Delayed ejaculation: what is it and what causes it?
Delayed ejaculation is a common disorder of the orgasmic phase, although less frequent than premature ejaculation: the delay of the ejaculatory act, therefore of the emission of sperm from the penis, results in a recurrent orgasmic referral that, often, degenerates in a real anorgasmia (inability to reach the pinnacle of pleasure).
There is no single form of delayed ejaculation: the problem must be distinguished according to the moment of appearance of the disorder (during the life of the subject) and according to the characteristics of the same; also the situation that has been created, and the degree of intensity of the same, represent two useful parameters for cataloging the different forms of ejaculatory delay.
The severe form of delayed ejaculation is generally related to neurological diseases or to the administration of serotonergic drugs, factors attributable to the increase in the threshold beyond which the ejaculatory mechanisms are triggered (thus prolonging the duration of sexual intercourse). In this particularly delicate phase, the man is in an unmanageable situation, since in the presence of the female figure ejaculation is impossible: the ejaculatory act can only take place through masturbation. The most problematic phase occurs when the man is totally unable to ejaculate: in such situations it is a real anejaculation.
Organic delayed ejaculation
As described above, delayed ejaculation of an organic nature represents the least common form; however, the organic causes that cause it are manifold and heterogeneous.
Among the organic endocrine-mediated causes are diabetes and hypothyroidism. Parkinson’s disease, neuropathies and multiple sclerosis, on the other hand, are among the neurological-organic causes, while pelvic, abdominal and perianal operations are the main factors of the surgical-organic causes. Finally, the pharmacological specialties: among the most dangerous drugs from this point of view we mention neuroleptics, narcotics, cannabinoids and, above all, serotonergic and tricyclic antidepressants. Even alcohol, when taken in excessive quantities, could generate ejaculatory disorders.
Delayed ejaculation of a psychological type
From many studies it has emerged that the human psyche has such a force that it also affects the body and its functions: also the excitatory impulses and the ejaculatory act are strongly plagiarized by the mind. Strictly speaking, it is clear that delayed ejaculation can also result in mental disorders, which often prove unmotivated. It is not uncommon, in fact, that the ejaculatory delay is directly connected to mental conditions inherent, in particular, to the possibility / ability to release the inhibitory brakes during the embrace with the female partner.
Performance anxiety can also adversely affect sexual intercourse: commonly, this particular “anxiety” before intercourse is believed to be the main cause of premature ejaculation; however, few are aware that this particular anxious preliminary state can also be responsible for the opposite problem: ejaculatory delay.
Digging deeper into the male psyche, the mental motives responsible for delayed ejaculation reflect the fragility of the male: for some, ejaculation corresponds to an anxious moment not so much for the act itself, rather for the impossibility of controlling the body. In other words, orgasm is synonymous with loss of control and, paradoxically, some men feel powerless in the face of all this, precisely because they are no longer able to manage their feelings. For still others, the ejaculatory delay reflects an unconscious selfish act, almost as if the emission of sperm represented the loss of a part of oneself.
In these last two conditions, ejaculation is unknowingly postponed in order to maintain strict control of one’s actions and avoid “losing” or “giving” a part of oneself.
ED drugs and delayed ejaculation
For the ejaculation delay caused by organic reasons, oral drugs can be used. It was proven over the course of a research that the use of Cialis (tadalafil) improves the condition. Cialis is available in form of daily doses for chronic use; unlike its nondaily equivalent, the pill containing tadalafil 2.5mg or tadalafil 5mg can be used without major side effects at bedtime for a course of 12 weeks or longer. This period of time was estimated to have a meaningful result in men affected by anorgasmia or retarded ejaculation over the course of studies.
