Male Impotence

continued from

Retarded Ejaculation

Retarded ejaculation is the inability of a man to ejaculate, despite having prolonged intercourse, adequate stimulation, and an intense desire to do so. This is an occasional occurrence in most men, especially when tired, but some males have never achieved ejaculation during sexual intercourse. Most affected men are able to ejaculate during masturbation.

Medical conditions such as diabetes, an enlarged prostate gland, previous prostate operation or certain drugs (e.g. water tablets, tricyclic antidepressants, treatment for high blood pressure) are sometimes at fault.

The commonest cause of ejaculatory failure, however, are psychological inhibitions such as in the case of:

• newlyweds sleeping next door to their parents

• discovering a spouse is unfaithful

• a recent condom break when pregnancy would have been disastrous

• having recently been interrupted during sex, such as by your children.

These episodes can trigger retarded ejaculation through a subconscious inhibition of the ejaculatory reflex. Make sure your surroundings are compatible with unstressful sex ­ that is, quiet, with no risk of interruption or being overheard, warm and comfortable. If problems persist you can be referred for psychotherapy, which will involve a structured program of sexual exercises as 'homework'.

Next: Erectile Dysfunction

Last updated: 10/05

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