Ejaculation problems
Overview
Ejaculation problems are common sexual problems in men.
Causes
Various psychological and physical factors can cause a man to suddenly experience premature ejaculation. Common physical causes include: prostate problemsthyroid problems – anoveractive thyroidor anunderactive thyroidusing recreational drugs Common psychological causes may include: depressionstressrelationship problemsanxiety 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 for a man to have 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 habita previous traumatic sexual experience – this can range from being caught masturbating to sexual abusea strict upbringing and beliefs about sex Like premature ejaculation, delayed ejaculation can be caused by psychological and physical factors. Possible psychological causes of delayed ejaculation are similar to those of premature ejaculation – for example, relationship problems, stress or depression. Physical causes of delayed ejaculation include: diabetesspinal cord injuriesmultiple sclerosissurgery to the bladder or prostate glandincreasing age Many medicines are known to cause delayed ejaculation, including: antidepressants, particularly selective serotonin reuptake inhibitors (SSRIs)medicines to treat high blood pressure, such asbeta-blockersantipsychotics, used to treat episodes of psychosis Delayed ejaculation can suddenly start to happen after previously having no problems, or (less commonly) the man may have always experienced it. Retrograde ejaculation happens when the neck of the bladder does not close and semen passes into the bladder. Usually when you ejaculate, semen is pushed out of your urethra. It is prevented from entering your bladder by the muscles around the neck of the bladder, which close tightly at the moment of orgasm. However, damage to the surrounding muscles or nerves can stop the bladder neck closing, causing the semen to move into the bladder rather than up through the urethra. Causes of retrograde ejaculation includeprostate gland surgery, bladder surgery,diabetes,multiple sclerosis, and a class of medicines known as alpha blockers, which are often used to treat high blood pressure (hypertension).