Ejaculatory dysfunction occurs when a person features a problem properly ejaculating his semen, either ejaculating timely , too late, back to his own bladder or not in the least . These situations may result in poor sexual satisfaction by the person and his partner, ineffective reproduction and emotional trauma.
Ejaculation disorders, also called aspermia, are often caused by a drag at birth (primary) or by acquired dysfunctions (secondary) after birth (often much later in life), like disease, injury and adverse drug reactions. The four sorts of ejaculation dysfunction are ejaculation , delayed ejaculation, retrograde ejaculation and anejaculation.
Normal ejaculation involves an emission step, when semen is positioned within the penis near the prostate, and an ejaculation step, when the semen is forcefully expulsed from the penis.
Ejaculation occurs at orgasm , or the expulsion of the sperm. Climax is different from an orgasm, which is centered within the brain and related to ejaculation.
The mechanics of ejaculation are almost like a sneeze: both are reflexes with some extent of no return. The average time from sexual penetration by the male to ejaculation is nine minutes.
Evaluation of ejaculatory dysfunction
Asking a patient about his personal history is usually the primary step a physician takes in diagnosing and evaluating ejaculatory dysfunctions. This can reveal if the matter has always been present, which can indicate if it's thanks to a congenital anomaly or to an acquired condition.
Elements of evaluation include:
Ø Physical exam of the genitalia and testicles for structural problems
Ø Semen sample for evaluation of sperm presence and health
Ø Post-ejaculate urine sample if no ejaculate was produced
Ø Hormonal testing
Ø Transrectal ultrasound (TRUS) to look for structural problems.
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