Ejaculation and orgasmic disorder is a broad topic. It’s important to understand that there’s a difference between ejaculation disorders and orgasmic disorders. Ejaculation disorders involve problems with the physical process of ejaculation, while orgasmic disorders involve problems with achieving orgasm.
First, let’s establish that orgasmic disorders refer to problems with reaching orgasm, not with the physical process of ejaculation.
Types of orgasmic disorder
There are two main types of orgasmic disorders: primary anorgasmia and secondary anorgasmia. Primary anorgasmia is when a person has never experienced an orgasm, while secondary anorgasmia is when a person has had orgasms before, but is now having trouble reaching orgasm.
Primary anorgasmia
Primary anorgasmia is relatively uncommon, affecting less than 1% of people. It’s more common in women, but it can also affect men. There are a variety of possible causes, including psychological factors, medical conditions, and side effects of certain medications.
Secondary anorgasmia
This is more common, affecting about 10% of people. It can be caused by physical or psychological factors, and it can develop at any time in a person’s life.
Physical causes of secondary anorgasmia
One possible cause is nerve damage, which can occur as a result of surgeries or injuries. Some health conditions, like diabetes and multiple sclerosis, can also cause nerve damage that can lead to secondary anorgasmia. Another physical cause is hormonal imbalances, which can occur as a result of certain medications or medical conditions.
Psychological causes of secondary anorgasmia
One possible cause is anxiety or stress, which can interfere with a person’s ability to relax and enjoy sexual activity. Another psychological cause is depression, which can lead to a loss of interest in sex or difficulty reaching orgasm. Some people also experience sexual problems as a result of past sexual trauma or abuse.
Treatment options for orgasmic disorders
For primary anorgasmia
Since it’s less common than secondary anorgasmia. Treatment usually involves identifying and addressing the underlying causes. For example, if a medication is causing the problem, a doctor may recommend switching to a different medication. If the cause is psychological, therapy or counseling may be recommended.
For secondary anorgasmia
Like primary anorgasmia, treatment usually involves addressing the underlying causes. But there are also some specific treatments that can help with this condition. One example is sensate focus therapy, which involves couples touching each other in a non-sexual way to improve intimacy and communication.
Types of ejaculation disorder
The following are some of the types of ejaculation disorder
Premature ejaculation
To define the term first, premature ejaculation is when a man ejaculates sooner than he or his partner would like. This can be distressing for both partners, and it can have a negative impact on relationships. It’s typically diagnosed when the man ejaculates within 1 minute of starting sexual activity. It’s estimated that premature ejaculation affects about 1 in 3 men at some point in their lives. The cause can be physical, psychological, or a combination of both.
Possible physical causes of premature ejaculation
One of the most common is an imbalance of certain brain chemicals, like serotonin. Another is inflammation of the prostate gland. Another possible physical cause is an imbalance of certain hormones, like testosterone. I can go into more detail on any of these if you like, or move on to the psychological causes.
Delayed ejaculation
This is when a man has trouble reaching orgasm and ejaculating, even though he’s aroused and has sufficient stimulation. This is different from premature ejaculation, which is when a man ejaculates too quickly. Delayed ejaculation can be caused by either physical or psychological factors, just like premature ejaculation.
Retrograde ejaculation
This means that during orgasm, a man’s semen goes into his bladder instead of coming out of his penis. This is a rare condition, but it can be caused by certain medical conditions, like diabetes, as well as certain medications and surgeries. It’s also possible for retrograde ejaculation to occur without any underlying cause. This condition can be frustrating, and it can also cause fertility problems.
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