Ejaculation Disorders in Men
Who Is Affected by Sexual Problems?
Both men and women are affected by sexual problems. Sexual problems occur in adults of all ages. Among those commonly affected are the elderly, which may be related to a decline in health associated with aging.
How Do Sexual Problems Affect Men?
The most common sexual problems in men are ejaculation disorders, erectile dysfunction, and inhibited sexual desire.
What Are Ejaculation Disorders?
There are different types of ejaculation disorders, including:
Premature ejaculation -- This refers to ejaculation that occurs before or soon after penetration, usually 30-60 seconds after penetration. Three minutes or longer is considered normal.
Inhibited or retarded ejaculation -- This is when ejaculation is slow to occur.
Retrograde ejaculation -- This occurs when, at orgasm, the ejaculate is forced back into the bladder rather than through the urethra and out the end of the penis.
In some cases, premature and inhibited ejaculation are caused by a lack of attraction for a partner, past traumatic events, and even psychological factors, including a strict religious background that causes the person to view sex as sinful. Premature ejaculation, the most common form of sexual dysfunction in men, often is due to nervousness over how well he will perform during sex. Certain drugs, including some antidepressants, may affect ejaculation. This generally does not require treatment unless it impairs fertility.
Retrograde ejaculation is common in males with diabetes who suffer from diabetic neuropathy (nerve damage). This is due to problems with the nerves in the bladder and the bladder neck that allow the ejaculate to flow backward and into the bladder. In other men, retrograde ejaculation occurs after operations on the bladder neck or prostate, or after certain abdominal operations. Nerve damage to the spinal cord or back can also affect ejaculation.