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Ejaculation problems Page 1 of 2

What is ? Ejaculation is the release of semen from the at (sexual climax). When a man is sexually stimulated, the brain sends signals to the genital area through nerves in the spinal cord to make the pelvic muscles contract. At orgasm, waves of muscle contractions transport the sperm, with a small amount of fluid, from the testes through to the vas deferens. The seminal vesicles and contribute extra fluid to protect the sperm. This mixture of sperm and fluid (semen) travels along the urethra to the tip of the penis where it is ejaculated (released). What are ejaculation problems? Men can experience different kinds of and certain medicines. Psychological What about partners? ejaculation problems, including: causes include , anxiety (such as Talking to your partner can be helpful, • anxiety about ‘sexual performance’), particularly if you are feeling anxious • relationship difficulties and . about your ejaculation problem. When • delayed ejaculation (or no For each type of ejaculation problem seeking treatment, involving your ejaculation) and for each individual man there partner is also a good idea. In some • painful ejaculation. may be one or more causes of an cases partners have their own sexual How common are ejaculation problem. problems that may need to be managed. ejaculation problems? What should I do if I have an Premature ejaculation is the most ejaculation problem? RETROGRADE EJACULATION What is retrograde ejaculation? common male sexual problem and If you have an ejaculation problem affects men of all ages. Premature that is bothering you, a discussion with In men with retrograde ejaculation, the ejaculation happens when a man your local doctor (GP) is the best place muscle at the opening of the bladder, is unable to control the timing of to start to find out the cause of the which usually stops semen from ejaculation, and ejaculates before he problem and how it may be treated or entering the bladder during orgasm, and/or his partner feels ready for this to managed. The GP may refer you to a does not close normally. When the happen, and this causes distress. specialist if needed. muscle does not close properly semen More details about premature flows back into the bladder. ejaculation can be found in a separate Australia fact sheet. The other ejaculation problems are less What is the urethra? common than premature ejaculation The urethra is a tube that runs from the bladder to the end of the penis. It carries but can also cause distress for the man urine from the bladder to the outside of the body. In men, it also carries semen out and his partner. of the body. What causes ejaculation The urethra is made up of two parts. The prostatic urethra is the part of the urethra problems? that runs from the bladder through the prostate. The penile urethra is the part of the Ejaculation problems can have a urethra that runs through the penis. variety of causes, both physical and A ring of muscle called the internal sphincter is located at the base of the bladder psychological. Physical causes include and when closed, it stops urine and semen leaving the body through the urethra some illnesses such as diabetes, some at the same time. At orgasm, this muscle ring closes tightly to stop sperm passing types of or trauma, some backwards into the bladder. types of inflammation or infection, usually harmless usually and uncommon is ejaculationRetrograde the testes in asmall (biopsy). operation testes the from urine,the directly take or sperm from take sperm can specialist A fertility (IVF). fertilisation in as vitro such procedures reproduction in assisted use in for other ways collected to be may need men wishing to have afamily,For sperm naturally.have ababy ejaculation mento for with retrograde However, problems. difficult it is serious not cause that is it does message important The treatment. notdo need ejaculation men with retrograde Most treated? ejaculation How is retrograde or permanent a temporary be condition. ejaculation may retrograde cause, the ejaculation. Depending on retrograde cause also can pressure, highfor blood medicines particular in , , spinal and cord some sclerosis, multiple of bladder. the neck Diabetes, the or prostate to the surgery after ejaculation happen can Retrograde ejaculation? retrograde causes What and harmless. usually ejaculationRetrograde isuncommon urine. the with mixes semen the as cloudy looks sex urination ejaculation, andafter first the penis during the from discharged is semen no or little Therefore, Ejaculation problems © Andrology Australia 2015 Australia © Andrology 2015 January reviewed: Date Sydney Health, Men’s Sydney MBBS MPM FAChSHM MichaelDr Lowy reviewerExpert to ejaculate inability the at describe ejaculationDelayed and is delayed ejaculation? What DELAYED EJACULATION

happen only with intercourse, or in or happen with only intercourse, not happen at all. mightdoes This or much longer than desired, takes will, that ejaculation so (and orgasm) PAINFUL EJACULATION PAINFUL long-term individual therapy. or counselling mayneed this difficulty for reason medical unable to ejaculate when no is there being about Men who areconcerned ejaculate,can’t but want ababy. to father ejaculation menin promote reflex who to stimulation used be of penis can the stimulationVibrator and electrical this side-effect. about men for who areconcerned needed may be antidepressant of change A treated? ejaculation How is delayed uncommon. very is cause with anorgasmia medical no persistent relationship by difficulties, caused While ejaculation delayed be can SSRIs). (specifically antidepressants of some side-effect documented ejaculationDelayed awell is affected. is supply when nerve the region, pelvic traumatic to the injury and multiple sclerosis diabetes, injury, surgery, node major lymph include spinal cord causes Physical delayed ejaculation? causes What ejaculate. don’t they though even orgasm experience can men but some same, the thought to be and “ejaculation”“Orgasm” areoften not ejaculate orgasm. a man does after when term anejaculationThe describes (self-stimulation). including situations all following ejaculation. following arefelt duringburning or sensations painful, when is ejaculation Painful ejaculation? is painful What It is not intended to take the place of a clinical diagnosis or proper medical advice from a fully qualified health professional. health qualified afully from advice medical proper or diagnosis aclinical of place the take to intended not is It Andrology Australia urges readers to seek the services of a qualified medical practitioner for any personal health concerns. health personal any for practitioner medical aqualified of services the seek to readers urges Australia Andrology Andrology Australia is an initiative funded by the Australian Government Department of Health of Department Government Australian the by funded initiative an is Australia Andrology The information in this fact sheet has been provided for educational purposes only. only. purposes educational for provided been has sheet fact this in information The c/o School of Public Health and Preventive Medicine, Monash University Monash Medicine, Preventive and Health Public of School c/o ejaculation following or during sensations are felt burning painful, when is ejaculation Painful ejaculation. painful cause may prostatitis, as such structures, in ejaculation surrounding the or ofinvolved organs the anor infection inflammation that causes condition Any ejaculation? painful causes What pleasure. sexual with interfere and in testes the discomfort cause can end condition the of penis). the The bladder to the (a that runsfrom tube anus and genitals) the and urethra the the perineumthe (the between area During ejaculation, felt in pain be can website for the full range of fact sheets. full of the for range fact website ’. and ‘Low our See dysfunction’ ejaculation’,‘Premature ‘Erectile including problems otheron sexual sheets fact has Australia Andrology problems?about other sexual Ifindinformation can Where investigations. complex (urologist) more for to aspecialist it or might referral infection, need of antibiotics for acourse be treatmentmightappropriate. The of pain the as and treat cause the assess should doctor treating The treated? ejaculation How is painful

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