Ejaculation Dysfunction

Male Ejaculation and Dysfunctions

There are three main ejaculation dysfunctions:

Delayed (Retarded) Ejaculation - when ejaculation is slow to occur.

Retrograde Ejaculation - the ejaculate (semen) is directed back into the bladder rather than through the urethra and out of the penis. It is typically caused by malfunction of the bladder sphincter semen is relatively rare and does not normally affect a man's ability to have sex. This condition is unusual for the general population but does occur for men on certain medications or after prostate surgery. Retrograde ejaculation typically doesn't require treatment unless it interferes with fertility.

Premature Ejaculation(PE) - when ejaculation occurs too quickly.

Premature ejaculation is by far the most common of the three ejaculation dysfunctions and the main interest to most of our website visitors. This page will focus on understanding ejaculation from a viewpoint of someone concerned about PE.

What Triggers Ejaculation?

Male ejaculation is complex and not altogether fully understood the neurobiological process.  It involves ducts, muscles, glands, fluids, and the nervous system. When the concern is premature ejaculation, however, the most important issue is what gets the ejaculation process started. Unfortunately, the exact ejaculation trigger mechanism is not well understood.

Initiating ejaculation is the function of the nervous system, involving the brain, the spinal cord, and genital nerves. Although the pleasure from sex and the euphoria of orgasm occurs in the brain, ejaculation is a spinal reflex and can occur without the brain's involvement. Studies have shown that men with spinal cord injuries can still ejaculate. Nevertheless, the connection between the brain and genitals is critical for successful orgasmic and ejaculatory function.  However, brain imaging studies taken during orgasm have not determined a specific location of the brain that triggers ejaculation.

Delaying ejaculation has been successfully accomplished by altering the two ends of the nervous system -  the brain and penis. Selective serotonin reuptake inhibitors (SSRIs) alter brain chemistry to delay ejaculation  For years, topical desensitizers have been used to increase time to ejaculation. New formulas with absorption technology show improved ejaculation control with minimal loss of sexual pleasure, providing further evidence of the complexity of the ejaculatory response.

Promescent delay spray travel size and standard size bottles
Promescent with TargetZone™ Technology
Promescent's proprietary solutions provides you with quick absorption times so you can be ready for the big moment in just minutes. Recommended by over 2,200 Urologists, get yours delivered discreetly to your door.

Ejaculation Point of No Return

Once a man reaches the so-called "point of no return", even stopping sexual stimulation won't prevent a man from ejaculating. Ejaculation occurs in two stages, the emission stage and the expulsion stage. During the emission stage, the prostate gland and seminal vesicles contract and push their fluids into the urethra. Once this occurs, there's no turning back - pulsatile contractions within the pelvis and urethra force the fluid out of the urethra during the expulsion phase of ejaculation, also called ejaculation proper.

Most men can sense their bodies starting to prepare for emission long ahead of that time so that they can slow or stop sexual stimulation (start/stop method).

Although this may delay ejaculation, it can greatly decrease sexual pleasure for the man and his partner.

Are Premature Ejaculation Causes Psychological or Biological?

Just like with erectile dysfunction; prior to the introduction of Viagra(r), most people still believe that premature ejaculation has psychogenic, rather than biogenic, root causes.

The following is a quote from Dr. Chris McMahon's article in the Journal Sexual Medicine: "The initial premise that PE has solely a psychogenic basis is slowly disappearing."

With continued research and success of SSRIs and topical agents, the perception that PE is a mental process is changing in both the medical community and public. However, just like with impotence, most sex therapists and psychologists continue to hang on to old beliefs about the psychological origins of premature ejaculation and continue to recommend mind over matter therapies. However, we have not found a clinical study to show the success of such therapy for PE.

Ejaculation Dysfunction

Male Ejaculation and Dysfunctions

There are three main ejaculation dysfunctions:

Delayed (Retarded) Ejaculation - when ejaculation is slow to occur.

Retrograde Ejaculation - the ejaculate (semen) is directed back into the bladder rather than through the urethra and out of the penis. It is typically caused by malfunction of the bladder sphincter semen is relatively rare and does not normally affect a man's ability to have sex. This condition is unusual for the general population but does occur for men on certain medications or after prostate surgery. Retrograde ejaculation typically doesn't require treatment unless it interferes with fertility.

Premature Ejaculation(PE) - when ejaculation occurs too quickly.

Premature ejaculation is by far the most common of the three ejaculation dysfunctions and the main interest to most of our website visitors. This page will focus on understanding ejaculation from a viewpoint of someone concerned about PE.

What Triggers Ejaculation?

Male ejaculation is complex and not altogether fully understood the neurobiological process.  It involves ducts, muscles, glands, fluids, and the nervous system. When the concern is premature ejaculation, however, the most important issue is what gets the ejaculation process started. Unfortunately, the exact ejaculation trigger mechanism is not well understood.

Initiating ejaculation is the function of the nervous system, involving the brain, the spinal cord, and genital nerves. Although the pleasure from sex and the euphoria of orgasm occurs in the brain, ejaculation is a spinal reflex and can occur without the brain's involvement. Studies have shown that men with spinal cord injuries can still ejaculate. Nevertheless, the connection between the brain and genitals is critical for successful orgasmic and ejaculatory function.  However, brain imaging studies taken during orgasm have not determined a specific location of the brain that triggers ejaculation.

Delaying ejaculation has been successfully accomplished by altering the two ends of the nervous system -  the brain and penis. Selective serotonin reuptake inhibitors (SSRIs) alter brain chemistry to delay ejaculation  For years, topical desensitizers have been used to increase time to ejaculation. New formulas with absorption technology show improved ejaculation control with minimal loss of sexual pleasure, providing further evidence of the complexity of the ejaculatory response.

Promescent delay spray travel size and standard size bottles
Promescent with TargetZone™ Technology
Promescent's proprietary solutions provides you with quick absorption times so you can be ready for the big moment in just minutes. Recommended by over 2,200 Urologists, get yours delivered discreetly to your door.

Ejaculation Point of No Return

Once a man reaches the so-called "point of no return", even stopping sexual stimulation won't prevent a man from ejaculating. Ejaculation occurs in two stages, the emission stage and the expulsion stage. During the emission stage, the prostate gland and seminal vesicles contract and push their fluids into the urethra. Once this occurs, there's no turning back - pulsatile contractions within the pelvis and urethra force the fluid out of the urethra during the expulsion phase of ejaculation, also called ejaculation proper.

Most men can sense their bodies starting to prepare for emission long ahead of that time so that they can slow or stop sexual stimulation (start/stop method).

Although this may delay ejaculation, it can greatly decrease sexual pleasure for the man and his partner.

Are Premature Ejaculation Causes Psychological or Biological?

Just like with erectile dysfunction; prior to the introduction of Viagra(r), most people still believe that premature ejaculation has psychogenic, rather than biogenic, root causes.

The following is a quote from Dr. Chris McMahon's article in the Journal Sexual Medicine: "The initial premise that PE has solely a psychogenic basis is slowly disappearing."

With continued research and success of SSRIs and topical agents, the perception that PE is a mental process is changing in both the medical community and public. However, just like with impotence, most sex therapists and psychologists continue to hang on to old beliefs about the psychological origins of premature ejaculation and continue to recommend mind over matter therapies. However, we have not found a clinical study to show the success of such therapy for PE.

Things You'll love

The Standard

The Standard

$59.95

Lorem Ipsum

Add To Cart

VitaFLUX

VitaFLUX

$59.95

Lorem Ipsum

Add To Cart

You might also like

Talking About Sex With Your Partner
Aug 07, 2019

Talking About Sex With Yo...

Learn how to get what you want when it comes to sex. Talking about fantasies and sexual dysfunctions can be hard, but it does not have to be.

Read More    

The Refractory Period
Feb 22, 2019

The Refractory Period

Songs that croon about “doing it all night long” paint a lovely (if exhausting) picture of glistening, naked ecstasy. But in reality, the male reproductive system just...

Read More    

Getting Back in Bed After Treating Premature Ejaculation
Feb 22, 2019

Getting Back in Bed After...

Treating the physical issues related to premature ejaculation is sometimes only half the issue. Get back into the saddle again with some sage advice.

Read More    

Can Your Diet Fix Premature Ejaculation?
Feb 22, 2019

Can Your Diet Fix Prematu...

Food has a role in all things related to your health, and premature ejaculation is no exception. Learn how much diet impacts your sexual performance.

Read More    

Can Premature Ejaculation Cause Infertility?
Feb 22, 2019

Can Premature Ejaculation...

It seems to stand to reason that PE is linked to fertility, but is that truth or myth? Learn how PE and fertility are linked, and what you can do about it.

Read More    

Can PE be Cured by Surgery?
Feb 22, 2019

Can PE be Cured by Surger...

Is surgery the answer for PE? Learn about the existing procedures claiming to treat premature ejaculation, and the pros and cons of each.

Read More    

Stress and Premature Ejaculation
Feb 22, 2019

Stress and Premature Ejac...

Stress ruins just about everything, and your sex life is no exception. Learn how stress, anxiety, and PE mix together, and how to break the vicious cycle.

Read More    

Alcohol and Premature Ejaculation
Feb 22, 2019

Alcohol and Premature Eja...

Learn how to find a perfect balance between alcohol use and better sex - as well as some pros and cons you may not have thought of - and how it affects PE.

Read More    

Using Promescent to Increase the Success Rate of Sex Therapy, Guest Blog Post
Oct 25, 2018

Using Promescent to Incre...

My name is Philippe and I have been dealing with early ejaculation for all my life. I've tried everything - Sex Therapy, SSRI's, Promescent and other exercises. Combination therapy...

Read More    

Goal of This Blog
Jul 07, 2017

Goal of This Blog

Read More    

Climax Control Spray

80 Percent of women wish their partners would last longer in bed. Promescent makes that wish a reality.

SHOP ALL SPRAYS