According to studies, about one in three men experience premature ejaculation over their lifetime. However, two other common issues are often overlooked – delayed ejaculation and retrograde ejaculation. Let’s take a closer look at all three.

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Male Ejaculation Issue #1: Premature Ejaculation
Most men (and women) are likely acquainted with premature ejaculation. It’s the fodder of famous high school comedies like American Pie, among others. Premature ejaculation is when ejaculation happens sooner than a man or his partner would like during sex. This can be embarrassing and frustrating, but it usually isn’t a cause for concern. At some point in life, most men experience this phenomenon.

Potential Causes.
While the exact cause of premature ejaculation is unknown, some researchers believe serotonin, a neurochemical, may be to blame. A low amount of serotonin in the brain has been linked to a shortened period from stimulation to ejaculation.

For many men, psychological issues are the root cause of premature ejaculation. Depression, stress, guilt, pressure to perform at porn star level, relationship problems, and past sexual trauma can all lead to this frustrating issue.

Treatment Options.
For many men, psychological therapy is a successful method for dealing with the psychological factors that impact a man’s sexual performance. It can be done solo or as a couple and often brings a couple closer, and the individual man sorts out the mental issues. He needs to function in the way he’d like sexually.

Other methods observe stimulation and delay gratification. The Squeeze Method has the partner firmly squeeze the member when it’s close to ejaculation to reduce the erection so a man can start to recognize the feelings of pre-orgasm and learn how to back away from them. The Stop-Start employs a similar strategy.

Numbing creams and sprays are also available, but honestly, they are usually more trouble than they’re worth.

Male Ejaculation Issue #2: Delayed Ejaculation
Delayed male ejaculation is more common than the average person may think. This condition occurs when it takes a prolonged period of sexual stimulation to ejaculate. Sometimes, it can’t happen at all. Many men experience this on occasion, but for those who experience it regularly, a doctor’s help should be sought. Sometimes this is a symptom of a more significant problem such as heart disease.

Potential Causes
Things like traumatic experiences, cultural or religious taboos and mood disorders like anxiety and depression can all be part of an underlying psychological cause. Relationship issues and fear of poor performance can also cause a man so much distress that he can’t achieve orgasm. Various medications can also cause delayed ejaculation.

Surgeries or bodily traumas can also be at fault. Heart disease, low thyroid, low testosterone, damage to the nerves in the spine or pelvis, and prostate surgery can all lead to the issue as well. See a doctor for an official diagnosis to determine the root cause of delayed ejaculation and develop an effective treatment plan.

Treatment Options.
If medication is to blame, a man’s prescribing doctor may be able to change medications. For those men who have a drug or alcohol addiction, in- and outpatient programs can help and even reverse delayed male ejaculation. Other underlying mental issues like depression, anxiety, and fear can be addressed by psychological and sex therapy. Often, once treatment is in hand and going well, the problem usually resolves itself.

Male Ejaculation Issue #3: Retrograde Ejaculation
Let’s break down the mechanics of this. When a male orgasms, the sperm is transported to the prostate via the vas deferens. From there, it mixes with other fluids to create ejaculate or semen. Now, the muscle at the opening of the bladder, called the bladder neck muscle, clenches to prevent ejaculate from going into the bladder while it’s on its way to the urethra, from where a man typically ejaculates.

For men with retrograde ejaculation, the bladder neck muscle doesn’t get tight correctly. This results in the sperm entering the bladder instead of being ejected out into the great beyond.

It should be noted this condition isn’t harmful and only really treated when trying to conceive a child.

Potential Causes
Several things can cause retrograde ejaculation, including surgery, certain medications that treat high blood pressure, prostate enlargement and depression, and nerve damage due to diseases like diabetes and multiple sclerosis.

Treatment Options.
Retrograde ejaculation usually doesn’t necessitate treatment unless it interferes with fertility.

In those cases, treatment is appropriate to the root causes. Treatments can be medication and surgery, depending on whether the retrograde ejaculation is caused by medicine or physiological issues.

Men who experience male ejaculation issues may want to try a specially formulated penis health crème (health professionals recommend Man 1 Man Oil, which has been clinically proven safe and mild for skin) daily. These specials creams are made specifically for the penis and contain vitamins such as A, B, D, and E, which provide healthy cellular function. They also rejuvenate the penis while keeping it silky smooth. It’s also a great way to perform a bit of sexual self-care, even when things with the little guy are a little bumpy.