Having trouble ejaculating? Explore physical causes and solutions at Fellos

Why do some men have trouble ejaculating? Physical causes and possible solutions

Difficulty ejaculation is also known as delayed ejaculation. This is a sexual disorder in which a man has no or very difficult time reaching orgasm during sex. Some men suffer from this occasionally, but it can also occur chronically. There are various physical causes that contribute to this. In addition to physical factors, psychological causes sometimes also play a role, which we discuss in the article: Psychological causes of difficulty ejaculating and possible solutions. This article discusses Drs. Schouten the physical causes consisting of; neurological disorders, hormonal imbalance, medication use and urological problems.

Neurological disorders disrupt the nerve pathways during ejaculation and orgasm

Diabetic neuropathy is a common physical cause when men have trouble ejaculating. If you have long-term diabetes, your nerves can be damaged by high blood sugar levels. This damage affects the sensory and motor nerves. Which makes it harder to reach orgasm. Keeping blood sugar levels under control can prevent further damage and reduce the risk of erection problems.

Multiple sclerosis is another neurological disorder. This chronic autoimmune disorder affects the central nervous system. Signals between the brain and the body are disrupted. This can lead to less sensitivity, making ejaculation more difficult or even impossible for men with this condition.

Bee spinal cord injuries may damage nerves that are important for erection and ejaculation. Depending on the severity and location, this can lead to a partial or even complete loss of sexual function. Therapy can help with recovery in some cases.

Hormonal imbalance affects how easily you orgasm

A layer testosterone levels may lead to decreased sexual desire and result in problems with ejaculation. Testosterone is the most important male sex hormone and plays a crucial role in libido and sexual response. In severe cases, treatment with hormone therapy under medical supervision can help with this.

Thyroid disorders, such as hypothyroidism (underactive thyroid) and hyperthyroidism (overactive thyroid), affect metabolism and cause fatigue. The tiredness that this causes can impair sexual function. An endocrinologist can diagnose and treat these conditions.

Hyperprolactinaemia is an increased level of prolactin, a hormone that stimulates milk production. An excess of prolactin can lead to decreased libido and ejaculation problems. Medication or treatment for the underlying cause may normalize hormone levels.

Medications can affect how easily you orgasm

Blood pressure lowering drugs, like certain antihypertensives, sometimes cause erection problems. This makes ejaculation more difficult. In some cases, doctors may prescribe a different type of blood pressure reducer with less effect on sexual function.

Alcohol and drugs suppress the central nervous system when overused. This reduces sexual response and can make ejaculation difficult. Reducing or stopping can improve these symptoms.

Antidepressants (SSRIs) increase serotonin levels to treat depression. One common side effect is reduced sexual desire. When using this medication, ejaculation can also delay or even not occur completely. Talk to a doctor about your dose or an alternative medicine if you have this problem.

Antipsychotics are used for psychotic disorders. These drugs block dopamine receptors. That affects sexual arousal and ability to orgasm. Consultation with a psychiatrist about other options is possible if this is the case for you.

Urological problems often have a direct impact on orgasm

One enlarged prostate, also known as benign prostatic hyperplasia, can narrow the urethra. This obstructs the normal flow of urine and ejaculate, resulting in pain or difficulty ejaculating. Possible treatments include medication or surgery to reduce the size of the prostate.

When complications occur during a prostate surgery, can damage nerves that are crucial for getting an erection and being able to orgasm. This then leads to sexual dysfunction. Rehabilitation therapy and medical devices can sometimes help with recovery.

Urinary Tract Infections cause inflammation and pain in the urinary tract or genitals. This reduces sexual desire and makes ejaculation difficult. This is often easy to solve with antibiotics. Even better is prevention through good hygiene.

What treatments are available if you have trouble ejaculation?

Above, you can read for each cause what you can do to prevent it or how you can reduce the effect on your orgasm. In addition, the following medical treatments can generally be used.

Modification of medication: If medications are the cause, a doctor may prescribe alternative medications with less impact on sexual function. It is important not to stop taking medication yourself without consultation.

Treatment of underlying conditions: Effective control of conditions such as diabetes or hypertension can reduce symptoms of sexual dysfunction. This may include medication, diet, and lifestyle changes.

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