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Consultation Specialized in Ejaculation Disorders

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According to the best sexologist in Delhi, 43% of Indian men have premature ejaculation at some point in their lives. Furthermore, it is an underdiagnosed problem and, as a consequence, not treated.

To solve these problems, at sexologist clinic in Delhi, we have prepared a Specialized Consultation on Ejaculation Disorders for the diagnosis of this pathology and its treatment. We diagnose the problem and approach it in a rigorous way. Call us at 9999925201 and make an appointment. Begin to fully enjoy your sex life.

What does specialized consultation include?

  • Interview with the sexologist doctor in Delhi.
  • Physical exploration.
  • Prescription of the most appropriate treatment in each case.

What are ejaculation disorders?

The male ejaculation is the expulsion of sperm through the urethra of the male when it is exposed to sexual stimuli. When there is an alteration of this ejaculation process it is called ejaculation disorder. This type of sexual dysfunction is the most common among men and, in fact, occurs frequently among men of different ages.

The ejaculation process is usually characterized by the expulsion of sperm in a duration of between 15 and 20 seconds and after a certain period of time, although the latter is relative. Another of the main characteristics of these disorders is the influence they exert on the quality of life of the patients since it usually causes psychological and emotional problems.

Although there are various ejaculation disorders, the most frequent and common are mainly three: premature ejaculation, retrograde ejaculation and delayed ejaculation. Sometimes anejaculation can also occur, that is, the absence of ejaculation.

What types of ejaculation disorders are there?

There are mainly three types of male ejaculation disorders:

  • Premature ejaculation. This type of ejaculation disorder is the most common. It consists of the lack of control over the ejaculation process causing it to occur earlier than desired. Normally, the time scale used to define this condition is to ejaculate between 30 seconds and three minutes from the start of the sexual encounter. In most cases, this problem usually has a psychological origin, although it can also occur due to physiological causes such as infections, hormonal imbalances or neurological problems.
  • Delayed ejaculation. Contrary to the previous one, this condition is characterized by obtaining ejaculation much later than expected or desired. Sometimes it can even lead to anejaculation or absence of ejaculation. This type of condition does not normally occur during masturbation, so it most often comes from psychological causes. However, it can also be due to medical causes such as neurological disorders or the consumption of certain substances.
  • Retrograde ejaculation. This disorder is characterized by a reverse expulsion of the sperm, that is, instead of being expelled through the urethra, the sperm is expelled towards the bladder. Retrograde ejaculation is usually due to a defect in the bladder neck that sometimes contracts and can cause semen to go to the area of ​​lower pressure. This type of condition usually has neurological disorders, previous prostate surgery, and even on very rare occasions, the consumption of drugs such as tamsulosin or risperidone.

How is this pathology diagnosed?

The diagnosis of ejaculation disorders is based primarily on the consultation with the patient by sexologist in Delhi. In this consultation, the patient must provide the sexologist in Delhi with his complete medical history. Through it and in conjunction with the interview, the specialist will be able to determine if the patient suffers from said ejaculation disorder always or only on certain occasions. This is especially important when there is a difference between the appearance of the disorder when sexual intercourse occurs or when masturbation occurs.

If the alteration in the ejaculatory process occurs only during sexual intercourse and does not occur during masturbation, then it is very likely that the cause is psychological and not physiological, in which case the sexologist in Delhi refers the patient to the consultation of the sexologist psychologist. On the other hand, in the event that the disorder occurs, both in the case of having sex and masturbating, the sexologist in Delhi will carry out a physical examination of the patient in search of a physiological and clinical cause that causes it.

After a physical examination, the sex doctor in Delhi may consider it appropriate to carry out certain diagnostic tests to determine the existence of said pathology. These can be varied from analysis to a urine analysis or a sperm analysis, among others.

What is the treatment of ejaculation disorders?

The premature ejaculation treatment in Delhi varies greatly depending on the type of condition and, above all, what is its cause. If it is determined that the cause is emotional or psychological, the patient is referred to the sexologist in Delhi who will help him solve his problem through his consultations.

However, if the cause is physiological, its treatment will depend on the disorder and the physiological cause. Thus, for premature ejaculation, the use of anaesthetic lubricants is often indicated to delay ejaculation. In addition, the consumption of medications such as some antidepressants that have been shown to prolong the time of ejaculation such as paroxetine, fluoxetine or sertraline, is also usually indicated.

In the case of delayed ejaculation, as most of the time, these are psychological causes, psychological therapy is usually indicated to solve it. Finally, regarding retrograde ejaculation, although improvements have been seen with the consumption of medications such as pseudoephedrine or imipramine, there is currently no definitive treatment to treat this condition.

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EARLY EJACULATION

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Premature Ejaculation, also called Premature or Rapid, is a sexual dysfunction that affects an average of 1 in 5 male individuals. It is also the least diagnosed and treated sexual dysfunction (only about 9% of people with premature ejaculation seek help).

What is?

Contrary to what many people think, this is not just a problem for inexperienced young people. Premature ejaculation can affect older men who have never suffered from it. It often becomes the subject of jokes and ridicule, making it difficult to seek help.

It can be explained as the inability of a man to delay orgasm and ejaculation (in slang, “turn around”) so that both involved can enjoy a satisfying sexual experience (without other sexual problems that can cause sexual intercourse).

How is it defined?

It is a sensation experienced by men that the period of time from penetration to ejaculation is too short, that they are unable to have control over their ejaculation. It is associated with concern and / or suffering on the part of those who suffer from it.

Conventionally, the sexologist in Delhi defines the problem for ejaculations that occur within 1 to 2 minutes after penetration, or before. However, there is no duration of the sexual act until ejaculating is said to be normal, it is important to note that the time to ejaculate may vary from person to person and according to situations or stages of life.

More time is not always better!

Television and films do not help when portraying sexual scenes in which very good looking (typically heterosexual) couples maintain sexual intercourse uninterruptedly for a considerable period of time, while the man maintains a very confident air and the woman achieves multiple orgasms.

In real life, things are not like that! The average duration of the sexual act (from penetration to orgasm) averages around 5 minutes, although it can vary considerably.

As long as the act is satisfactory to both partners, time should not be seen as a problem. Thirty seconds of intense excitement and intimacy is better than 10 minutes of routine and boredom!

Although pharmacological treatment exists, the first approach should include non-pharmacological measures:

Learn how to control your anxiety:

This is often related to reduced frequency or sexual experience, to fears associated with sex and to false expectations of failure that are created.

Do not focus on the duration of the sexual act:

Men with premature ejaculation focus their attention on the time of the sexual act and assume that the partner has the same focus, forgetting that he may not have the same concern and be more interested in other aspects of the relationship (kissing, touching, grab, hug, foreplay).

Some techniques you can apply:

1. Practice relaxation techniques (like yoga);

2. During the act, abstract yourself with non-sexual and non-stimulating thoughts;

3. Choose positions that put less pressure on the genitals (avoid the missionary position, for example);

4. Apply the “stop and start” technique: asking to stop sexual contact at a stage immediately prior to the climax stage (when there is no possibility of going back, and to which ejaculation follows), allowing your level of arousal decreases slightly (say, for half a minute), then resumes and repeats the process of stopping when you feel you are approaching the ejaculation point again;

5. “Compression” technique: consists of compressing firmly and for about 10 seconds the base of the glans penis using the middle, index and thumb fingers. It must be applied immediately before ejaculation and after any stimulation of the penis has ceased, thus reducing the reflex response of ejaculation, and can after restarting stimulation and repeat the process if necessary;

6. Masturbate before intercourse: about one to two hours beforehand, which will allow you to reduce levels of excitability and lengthen the time of ejaculatory inevitability;

7. Use a condom: giving preference to those that have retardant properties by reducing the penile sensitivity they cause.

Through these techniques you will acquire the ability to identify your average arousal interval, going through a series of gradual exercises that begin with self-stimulation, proceeding to manual stimulation by the partner, genital contact without movement and, finally, contact with the movement. This process gradually increases the ejaculation latency time, sexual confidence and self-esteem.

Involve the sexual partner in the treatment:

Individuals with premature ejaculation have shown greater difficulties in relating to others, than healthy individuals.

If you are in a relationship, including the partner in the treatment process may be important, but not mandatory, for the success of the treatment. However, it is known that it increases the effectiveness of the treatment and improves not only the couple’s sexual intercourse but also other aspects of the relationship.

You should talk about what you like and dislike about the relationship and not try to make him guess. You should also ask him about his tastes.

Psychotherapy and other psychological interventions:

They can be addressed only to the individual or the couple and have two main objectives. The first is to help develop the ability to delay ejaculation, increase self-confidence in sexual performance, decrease performance anxiety and broaden roles in sexual intercourse. The second focuses on solving psychological and interpersonal problems, of the individual, partner or couple, which may be precipitating factors, maintenance or caused by premature ejaculation.

Among the identified factors, we can have factors associated with the patient (performance anxiety and self-confidence); associated with partner (sexual dysfunction of partner; associated with the couple (conflict or lack of communication); associated with sexual intercourse (roles in the relationship, sexual satisfaction); environmental factors (stress events related to daily life).

In general, these are effective and sufficient interventions, in a good part of the cases, which seek to achieve an improvement in individual self-confidence and self-esteem, as well as an improvement in the couple’s communication.