male fertility

Male Ejaculation Disorders and Treatments

  • 4.7 (7 Votes)
  • 18773 views

Male ejaculation disorder includes premature and delayed ejaculation, retrograde ejaculation, anejaculation and erectile dysfunction. Male ejaculation disorders can be treated by ejaculation behavioral therapy, oral or local therapy. Go through the types of ejaculation problems and treatments available.

Erectile dysfunction and ejaculatory problems are common sexual difficulties among men. However, with the advancement of medical technology, problems of erectile dysfunction are treated easily.

An ejaculation problem becomes a disorder when a man needs more than 30 minutes of sexual stimulation to reach orgasm and ejaculate. Ejaculatory problems are usually followed by anxiety, depression and reactions to medications. Almost 31 percent of men suffer from sexual dysfunction and the severity varies from one individual to another.

Even though there are no specific medications discovered for Ejaculation disorders, medications used for treating conditions like Parkinson’s disease have shown to help. While ejaculation can be a temporary problem for some men but for others, it may be a lifelong problem. Although these type of disorders does not pose any serious health issues, it should not be overlooked because it can be a source of stress and problematic in a person’s sex life and personal relationships.

Causes of Ejaculation Disorder

Physical causes include the following:

  • Prostrate problems
  • Thyroid problems
  • Urinary infection
  • Heart disease
  • Low testosterone levels
  • Birth defects that affect the ejaculation process

Medical conditions: Medical conditions can sometimes have an adverse effect on male ejaculation. A person can have delayed ejaculation if he is dependent on the following medications:

  • Antidepressants like fluoxetine
  • Selective serotonin reuptake inhibitors (SSRIs)
  • Anti-anxiety drugs
  • Diuretics
  • Blood pressure medication such as propranolol
  • Painkillers

If a person is smokes, consumes alcohol or uses certain recreational drugs, it can decrease the sensitivity of the penis for sexual stimulation, damage the nerve, cause severe diabetes, stroke, spinal cord injury and cause abnormal ejaculatory problems.

Ejaculation problems can be sometimes attributed to psychological or biological causes. Some psychological factors can include the following:

  • Early life history of sexual abuse
  • Stress and depression
  • Relationship problem with a partner
  • Negative sexual upbringing
  • Unexpressed anger
  • Unwillingness to enjoy pleasure
  • Religious belief
  • Fear of pregnancy

Components of Male Ejaculation

The average amount of semen produced by a male during ejaculation is 1.5 to 6.8 ml. This volume is made up of the following:

  • Prostate Fluid: 10%
  • Vas deferens or sperm: 10%
  • Seminal vesicles: 80%
  • Cowper’s glands fluid: There are minimal traces of secretions from Cowper’s gland.

The first part of ejaculation contains sperm and high amount of prostatic gland secretion, zinc and citrate. It is composed of fluid from vas deferens and prostate. In the second half of ejaculation, fructose levels are quite high i.e. largely from seminal vesicles. 

Seminal Fluid pH

The normal pH level of ejaculation ranges between 7.2 pH and 8.0 pH. A low pH on semen analysis indicates lack of fructose in semen or a seminal vesicle blockage. The seminal fluid analysis provides valuable information while evaluating the ejaculatory disorders.

Seminal Fluid PH Level

Ejaculatory Disorder Evaluation

The evaluation of ejaculatory disorder involves a detailed study of a patient’s history. This study is helpful for providing information if the patient had normal ejaculation before and describes whether the problem is acquired or congenital. During the physical examination, the testicles and genitalia are assessed to ensure all necessary organs are present along with vas deferens. The patient is asked to produce a sample of the semen and if there is no ejaculation a urine sample is examined to check the presence of sperms. Other tests include blood tests in which FSH (Follicle Stimulating Hormone) and Testosterone hormones are tested. Imaging with transrectal ultrasound (TRUS) defines structural abnormalities in seminal vesicles or prostate. 

Ejaculatory Disorders and Treatments

1. Premature Ejaculation:

It is described as a condition when a man ejaculates a bit sooner than his partner wishes. It takes place nearly within a minute of vaginal penetration. Both physical and psychological factors can be the cause of premature ejaculation. Physical causes include prostate problems, usage of recreational drugs or thyroid problems. It is usually due to overactive or underactive thyroid gland. Common psychological causes are depression, stress, relationship problems and anxiety regarding sexual performance. Treatments available for premature ejaculation include behavioral technique, oral medications, pelvic floor exercises, usage of condoms and proper counseling.

2. Delayed Ejaculation:

It is also known as male orgasmic disorder and is classified into two sections:

  • Experiencing delay before ejaculation
  • Unable to ejaculate at all even when a man wants to and his erection is normal

The possible physical causes of delayed ejaculation include diabetes, increasing age, spinal cord injuries, multiple sclerosis and surgery of the bladder or prostate gland. The treatments for delayed ejaculation include Sex Therapy, medications such as Periactin and Pseudoephedrine.

3. Retrograde Ejaculation:

In this disorder, a person might not see any fluid (Semen) after orgasm. It occurs when semen travels back into the bladder instead of passing through the urethra. There are different causes of this disorder such as:

  • Diabetes mellitus
  • Multiple sclerosis
  • Spinal cord injury
  • Tethered spinal cord
  • Spina bifida
  • Congenital unilateral absence of the vas deferens
  • Cloacalexstrophy
  • Imperforate anus
  • Extropy/epispadias

Retrograde Ejaculation

Treatment for Retrograde Ejaculation Include:

  • Psychiatric Medications- Paroxetine, fluoxetine
  • Blood pressure pills- Phenoxybenzamine, thiazides, clonidine
  • Prostate pills- Alpha-blockers, imipramine
  • Anti-Inflammatories-Naproxen
  • Muscle relaxants- Baclofen
  • Cloacalexstrophy/epispadias repair

4. Anejaculation:

It is a disorder when a man gets the sensation of ejaculation but does not ejaculate in real. Anejaculation is a very rare disorder and the main cause of this problem is neurological damage because of spinal cord injury, diabetes, multiple sclerosis or lymph node surgery. A psychological problem can also be one of the reasons. If the person is unable to cope with it, then sex therapy can benefit him. 

Secondary or acquired Anejaculation

This type has multiple identifiable causes. Medications causing retrograde ejaculation can also cause anejaculation in some men. The other reasons behind acquired anejaculation are medical conditions like diabetes, spinal cord injury and multiple sclerosis. In such a situation, for retrieving the fertility- penile vibratory stimulation, rectal probe ejaculation or surgical sperm retrieval technique is utilized. Below are the causes of Anejaculation:

  • When the prostate and seminal ducts fail to release semen into urethra 
  • Partial blockages to the urethra
  • When there is an injury in the spinal cord 
  • Conditions that affect the nervous system examples: Parkinson's disease, multiple sclerosis, diabetes and spina bifida
  • Traumatic injury or infection in the pelvis or groin area
  • If a person had a surgical treatment for testicular cancer, which required the removal of lymph nodes, located in the groin area.
  • Surgeries that may cause damage to pelvic area such as abdominal surgery, prostate that can damage or traumatize nerves
  • Hormonal and psychological factors such as anxiety, marital problems, stress etc.
  • Anejaculation can also occur due to both anatomical nature of anomaly (imperforate anus, cloacalexstrophy) or associated with surgical procedures (bladder neck reconstruction, exstrophy/ epispadias repair) for correcting the defect.

Anejaculation

Treatment of Anejaculation

Depending upon the spinal injury level, patients with anejaculatory spinal cord injury can be helped in ejaculation by two processes. Penile Vibratory Stimulation is the simplest form of ejaculatory stimulation. Here, a high frequency and high amplitude vibrator is placed on penis for several minutes for achieving ejaculation. It helps in inducing ejaculation painlessly in a majority of patients along with the cord injuries above the T10 level. Men with low spinal cord lesions and who did not respond well to penile vibratory therapy can go for rectal probe electroejaculation procedure. The sperm retrieved with this method is sufficient to use for low levels of ART such as IUI.

Blood in Ejaculate (Hematospermia)

Blood in ejaculation is termed as Hematospermia. It is actually painless and ejaculation is red or brown in color. There are chances of formation of blood clots in the semen. It is usually common in young and sexually active males. This can resolve over time without taking any therapy. There can be ejaculatory duct obstruction if it appears with pain. In such situations, evaluation is recommended. If males below 50 years of age experience recurrent hematospermia, painful hematospermia or hematospermia, there is a requirement of further diagnosis for finding anatomical and infectious causes. There are chances of cancer such as sarcoma, prostate cancer, bladder cancer. In some situations, seminal vesicle cancer is more prevalent.

Thus, ejaculatory disorders need to be treated on time with proper treatment measures. It is highly recommended to consult a doctor if you are facing any difficulties concerning ejaculation on a regular basis. This will help you to get treated successfully at an initial level of the disorder and normalize your life like before.

If you are looking for the ways to boost sperm count naturally, you can consult an Ela specialist. ICSI or IMSI treatment can be done to cope with male infertility. For more updates, follow Elawoman blog. For complete information on fertility treatment in Delhi, you can call us on the given number +917899912611.

Dr. Kavita Jaggi Agrawal

About The Author

Infertility Specialist, Obstetrician Dr. Kavita Jaggi Agrawal
Agra

Dr. Kavita Jaggi Agrawal is an obstetrician, gynecologist and infertility specialist who is providing her valuable expertise in the field of gynecology and infertility issues. She ensures that the patients receive the required fertility treatments well on time. Dr. Kavita specializes in the treatments like High Risk Pregnancy Care, In Vitro Fertilization (IVF) and Reproductive Medicine. Currently, she is practicing at Amit Jaggi Memorial Hospital, Vibhav Nagar, Agra.

7 Comments

user_img

Tilak Bahadur

I can't distinguish which ejaculation disorder I have? Please help!

Oct. 11, 2018, 4:22 p.m. 4.5

user_img

Raghav Nandan

The pH of my semen is increased i.e 8.0, what should I do to fix this? Please suggest!

Aug. 10, 2018, 9:19 p.m. 5.0

user_img

Lalit Sahdev

I always assume what this male ejaculation disorder is? Thanks for sharing this, It was descriptive and informative.

Aug. 7, 2018, 10:43 p.m. 5.0

user_img

Nikhil Pratap

I have Hematospermia, what should I do now?

July 12, 2018, 4:14 p.m. 4.5

user_img

Abhay Rohtagi

Thanks for the information on delayed ejaculation. Mostly, men feel hesitation in discussing ejaculatory disorders.

June 4, 2018, 4:20 p.m. 5.0

user_img

Somnath Tripathi

It was new to know about male ejaculation disorder and it looks pretty bad.

May 30, 2018, 7:13 p.m. 4.5

user_img

Vijay Alias Dadarao Narayanrao Mate (Patil)

I know one of my friends having this problem. He conceived with IVF.

May 27, 2018, 10:55 p.m. 4.5

View all comments

Leave a Comment

Rating

Disclaimer

The information displayed on this webpage covers general information on several medical conditions, fertility treatments, IVF ICSI, surrogacy procedure, home remedies, and their respective treatments. The exclusive purpose of the displayed information is for the sake of general understanding and it has been collected from open sources which heavily rely on research and laboratory tests. However, the information shared here should not be considered as a medical advice or an alternative to consultation with a registered medical practitioner or licensed healthcare professional.

It is not advised to self-diagnose or treat any medical condition or disease following the information given in this article. We insist you to consult a registered practitioner and never try to replace their advice or discontinue treatment in between by relying solely on the information obtained. External links to different websites as well as videos given on the website serve the purpose of sharing knowledge only. Ela being an Independent Medical Information platform is neither responsible nor guarantees the authenticity, reliability, and accuracy of these videos and websites in any way. We do not intend the information displayed here to be used for a medical emergency, if you seek medical attention for yourself (or any other person with whom you want to share the information with), we advise you to directly get in touch with the hospital or the doctor.

Related Article view all

Male Fertility
Tips to Increase Male Fertility

Tips to Increase Male Fertility

posted on 25 Apr 2018 4.7/ 5

Fertility in men can get affected due to several reasons like hectic lifestyle and wrong eating habits. Some of the ways to improve fertility in men include a balanced diet, quitting smoking, timely treatment with natural home remedies, controlling soy intake and starting Ashwagandha and Vitamin D supplements.

Read More

Male Fertility
Yoga for Erectile Dysfunction

Yoga for Erectile Dysfunction

posted on 25 Apr 2018 4.8/ 5

Yoga can improve testosterone levels and enhance the blood flow to the pelvic region, which helps beat erectile dysfunction. These Yoga poses include Siddasana, Pavanamuktasana, Ardha Matsanyendrasana, Garduasana and Shavasana. Read more to learn more about yoga poses for erectile dysfunction.

Read More

Male Fertility
Ibuprofen Linked to Male Infertility

Ibuprofen Linked to Male Infertility

posted on 25 Apr 2018 4.8/ 5

Ibuprofen is a nonsteroidal anti- inflammatory drug, which acts as a painkiller. If taken in large dosages it can lead to male infertility. Find out how to take precautions while consuming Ibuprofen and its usefulness for cases like osteoarthritis, rheumatoid arthritis, and fever.

Read More

More From Author

Planning Baby
How to get pregnant fast - How often to have sex to get pregnant?

How to get pregnant fast - How often to have sex to get pregnant?

posted on 25 Apr 2018 4.7/ 5

If you thinking that how to get pregnant fast, then you can implement these tips and these can answer your query on how to become pregnant. Make sure that you keep a t...

Read More

Planning Baby
What are the top 6 risk factors of pregnancy after 30 and success rates?

What are the top 6 risk factors of pregnancy after 30 and success rates?

posted on 25 Apr 2018 4.7/ 5

Risk factors of pregnancy after 30 years of age includes miscarriage, premature birth, birth defects, increased chances of infertility, high blood pressure, gestationa...

Read More

Planning Baby
Top 3 Tips before you check out faint line on pregnancy test

Top 3 Tips before you check out faint line on pregnancy test

posted on 25 Apr 2018 4.7/ 5

If you are wondering about faint line on pregnancy test, then you need to make sure and follow 3 tips for the same. Wait for the right time to take the test to avoid n...

Read More

Trending Articles

surrogacy
surrogacy

5 Best Surrogacy Doctors in India

posted on 25 Apr 2018 4.5 / 5(1 Votes)

Find the list of best surrogacy doctors in India who offers the best treatment with the highest success rate. The list has been categorized on the basis of doctors fame, experience, reviews, ratings, and cost. Dr. Mohit Saraogi from Saraogi Hospitals and IRIS IVF Centre and Dr. Kaberi Banerjee from Advanced Fertility Centre top the list of the best surrogacy doctors in India.

Read More

IVF
ivf

Best IVF Doctors in India with Highest Success Rates

posted on 25 Apr 2018 4.7 / 5(3 Votes)

Find here the list of best IVF doctors in India on the basis of Ratings, Success Rate, Services offered, IVF cost packages and available Facilities. Dr. Nisha Bhatnagar, Dr. Kaberi Banerjee and Dr. Anjali A Deval top the list of such IVF doctors in India due to their unique pricing system, popularity and high success rate.

Read More

surrogacy
surrogacy

Top Surrogacy Centres in India with Highest Success Rates

posted on 25 Apr 2018 4.8 / 5(2 Votes)

In this article we bring you the best Surrogacy Centres and clinics in India with Review Ratings, Cost Estimates, and Surrogacy Success Rate to help you make the best choice. Aveya IVF and Surrogacy Centre and Advanced Fertility and Surrogacy Centre tops the list of such surrogacy centres in India due to their low treatment costs, popularity and high success rates.

Read More