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If you can't reach orgasm or ejaculate during sex, or maybe even masturbation, then you are not alone! About one man in twelve has this problem at any one time. And if you can't face the idea of getting professional help from a doctor or therapist, you're not alone there either - only one man in 100 seeks that kind of help. The quickest, easiest and most private answer is to visit this website, which contains a highly effective treatment program for men with retarded ejaculation. You can get this effective treatment for retarded ejaculation right now by clicking on the link above!

Sexual therapy as a treatment for delayed ejaculation

The Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR), puts delayed ejaculation - also known as retarded ejaculation - among the sexual dysfunctions, along with rapid ejaculation.

Although we talk of orgasm and ejaculation as though they are identical, they are separate processes which usually occur simultaneously.

What we call an orgasm is a peak human emotional and physical experience, whereas ejaculation, no matter how pleasant it may feel, is simply an unconscious reflex that is generated by the prolonged stimulation of nerves in the genital region. Some men have been able to recognize the individual elements of the two processes, enabling them to experience multiple orgasms without the occurrence of ejaculation.

After a man has enjoyed an ejaculation, a period of time called the refractory period is required before he can ejaculate again. The same is not true of orgasms, as the phenomenon of male multiple orgasm demonstrates.

The sensations of orgasm differ between individuals, and over time one person's orgasms are certainly not all the same...that much each of us knows form our own experience! But all orgasms include rhythmic body and pelvic contractions, a higher heart rate, increased muscle tension and a final phase of release of tension.

Our sexual responses are controlled by both the sympathetic and the parasympathetic nervous systems. The sympathetic nervous system causes action whereas the parasympathetic system causes recovery and relaxation. In order for a penis to become erect, its smooth muscle fibers are relaxed and allow blood to flow into the penis. This process is mediated by an intricate system of humoral, neurological and circulatory events controlled by the parasympathetic nervous system. Orgasm and the associated ejaculation, and the consequent relaxation and release of sexual arousal are mostly controlled by the sympathetic nervous system.

Emission is a parasympathetic activity, but orgasm and ejaculation are predominantly under the control of the sympathetic nervous system. We know that orgasm has more to do with the brain than with the body. The fact that orgasm occurs during sleep is supportive of this concept. In any event, this may be blocked by various abnormalities.

If retarded ejaculation only occurs under a particular set of circumstances, for example with only one sexual partner, it is known as "situational" rather than "generalized" delayed ejaculation.

The cause of delayed ejaculation may be physical, but is more often psychological. The physical causes include hormonal problems such as hypogonadism, hyperthyroidism, hypothyroidism, and excessive production of the hormone prolactin. Other physical causes include some drugs, including drugs to treat high blood pressure, and antidepressants.

The most common causes of delayed ejaculation are psychological. Some likely candidates include depression, anxiety, and fear of getting the partner pregnant. Other possible psychological factors include traumatic sexual encounters during childhood such as abuse, rape or incest, and even the possibility of having been brought up in a household where sex was taboo.

A diagnosis of retarded ejaculation can only be confirmed if there is a repeated delay in reaching orgasm, even when a man's getting a level of normal sexual stimulation that should be enough to allow him to reach orgasm.

Most men with delayed ejaculation also seem to have a low sexual self-esteem. Although this particular sexual problem usually occurs during partner sex, it can happen during masturbation as well! If it occurs during masturbation, it's more likely to be about the man's body than any feelings associated with his partner. Male orgasmic disorder may be part of a complex of sexual malfunctioning that can range across erectile dysfunction, ejaculation problems such as premature ejaculation or retrograde ejaculation, and low sexual desire.

Delayed ejaculation occurs in men of all races and sexual orientations. It may develop around puberty or it may start later in life.

If retarded ejaculation is caused by a physical condition, the cure is usually easy; for example, stopping excessive drinking or using different drugs. But in most cases, counseling will be advisable. Since most men are too embarrassed to seek professional advice, the availability of self-help programs on the internet is a blessing. Treatment usually requires a man's partner's assistance. Behavioral programs can allow a man to recover the ability to ejaculate normally quite easily and quickly.

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