YOGYAKARTA Delayed ejaculation or delayed ecaculation occurs when the moment of ejaculation lasts longer, the reverse of premature ejaculation. According to circtivated urologist Jamin Brahmhatt, MD., there is no definite definition of how long it lasts or too long at the moment of ejaculation. But if ejaculation lasts more than 20-30 minutes and causes pressure, this could be due to a problem.

More specifically, according to Brahmhatt's explanation, his focus should be on how it affects men who experience it and their partners emotionally, not just for a long time. urologist Michael Ingber, MD., added, some men are not annoyed at all with the time of thirty minutes for ejaculation and orgasm. They may actually be happy to last a long time comfortably.

"However, if it interferes with your life, causes anxiety or depression, or affects relationships, you should seek medical treatment from specialist doctors," advises Ingber.

There are several causes of delayed ejaculation, including physical, psychological, pharmacological, and others. Ingber explained that delayed ejaculation can be caused by disorders experienced during phases in one session of sexual activity.

One must have an early part of a complete cycle of sexual response, in particular sexual desire, explains Ingber. From there, sexual arousal appears that causes an erection. Next the plaqueu phase, when sexual arousal increases and finally, ejaculation. Any disturbance in those phases, will cause ejaculation to be delayed, said Ingber.

In addition to disorders in the sexual response cycle, delayed ejaculation can also be caused by physical factors and health conditions. Such as experiencing collisions or trauma in the genitals. Certain neurological disorders, such as multiple sclerosis, Parkinson's disease, spinal cord injury, can also cause delayed ejaculation.

Health conditions such as diabetes and blood vessel disease can also underlie delayed ejaculation. What is never realized, a decrease in stamina and overestimation causes penises to be insensitive to stimulation and this causes ejaculation to be delayed, explained Brahmhatt.

In addition, antidepressant drugs and anxiety drugs also have sexual side effects that make it difficult for men who drink them to ejaculation. Psychological stress can contribute to not being able to ejaculation, notes Ingber.

The first thing you need to do is consult a doctor. Because ejaculation is delayed can be a sign of a wider health or emotional problem. Urologists when diagnostics understand the cause first.

"If there is a problem with libido or passion, we will fix and deal with this problem first. We then assess everything from anatomic factors (ensuring the urinary and genital tract remains intact) to ensuring the nerves remain intact (we do tests at the clinic to do this). We also ensure that there is proper blood flow to the genitals using special ultrasound and thermal imaging," said Ingber as reported by Men's Health, Sunday, January 26.

His advice is that lifestyle changes will greatly help overcome delayed ejaculation. Such as reducing drinking alcoholic beverages and managing stress in a positive way. Avoidterlying habits too frequent and intense. In addition, sex therapy can help overcome psychological factors and open communication with your partner.


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