors - especially related to work stress - and by organic causes.
The severe form of delayed ejaculation is generally related to neurological diseases or to the administration of serotonergic drugs, factors attributable to the "increase in the threshold beyond which ejaculatory mechanisms are triggered (thus prolonging the duration of sexual intercourse ). In this particularly delicate phase, the man finds himself in an unmanageable situation, since ejaculation is impossible in the presence of the female figure: the ejaculatory act can only occur through masturbation (grade 3). The most problematic phase occurs when the man is totally unable to ejaculate: in such situations it is a real anejaculation (grade 4).

Organic delayed ejaculation

As described above, delayed ejaculation of an organic nature is the least common form; however, the organic causes that cause it are multiple and heterogeneous.
Among the endocrine-mediated causes of an organic nature are mentioned diabetes and hypothyroidism.Parkinson's disease, neuropathies and multiple sclerosis, on the other hand, are among the neurological-organic causes, while operations at the pelvic, abdominal and perianal levels are the main factors of organic-surgical causes. Finally, the pharmacological specialties: among the most dangerous drugs from this point of view we remember neuroleptics, narcotics, cannabinoids and, above all, serotonergic and tricyclic antidepressants. Even alcohol, when taken in excessive quantities, could cause ejaculatory disorders.

Psychological delayed ejaculation

From many studies it has emerged that the human psyche has such a force that it also influences the body and its functions: even the excitatory impulses and the ejaculatory act are strongly plagiarized by the mind. can result from mental disorders, which often turn out to be unmotivated. It is not infrequent, in fact, that the ejaculatory delay is directly connected to mental conditions inherent, in particular, to the possibility / ability to remove inhibitory brakes during intercourse with the female partner.
Performance anxiety can also negatively affect sexual intercourse: commonly, this particular "anxiety" before intercourse is considered the main cause of premature ejaculation; however, few are aware that this particular preliminary anxious state may also be responsible for the opposite problem: ejaculatory delay.
Digging deeper into the depths of the male psyche, the mental reasons responsible for delayed ejaculation reflect the fragility of the male: for some, ejaculation corresponds to an anxious moment not so much for the act itself, rather for the act itself. "inability to control the body. In other words, orgasm is synonymous with loss of control and, paradoxically, some men feel helpless in the face of all this, precisely because they are no longer able to manage their sensations. For still others, the ejaculatory delay reflects an unconscious selfish act, almost as if the sperm emission represented the loss of a part of oneself.
In these last two conditions, ejaculation is unknowingly postponed in order to maintain strict control of one's actions and avoid "losing" or "giving" a part of oneself.