Condoms can also be used and are effective, particularly when combined with local anaesthesia. Delayed ejaculation Delayed ejaculation male orgasmic disorder is classed as either: Possible psychological causes of delayed ejaculation are similar to those of premature ejaculation — for example, early sexual trauma, strict upbringing, relationship problems, stress or depression.
Physical causes of delayed ejaculation include: It can occur in all sexual situations, or only in certain situations. For example, you may be able to ejaculate normally when masturbating, but not during sex. When ejaculation only occurs in certain situations, there's usually a psychological cause. This can help to increase your feeling of enjoyment during sex, and help make ejaculation easier.
Availability can vary widely depending on where you live. You can also pay privately. The College of Sexual and Relationship Therapists website provides information about private sex therapists and how to find a therapist in your local area. The relationship counselling service Relate also offers sex therapy at a number of its centres.
Activities may also be recommended for you to try at home while you're having sex with your partner you should never be asked to take part in any sexual activities during a session with the therapist.
Switching medication There are a number of medications that can be used if it's thought SSRIs are responsible for causing delayed ejaculation. Alcohol and drugs Alcohol misuse and drug use can be separate underlying causes of delayed ejaculation, so addressing these problems may help.
Retrograde ejaculation Retrograde ejaculation is a rarer type of ejaculation problem. It happens when semen travels backwards into the bladder instead of through the urethra the tube that urine passes through. The main symptoms of retrograde ejaculation include: However, it can affect the ability to father a child.
Causes of retrograde ejaculation Retrograde ejaculation is caused by damage to the nerves or muscles that surround the neck of the bladder the point where the urethra connects to the bladder. It is prevented from entering your bladder by the muscles around the neck of the bladder, which close tightly at the moment of orgasm.
However, damage to the surrounding muscles or nerves can stop the bladder neck closing, causing the semen to move into the bladder rather than up through the urethra. Treating retrograde ejaculation Most men do not need treatment for retrograde ejaculation because they are still able to enjoy a healthy sex life and the condition does not have adverse effects on their health.
But if treatment is required usually because of wanting to father a child , there are options to try. If retrograde ejaculation is caused by using a certain medication, then normal ejaculation will usually return once medication is stopped.
Speak to your GP before stopping any prescribed medication. However, if the retrograde ejaculation has been caused by significant muscle or nerve damage, treatment may not be possible. Involve your partner If you're having problems with your sex life and are seeking treatment, it is usually recommended you involve your partner as much as possible. Communicating your concerns can often go a long way to helping to resolve them.
And, in some cases, your partner may also have their own problems that are contributing towards problems with your sex life. For example, some women are unable to reach climax during "normal" intercourse and require manual or oral stimulation. Read more about why talking about sex is important. Blood in your semen Finding blood in your semen haematospermia can be alarming. However, in most cases it's not serious and will pass within a few days.
The most likely cause is infection of your urethra urethritis or prostate prostatitis. See your GP or visit your local genito-urinary medicine GUM clinic if the symptoms persist, because the causes may be more serious.