Male Ejaculation and Sexuality
One type of sexual dysfunction in man is delayed ejaculation or failure to climax. This can be a serious problem, both physically and emotionally. Women exhibit no overt signs of orgasm and can fake it. Men can’t. Men with this problem should know they are not alone, this is not as uncommon as you may think. There is help available.
Men are uncomfortable discussing sexual dysfunction because it is often tied closely to their self image or esteem. Failure in sexual intercourse can have a negative impact on a man’s perception of himself, his confidence. The problem is complex and may be caused by physical or psychological issues. The result of this condition are physical and can include discomfort or pain and can even cause damage if left untreated. In men the effects of a sexual failure can be cumulative, one failure leads to another. A sexual partner who is not understanding and supportive can complicate the situation.
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The first step to solving the problem is to determine whether it is physical. If a man can reach orgasm with self stimulation (masturbation), but not with a partner, or if he can reach orgasm with a partner and not through self stimulation, the problem is probably psychological. If a man cannot reach orgasm at all, and if the problem is a relatively recent one, he should seek medical attention immediately. The delayed ejaculation may be a symptom of a physical problem or disease. This could be serious and only a qualified medical doctor can make the diagnosis.
Psychological or emotional reasons for dysfunction can be related to religious beliefs. If a man believes that enjoying sexual release is a sin, it can effect his physical ability to achieve orgasm. If a man has had relations with a woman other than his regular partner, guilt may effect his performance. Attraction to a partner contributes a great deal to a man’s sexual desire. If a man is not attracted to his partner, it may have an impact on the level of stimulation he can achieve.
Whether the cause is physical or emotional, this is a condition that requires treatment. If disease or other physical causes have been ruled out by a doctor, help should be sought from a qualified psychologist or sex therapist. The problem won’t go away if it’s ignored. A qualified professional, trained in areas of male sexual dysfunction can assist a man to over come obstacles that are preventing him from enjoying normal sexual release.
Treatment with a therapist or psychologist will probably include the man’s regular sexual partner. A supportive partner can be a valuable asset in resolving this problem. The therapist can help men get over guilt caused by religious dogma or by cheating on a life partner. Therapy also includes explorations of new sexual techniques and physical intimacy without intercourse. Relaxation and setting a proper ambiance are important areas of therapy. Removing performance anxiety and pressure are important. Cooperation and support from a sexual partner help.
In addition to treatment, there are exercises that men can practice to strengthen the pubococcygeus muscle. Training of the muscle promotes control over ejaculation. The Penis Health Program has instructions for exercises that can promote sexual pleasure for men and their partners.