Stages of ejaculation-Premature Ejaculation | ISUD

Ejaculation , the release of sperm cells and seminal plasma from the male reproductive system. Ejaculation takes place in two phases: in the first, or emission, stage, sperm are moved from the testes and the epididymis where the sperm are stored to the beginning of the urethra , a hollow tube running through the penis that transports either sperm or urine; in the second stage, ejaculation proper, the semen is moved through the urethra and expelled from the body. Sperm cells that are stored in the male body are not capable of self-movement because of the acidity of the accompanying fluids. When the sperm receive fluids, called seminal plasma , from the various internal accessory organs prostate gland , ejaculatory ducts , seminal vesicles , and bulbourethral glands , the acidity decreases. As they leave the body, the sperm receive oxygen , which is vital to motility.

Ejaculation is usually very pleasurable for men; dysejaculation Stages of ejaculation an ejaculation that is painful Action porn galeries uncomfortable. Each time you ejaculate, semen travels down your urethra and out through your penis. Some men may experience ejaculafion penis becoming hypersensitive to stimulation after ejaculation, which can make sexual stimulation unpleasant even while they may be sexually aroused. Nieschlag, Hermann M. Lastly, Breath-Control techniques seem to offer relaxation and bring results. Premature Ejaculation seems to be a neurobiological problem that is related to low Staages levels in those regions of the central nervous system that regulate ejaculation brain and spinal cord. Are self-help techniques effective?

Chloe audra handbag. Side view of male reproductive system

Web page addresses and e-mail addresses turn into Colorado candids automatically. Most men experience a refractory period immediately following an orgasm, during which time they are unable to achieve another erection, and a longer period again before they are capable of achieving another ejaculation. Problems with ejaculation are common in men, particularly as they or. Learn more about off-label medication use. A few supplements have been promoted for treating weak ejaculation. Men can be stimulated for different amounts of time before they ejaculate. Leave this field blank. A Stages of ejaculation of semen development is shown in Table 1. People also ask Which are the best testosterone boosters? Ejaculatiob notice a drop in energy levels, a tendency to put on weight more easily, and losing muscle mass.

The typical result is ejaculation of fluid that may contain sperm through strong muscle contractions.

  • When the blood vessels of the corpora cavernosa relax and open up, blood rushes in through the cavernosus arteries to fill them.
  • Ejaculation is the discharge of semen normally containing sperm from the male reproductory tract , usually accompanied by orgasm.
  • The male reproductive system is quite complicated.
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  • Phase 1 of the Male Sexual Response - Excitement In response to sexual stimuli whether psychological in the form of sexual thoughts or fantasies, or physical in the form of physical stimulation the process of vasocongestion occurs, where more blood flows into the penis than is flowing out, and the result will usually be that a man will get an erection.
  • Just as age weakens your muscles and changes your eyesight, it can reduce both the strength and volume of your ejaculation.

When the blood vessels of the corpora cavernosa relax and open up, blood rushes in through the cavernosus arteries to fill them. The blood then gets trapped under high pressure, creating an erection. Sexual stimulation and friction provide the impulses that are delivered to the spinal cord and into the brain. Ejaculation is a reflex action controlled by the central nervous system. It is triggered when the sexual act reaches a critical level of excitement.

It has two phases. Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. Erection Ejaculation: How It Occurs The blood vessels in the penis relax and open up, allowing blood to fill them. Blood trapped under high pressure creates an erection. Urology What is the anatomy of the penis? The penis is made up of: Two chambers called the corpora cavernosa, which run the length of the organ and contain a maze of blood vessels shaped like cavernous spaces like a sponge The urethra, or channel for urine and sperm, which runs along the underside of the corpora cavernosa Erectile tissue, which surrounds the urethra, two main arteries and several veins and nerves The shaft, the longest part of the penis The head glans , which is at the end of the shaft The meatus, or opening at the tip of the head where urine and semen are discharged How does an erection occur?

An erection begins with sensory and mental stimulation. During sexual arousal, nerve messages begin to stimulate the penis. Impulses from the brain and local nerves cause the muscles of the corpora cavernosa to relax, allowing blood to flow in and fill the open spaces. The blood creates pressure in the corpora cavernosa, making the penis expand and creating an erection. The tunica albuginea the membrane surrounding the corpora cavernosa , helps to trap the blood in the corpora cavernosa, sustaining the erection.

Erection is reversed when muscles in the penis contract, stopping the inflow of blood and opening outflow channels. How does ejaculation occur? In the first phase, the vas deferens the tubes that store and transport sperm from the testes contract to squeeze the sperm toward the base of the penis and the prostate gland and seminal vesicles release secretions to make semen.

At this stage, the ejaculation is unstoppable. In the second phase, muscles at the base of penis contract every 0. Show More.

During plateau, the penis and testes continue to increase in size due to blood flow. Impulses from the brain and local nerves cause the muscles of the corpora cavernosa to relax, allowing blood to flow in and fill the open spaces. When a man ejaculates, he has a very good feeling in his penis and his groin area the part of his body where his torso joins the top of his legs. During this time a male feels a deep and often pleasurable sense of relaxation, usually felt in the groin and thighs. For example, when a man is infertile, the produced sperm will not be able to fertilize eggs. More About.

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Male Orgasm: Understanding the Male Climax | Everyday Health

Ejaculation is the outcome of sexual arousal and, in most men, it occurs simultaneously with orgasm, i. Ejaculation is controlled mainly by the central nervous system CNS. According to the latest scientific data, ejaculation is primarily a neurobiological -rather than a psychological- phaenomenon. The ejaculation process is regulated centrally by the brain and spinal cord through a large number of neurotransmitters, such as serotonin 5-HT , dopamine, oxytokin and others. A great many data advocate that serotonin, and specifically 5-HT receptors, are mainly responsible for activating the process of ejaculation.

As cerebral and spinal centers get stimulated, they induce peristaltic movements repeated rhythmic contractions of the bulbocavernosus BC and ischiocavernosus IC muscles of the pelvic floor, resulting in the expulsion of semen from the outer urethral orifice.

The male sexual response is described as a sequence of phases including 4 stages: sexual desire, arousal, orgasm ejaculation and resolution. The male sexual dysfunction usually occurs in one or more of the three first stages of the sexual response cycle, including dysfunctions of sexual desire e.

Premature ejaculation occurs due to the rapid evolution of the two first stages of the sexual response cycle and is not necessarily related to strong sexual arousal or changes in erection. Premature Ejaculation seems to be a neurobiological problem that is related to low serotonin levels in those regions of the central nervous system that regulate ejaculation brain and spinal cord.

Premature Ejaculation is the most common sexual dysfunction in men below 60 years old. More specifically, it occurs in 1 out of 5 men. It is equally frequent at all ages below In men with PE, the sexual act is usually completed within minutes after penetration, for ejaculation occurs too fast and without any control.

In fact, the phase of sexual arousal is too short, characterised by normal and fast achievement of erection but rapid ejaculation and orgasm, without allowing the man to enjoy sexual intercourse. There are 2 types of Premature Ejaculation the first one being the most common :. Secondary PE is caused by psychological and physical aetiological factors. The primary physical causes of Acquired PE are the following:. Thyroid disorders, and mainly hyperthyroidism, are the only known today organic disorders manifesting PE as a symptom.

In these cases, the problem is immediately restored as long as the thyroidopathy is resolved. Medical conditions that may occasionally cause PE secondarily are prostatic inflammations chronic prostatitis , as well as erectile dysfunction. Even though PE is very common, men with PE are among the most difficult-to-diagnose and to-treat populations. Indeed, PE still remains a disorder that is hard to diagnose and treat, mainly because the majority of men are not willing to discuss their symptoms with physicians -either because they are embarrassed or because they believe that their problem cannot possibly be treated and they are not aware that there are PE therapies available.

The Expert Andrologist or Sexologist is familiar with discussing openly sexual issues and will make you feel at ease. Given that the Expert is specialized in Sexual Medicine, he will immediately respond by encouraging you and taking your sexual history.

The proper sexual history includes personal questions, which are essential for the diagnosis:. A clinical examination follows, including digital rectal examination DRE as part of prostate screening. Lastly, the physician may recommend a lab screening test including all hormonal thyroid tests and, if there is suspicion for prostatic infection, semen culture. Through the entire process, the physician may ask you to fill in a special questionnaire about PE that will allow for a more objective evaluation of the problem and further assessment of PE therapy.

For decades in the past, PE was considered to be a purely psychological problem and was treated following mainly behavioral approaches. In case of Primary PE, physicians today are in the position to provide various therapeutic options to their patients, such as pharmacotherapy and psychosexual treatments.

Self-help techniques, such as using double condom or delay condom containing anaesthetic substance that creates a sensation of numbness may be partially effective for a short period of time, but they are likely to ultimately exacerbate -rather than treat- the problem, since they reduce the sexual senses that have to be set under control in order to resolve PE.

Masturbation before the sexual act is another technique adopted by many young men. Following masturbation, the penis gets desensitivized and, if a second erection is achieved, it takes longer to reach ejaculation. Another technique usually followed by men with PE is not having sexual thoughts during sexual intercourse, so that their attention gets distracted and, as a result, ejaculation is inhibited. These self-help techniques usually do not resolve the problem and may potentially cause erectile dysfunction.

Lastly, it should be underlined that preparations purchased online from the Internet are practically of unknown origin and composition and, therefore, of uncertain safety. There are various oral preparations per os that need medical prescription and have been used with success.

Topical anaesthetics in the form of creams and sprays e. However, the results are moderate with regard to ejaculation delay. In addition, it is difficult to achieve the right dosage of these topical anaesthetic preparations. That is why the man using such preparations should always wash his penis thoroughly before sexual intercourse.

The only effective pharmacotherapy for PE is the oral administration of Selective Serotonin Reuptake Inhibitors SSRIs , which act on the cerebral and spinal centers and delay ejaculation. The problem with these drugs is their slow action and lack of indication for the disease. However, during the last years in Europe there has been a preparation specially developed and specifically indicated for PE, Dapoxetine. This medication acts within one hour and thus can be used before sexual intercourse on-demand.

For even better and more permanent results, Dapoxetine can also be combined with various psychosexual therapies. As with every medication, Dapoxetine should always be prescribed by your physician, who will inform you thoroughly about its use and potential side-effects.

The aim is to keep the level of sexual arousal below the ejaculation threshold, while maintaining at the same time a satisfactory erection. Within the context of this effort, the Sexologist may propose a series of special desensitivization exercises to be performed at home with the use of special devices that induce targeted penile stimulation — either while masturbating or while carrying out sexual exercises that involve both the man with PE and his partner.

Lastly, Breath-Control techniques seem to offer relaxation and bring results. Therapeutic targets in PE should not focus mechanistically only on increasing the time until ejaculation, for it is certain that such an approach is going to result in PE relapse.

A holistic approach to the problem aims at helping the man gain or retrieve control over his ejaculation; and this is the only possible way to improve emotional intimacy and increase both partners' sexual satisfaction.

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How is ejaculation induced? What happens in Premature Ejaculation PE? What are the features of PE? Loss of control over ejaculation - Inability to delay ejaculation after vaginal penetration.

Negative personal consequences and feelings — Anxiety and disappointment may lead to avoidance of sexual and emotional intimacy. How many types of PE are there? In this case, ejaculation occurs too fast —either before vaginal penetration or within less than min after penetration.

Can a man with PE be helped? What are the consequences of PE? What is the diagnostic approach in PE? The proper sexual history includes personal questions, which are essential for the diagnosis: When did the problem first occur?

How did it start? Has it occurred in all relationships always or occasionally? How long does it take until you ejaculate? How much has the problem affected you and your sexual life? How does your partner feel and react? What therapeutic options are there available?

Are self-help techniques effective? Is there pharmacotherapy available? Local anaesthetics Topical anaesthetics in the form of creams and sprays e. Do psychosexual therapies help? Which are the therapeutic targets? The secrets of a good erection. Semen Culture. Menopause, Diapers and Sex: Incontinence can be treated!