and shyness to delay treatment
The consultant urologist, andrology and infertility at the Lineage Medical Center, Dr. Hammoud Al-Matrafi explained that ejaculation problems are multiple, 30% of men suffer from premature ejaculation .. and shyness delays treatment Ejaculation problems are common in masculinity, and increase with age and most cases are diagnosed late due to shyness or lack of health awareness In patients, what leads to a delay in treatment, recent studies have shown that about 30% of men suffer from premature ejaculation and about 50% of men at the age of sixty suffer with an enlarged prostate, from the absence or lack of ejaculation fluid.
Dr. Hammoud Al-Matrafi, a consultant urologist and andrology and infertility at the Lineage Medical Center, explained that the problems of ejaculation are multiple, and one of these problems is premature ejaculation, and he explained that the ejaculation journey goes through two stages. The seminal vesicles and the prostate The second stage is called expulsion, in which a relaxation occurs in the neck of the bladder and muscle contractions occur that push the semen to exit through the urethra. It must be emphasized that there are many nerve mechanisms.
Delayed ejaculation or non-occurrence is one of the rare cases that occur between 3-8 of men who visit male clinics, and this case means failure to obtain sexual desire and ejaculation after a period of sexual excitement, and this condition varies according to its severity, as some do not have ejaculation even by practicing self-habit Others have a weak ejaculation after penetration, but for a longer period than usual. There are reasons that may be primary or secondary for the occurrence of ejaculation through self-habit and not the completion of the marital relationship, either by having problems in marital relationships or taking some antidepressant drugs as well in cases of addiction to drugs, alcohol and hypnotic drugs. In diagnosing these cases, a detailed medical and sexual history of the patient must be taken to determine the appropriate treatment, and one of the best ways to treat sexual behavioral therapy lies in the dispensing of some medications.
While the patient feels sexual desire in the absence of ejaculation, but no semen comes out after the sexual climax has occurred, and we must differentiate between this case and cases of lack of sexual desire or retrograde ejaculation. Among the most important reasons that lead to these cases are the presence of spinal cord injuries, diabetes and multiple multiple sclerosis, as well as some medications for psychological treatment and treatment of prostate or urinary tract infections in addition to many other reasons, as for the treatment of such cases Some drugs that strengthen the nervous system can be used, and urological endoscopic surgery can be used in cases where the cause is blockage of the vas deferens that flow into the prostate. There is another type of ejaculation, called "recurrent", and in these cases the sexual climax occurs but no semen comes out yet. Feeling of ejaculation. This condition is distinguished from lack of ejaculation by investigating the presence of sperm in the urine after ejaculation. The presence of sperm in the urine sample taken immediately after ejaculation confirms the diagnosis.
Physiologically, the cause of retrograde ejaculation is the lack of sufficient closure of the bladder neck during ejaculation, so semen enters the bladder instead of coming out with the urethra, and in some cases, a very small amount of semen may come out, but the large amount enters the bladder. There are medicinal reasons for retrograde ejaculation, as the people who take antidepressants and psychiatric drugs, as well as medicines used to treat an enlarged prostate, are the most affected.
