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Ejaculation problems Page 1 of 2

What is ejaculation? Ejaculation is the release of from the at (sexual climax). When a man is sexually stimulated, the brain sends signals to the genital area through nerves in the to make the pelvic muscles contract. At orgasm, waves of muscle contractions transport the , with a small amount of fluid, from the testes through to the . The and contribute extra fluid to protect the sperm. This mixture of sperm and fluid (semen) travels along the to the tip of the penis where it is ejaculated (released). What are ejaculation problems? Men can experience different kinds of variety of causes, both physical and your local doctor (GP) is the best place ejaculation problems, including: psychological. Physical causes include to start to find out the cause of the • some illnesses such as diabetes, some problem and how it may be treated or • types of surgery or trauma, some types managed. The GP may refer you to a • (or no of inflammation or infection, certain specialist if needed. ejaculation) medicines, and chemical imbalances in What about partners? • painful ejaculation. the brain (neurobiological disorders). Psychological causes include stress, Talking to your partner can be helpful, How common are particularly if you are feeling anxious ejaculation problems? anxiety (such as anxiety about ‘sexual performance’), relationship difficulties about your ejaculation problem. When Premature ejaculation is the most and depression. For each type of seeking treatment, involving your common male sexual problem and ejaculation problem and for each partner is also a good idea. In some affects men of all ages. individual man there may be one or cases partners have their own sexual Premature ejaculation is more common more causes of an ejaculation problem. problems that may need to be managed. in younger men where it is known as What should I do if I have an RETROGRADE EJACULATION a neurobiological disorder. Ejaculation ejaculation problem? generally takes longer as men get older. What is retrograde ejaculation? Younger men may be less sexually If you have an ejaculation problem In men with retrograde ejaculation, the experienced or feel less secure with that is bothering you, a discussion with muscle at the opening of the bladder, the situation in which they are having and this may contribute to the premature ejaculation. What is the urethra? More details about premature The urethra is a tube that runs from the bladder to the end of the penis. It carries ejaculation can be found in a separate urine from the bladder to the outside of the body. In men, it also carries semen out Australia fact sheet. of the body. The other ejaculation problems are less The urethra is made up of two parts. The prostatic urethra is the part of the urethra common than premature ejaculation that runs from the bladder through the prostate. The penile urethra is the part of the but can also cause distress for the man urethra that runs through the penis. and his partner. A ring of muscle called the internal sphincter is located at the base of the bladder What causes ejaculation and when closed, it stops urine and semen leaving the body through the urethra problems? at the same time. At orgasm, this muscle ring closes tightly to stop sperm passing Ejaculation problems can have a backwards into the bladder. usually harmless usually and uncommon is ejaculationRetrograde A specialist can take sperm from from take sperm can specialist A fertility (IVF). 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 to men 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 permanent condition. or ejaculation atemporary may be retrograde Depending cause, the on ejaculation. retrograde cause also can enlargement prostate benign treat to and medicines pressure highfor blood medicines particular in medications, injury, 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 is uncommon with urine. the mixes semen the as cloudy looks sex urination after first penis duringthe ejaculation, and the from discharged is semen no or little back intobladder. the flows Therefore, semen properly not close does muscle normally. not When the close does entering bladder the during orgasm, from semen which stops usually Ejaculation problems Date reviewed: May 2018 May reviewed: Date MBBS MPM FAChSHM FECSM MichaelDr Lowy reviewerExpert The Male Clinic, Sydney The © Andrology Australia 2018 Australia © Andrology

What is ejaculation? delayed What DELAYED EJACULATION long-term individual therapy. or counselling mayneed this difficulty for reason medical unable to ejaculate when no is there being about Men who concerned are ejaculate,can’t but want ababy. to father ejaculation menin promote reflex who to stimulation used be of penis can the stimulation and electrical this side-effect. about men for who concerned are needed may be medication antidepressant of change A treated? ejaculation How is delayed uncommon. very is cause withanorgasmia medical no persistent relationshipby difficulties, While ejaculation caused delayed be can SSRIs). (specifically antidepressants of some side-effect documented ejaculationDelayed awell- is affected. is supply nerve when the region, pelvic to the injury and traumatic multiple sclerosis diabetes, injury, surgery, node major lymph cord spinal include causes Physical ejaculation? delayed causes What ejaculate. don’t they though even orgasm experience can men but some same, the thought to be and “ejaculation”“Orgasm” often are not ejaculate orgasm. a man does after when term anejaculationThe describes . including situations all in or intercourse, with happen at all. might This happen only not does or much longer than desired, that ejaculationso (and orgasm) takes to ejaculate inability the at will, describe ejaculationDelayed and the testes in asmall (biopsy). operation testes the from urine,the directly take or sperm 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 a qualified of services the seek to readers urges Australia Andrology 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 University Monash Medicine, Preventive and Health Public of School ejaculation following or during aresensations felt burning painful, when is ejaculation Painful ejaculation? painful causes What pleasure. sexual with interfere and in testes the discomfort cause can end condition ofthe penis). the The bladder to the (a that from runs tube anus and genitals) the and urethra the the perineumthe (the between area During ejaculation, felt in pain be can ejaculation. following felt are duringburning or sensations painful, when is ejaculation Painful ejaculation? is painful What EJACULATION PAINFUL 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 treatment might The appropriate. of pain the as and treat cause the assess should doctor treating The treated? ejaculation How is painful ejaculation. painful cause may prostatitis, as such structures, in ejaculation surrounding the or involved of organs the anor infection inflammation that causes condition Any

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