Ejaculation Problems: Too Fast, Too Slow or Not at All?
Ejaculation Problems: Too Fast, Too Slow, or Not at All?
For men, erectile dysfunction and ejaculatory problems are the most common sexual difficulties. With the introduction of Viagra, however, problems of erectile dysfunction are much less frequent and more easily treated. In contrast, ejaculatory problems continue to be commonplace among men and often create feelings of shame and embarrassment for those men who struggle with this difficulty.
When does an ejaculation problem become a disorder?
This is a subjective question and is based on the level of distress that is experienced by the man or his partner. The time from initiating sexual activity to ejaculation varies from one individual to another. This time period is called the ejaculatory latency. What may be a problem for one man may be acceptable to another. Typically, ejaculatory disorders fall into two categories.
These are delayed ejaculation and early ejaculation. This column will explore some of the psychological factors and treatment options related to these two distinct male dysfunctions.
DELAYED EJACULATION
The psychological definition of delayed ejaculation refers to the inability to have an ejaculation during sexual intercourse. Interestingly enough, ejaculatory issues are rarely defined as a dysfunction if they occur only during masturbation. As a result, an important diagnostic question for sex therapists is the context in which the problem occurs. Does this difficulty occur with self-stimulation, with all partners, or with specific partners? This question will ultimately be important as a treatment program is designed and implemented.
Problems of delayed ejaculation tend to be somewhat rare and not well understood by psychologists and sex therapists. In addition, they are not well understood by most medical doctors and urologists.
EARLY EJACULATION
By definition, early ejaculation is an ejaculation that happens before it is desired. Typically, the ejaculation has become inevitable either during foreplay or in the first moments following penetration. In spite of his best efforts, the man experiences a sense of helplessness in controlling his ejaculation. A significant amount of distress from the man or his partner almost always accompanies an early ejaculation. The partner feels equally unsatisfied and frustrated.
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