Ejaculatory dysfunctions

Ejaculation is the release of seminal fluid from the male reproductive system. Expulsion and emission are its two stages.

  • Emission phase: In this phase, sperm go from the testicles to the prostate where the semen is formed. At this stage, the vas deferens contract to squeeze the semen toward the base of the penis.

  • Expulsion phase: In this second phase, muscles at the base of the penis contract and force the semen out of the body.

Premature Ejaculation (PE)

Premature ejaculation is when ejaculation occurs sooner than desired during sexual activity, without being able to delay it.

Causes:

The causes of PE can often involve a combination of physical, medical, psychological, and interpersonal factors.

Treatment and prevention: 

Treatments are always tailored to each individual’s case and preferences. They include;

  • Counseling or therapy/sex therapy: assists in addressing psychological concerns, such as anxiety, depression, or performance problems.

  • Promoting a healthy lifestyle: involves maintaining a balanced diet, engaging in regular exercise, refraining from smoking, alcohol, and substance consumption, and focusing on stress management techniques.

  • Medical checkup: medical screening tests and managing existing health conditions.

  • Medications: To delay ejaculation or desensitize the penis, doctors may prescribe off-label medications or advise combined therapy (a combination of behavioral approaches, counseling, and medicine). Moreover, switching or adjusting medications (e.g. antidepressants) with the guidance of a healthcare provider is essential in some cases.

  • Start-Stop technique: works on enhancing the person’s control and involves stimulating the penis until the person feels ready to ejaculate, stopping till the urge passes, then repeating.

  • Squeeze technique: in a purpose similar to the start-stop technique, ejaculation is delayed by applying pressure to the base of the penis for around 30 seconds rather than stopping.

  • Kegel exercises enhance ejaculatory control by strengthening the pelvic floor muscles.

Some tips:

  • Engaging in open communication with the partner(s).

  • Maintaining a healthy lifestyle, including regular exercise and a balanced diet.

  • Managing stress and anxiety through relaxation techniques or therapy.

  • Masturbation 1 to 2 hours before having sex.

  • Use thick condoms to lessen the sensation.

Written by:

Cristel Lahoud | Sexual health educator, midwife

Cristel Lahoud is a sexual health educator at Marsa, holding a Bachelor's degree in Midwifery and currently pursuing a Master's degree in Clinical Psychology. Her profound dedication lies in raising awareness and promoting advocacy for both sexual and reproductive health.