Ejaculatory disorders, like erectile dysfunction, are among the most common male sexual pathology. Ejaculation disorders can be divided into the following types:
- too premature ejaculation (ejaculation begins before the start of sexual intercourse during the period of preliminary sexual caresses in the absence of an erection of the penis);
- premature ejaculation (ejaculation begins immediately before the introduction of the penis into the vagina);
- too early ejaculation (ejaculation begins either immediately at the time of the introduction of the penis into the vagina, or after the first frictions);
- delayed ejaculation (ejaculation begins only after prolonged, sometimes exhausting sexual intercourse);
- spermatorrhea (the flow of sperm occurs out of touch with sexual arousal and the situation of sexual intercourse);
- painful ejaculation;
- ejaculation without orgasm;
- ejaculatory reflux (ejaculation begins, but the sperm is not brought out, but is thrown in the opposite direction and enters the bladder).
The most common cause of ejaculation without orgasm is the presence of post-inflammatory changes in the male reproductive system. An important role in all this is played by the age of the individual, and the presence of vascular pathology in him.
Delayed ejaculation refers to infrequent ejaculatory disorders and can be due to both organic and mental causes. The tendency to anal-genital and oral-genital contacts or masturbation leads to a weakening of the perception of specific sensations during vaginal intercourse, which can also cause a delay in ejaculation in the process of vaginal intercourse.
Ejaculatory reflux is not often the result of organic changes in the male genitourinary system, it often occurs after prostate surgery. However, it can also be caused by the long-term practice of the so-called Saxon sexual intercourse, in which, for contraceptive purposes, immediately before ejaculation, the partner pinches the penis and thereby causes an artificial reflux of sperm into the bladder.
The absence of ejaculation is also due to organic nature (for example, in diseases of the prostate gland). But this disorder can also be observed in men in the postmenopausal period – during the period of andropause.