God's Grace IVF Center
Talk to the fertility IVF Experts Dr. Roshi Satija (AIIMS)
What is Ejaculatory Dysfunction?
Delayed ejaculation is a condition where a man experiences prolonged difficulty in achieving ejaculation during sexual activity, despite adequate stimulation and arousal. It is one of the less common types of sexual dysfunction but can significantly impact a man’s confidence and relationships. Ejaculatory Dysfunction may occur occasionally or consistently and can be primary (lifelong) or secondary (acquired over time).
Dr. Roshi Satija specializes in identifying the root cause of delayed ejaculation and provides expert guidance for effective treatment, ensuring a comprehensive and personalized approach.
How common is Ejaculation problems?
Delayed ejaculation is less common compared to other sexual dysfunctions like erectile dysfunction or premature ejaculation. Studies suggest it affects about 1%–4% of men. However, it often goes unreported due to embarrassment or lack of awareness about treatment options.
At God’s Grace IVF and Fertility Centre, Dr. Roshi Satija creates a safe and non-judgmental environment where patients can comfortably discuss their concerns to receive proper care.
Do men have trouble ejaculating as they get older?
Yes, delayed ejaculation and other forms of ejaculatory dysfunction are more common with age. Factors contributing to this include:
- Decreased testosterone levels.
- Age-related health conditions like prostate issues.
- Side effects of medications commonly prescribed for older adults.
Dr. Roshi Satija provides age-appropriate treatments that cater to the unique needs of older men, ensuring they maintain a satisfying sexual life.
At what age do men stop ejaculating?
There isn’t a specific age when men stop ejaculating completely. However, ejaculation frequency and intensity may decline with age due to reduced testosterone levels, declining physical health, or underlying medical conditions. In most cases, ejaculation can continue well into old age with proper management.
Dr. Roshi Satija emphasizes regular health check-ups to detect and treat any age-related issues affecting ejaculatory function.
Who does delayed ejaculation affect?
Delayed ejaculation (Ejaculatory Dysfunction) can affect men of all ages but is more prevalent in older men due to age-related health conditions and hormonal changes. It can also impact men who:
- Are on long-term medication.
- Experience high levels of stress or psychological disorders.
- Have chronic illnesses or injuries affecting reproductive health.
Dr. Roshi Satija provides customized treatment plans, addressing each patient’s specific circumstances for optimal results.
How is delayed ejaculation diagnosed?
Diagnosing delayed ejaculation involves a detailed discussion of the patient’s medical history, lifestyle, and sexual health. A healthcare provider evaluates:
Medical History: Chronic illnesses like diabetes, nerve damage, or prostate issues.
Medication Review: Certain medications, especially antidepressants, can delay ejaculation.
Physical Exam: To check for underlying conditions like hormonal imbalances or nerve damage.
Psychological Evaluation: Stress, anxiety, and relationship issues are assessed.
Lab Tests: Blood tests may check testosterone and thyroid hormone levels.
Dr. Roshi Satija uses advanced diagnostic methods to identify both the physical and psychological causes of delayed ejaculation (Ejaculatory Dysfunction), ensuring that her patients receive the most accurate diagnosis.
How do you fix delayed ejaculation?
Treatment for delayed ejaculation (Ejaculatory Dysfunction) depends on the underlying cause. Options include:
- Medications: Adjusting or stopping drugs causing the issue.
- Therapy: Psychological counseling to address stress, anxiety, or trauma.
- Lifestyle Changes: Regular exercise, a healthy diet, and reducing alcohol or smoking.
- Couples Therapy: Strengthening emotional intimacy and resolving relationship conflicts.
Dr. Roshi Satija adopts a patient-centered approach, combining medical expertise and emotional support to help patients overcome delayed ejaculation effectively.
Is there a medication for delayed ejaculation?
Currently, there’s no FDA-approved medication specifically for delayed ejaculation (Ejaculatory Dysfunction). However, off-label use of certain drugs may help, such as:
- Dopaminergic Agents: To enhance sexual response.
- Testosterone Replacement: For men with low testosterone levels.
- Medications for Neuropathy: If nerve damage is the cause.
Dr. Roshi Satija carefully prescribes medications tailored to the patient’s needs, ensuring safety and effectiveness.
Can delayed ejaculation be prevented?
Prevention involves addressing lifestyle and health factors, such as:
- Avoiding medications known to cause delayed ejaculation.
- Managing stress through relaxation techniques like yoga or meditation.
- Treating medical conditions early, such as diabetes or thyroid disorders.
- Maintaining healthy habits, including exercise and a balanced diet.
Dr. Roshi Satija educates her patients on preventive measures, helping them maintain optimal sexual health and avoid potential complications.
What causes slow Ejaculation?
Delayed ejaculation can result from a combination of physical and psychological factors, including:
- Medical conditions such as diabetes or hormonal imbalances.
- Certain medications, particularly antidepressants.
- Neurological issues affecting the nerves involved in ejaculation.
- Stress, anxiety, or depression.
Dr. Roshi Satija’s expertise ensures a holistic diagnosis, identifying whether the root cause is physical, psychological, or a combination of both.
Physical causes of delayed ejaculation
Some common physical causes include:
- Chronic illnesses like diabetes, multiple sclerosis, or kidney diseases.
- Side effects of medications, including antidepressants and antihypertensives.
- Surgery or injury affecting the spinal cord or pelvic nerves.
- Hormonal imbalances, especially low testosterone levels.
Dr. Roshi Satija offers advanced diagnostic techniques, such as hormone level testing and neurological assessments, to pinpoint and address physical contributors to delayed ejaculation.
Psychological causes of delayed ejaculation
Psychological factors play a significant role in delayed ejaculation, including:
- Anxiety or fear of performance.
- Relationship conflicts or unresolved emotional issues.
- Trauma or negative sexual experiences in the past.
- Unrealistic expectations or guilt related to sexual activity.
At God’s Grace IVF and Fertility Centre, Dr. Roshi Satija collaborates with mental health professionals when necessary to address these psychological barriers effectively.
Premature ejaculation: causes and treatments
Premature Ejaculation occurs when ejaculation happens too quickly during sexual activity. Causes include:
- Psychological: Stress, anxiety, or relationship problems.
- Physical: Hormonal imbalances or hypersensitivity.
Treatments:
- Medications: Topical anesthetics or selective serotonin reuptake inhibitors (SSRIs).
- Behavioral Therapy: Techniques like the "start-stop" method.
- Counseling: To address underlying emotional issues.
Dr. Roshi Satija provides holistic treatment plans for premature ejaculation, ensuring both partners regain confidence and satisfaction.
Retrograde ejaculation: causes and treatments
Retrograde Ejaculation occurs when semen flows backward into the bladder instead of out through the penis. Causes include:
- Surgery involving the bladder or prostate.
- Diabetes or spinal injuries.
- Medications for high blood pressure or mood disorders.
Treatments:
- Changing medications.
- Alpha-adrenergic medications to strengthen the bladder neck.
- Assisted reproductive techniques for men trying to conceive.
Dr. Roshi Satija offers effective solutions for retrograde ejaculation, helping patients achieve both sexual and reproductive goals.
Anejaculation: causes and treatments
Anejaculation is the absence of ejaculation despite stimulation. Causes include:
Neurological damage.
Hormonal deficiencies.
Psychological factors.
Treatments:
Medication to restore nerve function.
Hormone therapy for imbalances.
Electroejaculation for reproductive purposes.
Dr. Roshi Satija’s expertise ensures patients with anejaculation receive the most advanced and compassionate care available.
What are the symptoms of delayed ejaculation?
Symptoms of delayed ejaculation include:
- Difficulty or inability to ejaculate during sexual activity.
- Excessively prolonged sexual intercourse required for ejaculation.
- Lack of ejaculation despite orgasmic sensations.
- Emotional distress or strain on relationships caused by the condition.
Dr. Roshi Satija thoroughly evaluates the symptoms to develop a tailored treatment plan that restores both physical and emotional well-being.
FAQ's
Is delayed ejaculation permanent?
No, it can be treated effectively depending on the cause. Dr. Roshi Satija provides customized treatment for lasting results.
Can delayed ejaculation affect fertility?
Yes, it may hinder conception, but treatments like assisted reproductive techniques are available at God’s Grace IVF Centre.
What tests are required for diagnosis?
Tests may include blood work, hormone tests, and neurological exams. God’s Grace IVF Centre offers all necessary diagnostic services.
Can stress cause delayed ejaculation?
Yes, stress is a significant psychological factor. Dr. Roshi Satija incorporates stress management into her treatment plans.
How long does it take to treat delayed ejaculation?
Treatment duration varies but can be effective within weeks to months, depending on the cause and chosen therapy. Dr. Roshi Satija ensures timely and efficient care.
God's Grace IVF And Fertility Centre Information
IVF Specialist: Dr. Roshi Satija
For personalized care and cutting-edge solutions, consult Dr. Roshi Satija today!