Everand Logo

Welcome to Everand!

  • Discover millions of ebooks, audiobooks, and so much more with a free trial

    Only $11.99/month after trial. Cancel anytime.

    Ejaculatory Dysfunction, (Different Types) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Ejaculatory Dysfunction, (Different Types) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Ejaculatory Dysfunction, (Different Types) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Ebook145 pages1 hour

    Ejaculatory Dysfunction, (Different Types) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

    By Kenneth Kee

    5/5

    ()

    Read preview

    About this ebook

    Ejaculatory dysfunction is the inability of a man to successfully ejaculate semen from the penis at the occasion of sexual climax.
    Typically, ejaculatory disorders fall into two categories.
    These are: delayed ejaculation and early ejaculation.
    In the vast majority of cases, the most effective therapeutic approach for ejaculatory dysfunction is a combination of biologic and psychological therapy.
    The main types of male sexual dysfunction are:

    1. Erectile dysfunction (difficulty getting/keeping an erection)
    2. Ejaculatory Dysfunction
    a. Premature ejaculation (reaching orgasm too quickly)
    b. Delayed or inhibited ejaculation (reaching orgasm too slowly or not at all)
    c. Retrograde or no ejaculation (dry orgasm)
    3. Low libido (reduced interest in sex)
    Ejaculatory dysfunction is one of the most frequent male sexual disorders, but is still often misdiagnosed
    A normal sexual response cycle consists of four interactive, nonlinear stages:
    1.Desire,
    2.Arousal,
    3.Orgasm and
    4.Resolution
    In males, orgasm normally coincides with ejaculation, but represents a distinct cognitive and emotional cortical event.
    Psychological causes might include:
    1. Concern about sexual performance
    2. Marital or relationship problems
    3. Depression, feelings of guilt
    4. Effects of past sexual trauma
    5. Work-related stress and anxiety
    Physical causes of overall ejaculatory dysfunction may be:
    1. Low testosterone levels
    2. Prescription drugs (antidepressants, high blood pressure medicine)
    3. Blood vessel disorders such as atherosclerosis (hardening of the arteries) and high blood pressure
    4. Stroke or nerve damage from diabetes or surgery
    5. Smoking
    6. Alcoholism and drug abuse
    Problems with ejaculation are:
    1. Premature ejaculation (PE) 75%— Ejaculation that occurs before or too soon after penetration
    2. Inhibited or delayed ejaculation 8% — Ejaculation does not happen or takes a very long time
    3. Retrograde ejaculation — During orgasm, the ejaculate is forced to return back into the bladder rather than through the end of the penis
    4. Anejaculation — Absence of ejaculation
    Normal ejaculation involves:
    1. An emission phase, when semen is positioned in the penis near the prostate, and
    2. An ejaculation phase, when the semen is forcefully expelled from the penis.
    Ejaculation occurs at sexual climax, or the expulsion of the sperm.
    Climax is different from an orgasm, which is centered in the brain and associated with ejaculation.
    The mechanics of ejaculation are similar to a sneeze: both are reflexes with a point of no return.
    The average time from sexual penetration by the male to ejaculation is nine minutes
    Diagnosis:
    Sexual History
    1. Blood tests to check the testosterone levels, blood sugar (for diabetes), and cholesterol
    2. Blood pressure check
    3. Rectal exam to check the prostate
    4. Examination of the penis and testicles
    5. Other tests can show if the patient have problems with the nerve impulses or blood flow to the penis.
    Treatment:
    Treatments for ejaculatory dysfunction are medications, behavioral therapy (for premature ejaculation) and sometimes surgery.

    TABLE OF CONTENT
    Introduction
    Chapter 1 Ejaculatory Dysfunction
    Chapter 2 Causes
    Chapter 3 Diagnosis
    Chapter 4 Treatment
    Chapter 5 Anejaculation
    Chapter 6 Delayed ejaculation
    Chapter 7 Retrograde ejaculation
    Chapter 8 Premature ejaculation
    Epilogue

    LanguageEnglish
    PublisherKenneth Kee
    Release dateAug 3, 2017
    ISBN9781370437931
    Ejaculatory Dysfunction, (Different Types) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Author

    Kenneth Kee

    Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

    Read more from Kenneth Kee

    Related to Ejaculatory Dysfunction, (Different Types) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

    Related ebooks

    Wellness For You

    View More
    View More

    Related podcast episodes

    Related articles

    • Article

      Navigating His Nether Regions

      Sep 1, 2019

      Navigating His Nether Regions
      2 min read

    • Article

      Longer Lasting Love

      May 25, 2022

      Longer Lasting Love
      2 min read

    • Article

      Ask The Experts

      Aug 3, 2021

      Dr Anne Henderson is a gynaecologist and menopause specialist and author of Natural Menopause (gynae-expert.co.uk). Q What is the difference between bio-identical and body identical HRT? A Although both these types of HRT are derived from the same ba

      6 min read

    • Article

      5 Ways To beat Anxiety

      Dec 23, 2022

      5 Ways To beat Anxiety
      4 min read

    • Article

      The Clinic

      Nov 22, 2022

      With increasing numbers of adults in England taking them, it’s time to end the taboo Everyone reading this magazine will have, at some point, felt sad. You may have been unhappy, fed up and flat for a brief period of time, even for a few days or s

      2 min read

    • Article

      Doc Q&A

      Sep 7, 2023

      Doc Q&A
      3 min read

    • Article

      Between The Sheets

      Sep 3, 2021

      Between The Sheets
      5 min read

    • Article

      Sex And Menopause

      Nov 25, 2023

      Sex And Menopause
      6 min read

    • Article

      Your Wellbeing

      Feb 22, 2023

      Erectile dysfunction (ED) is the inability to maintain or sustain an erection, and it’s very common. At some stage, most men will face a degree of erectile difficulties or sexual dysfunction, especially as they age. About 50% experience it at 50 year

      2 min read

    • Article

      THE TRUTH ABOUT Testosterone

      Sep 2, 2020

      THE TRUTH ABOUT Testosterone
      3 min read

    • Article

      Health The Advice You Need

      Sep 7, 2023

      With Cheryl Lythgoe, Head Matron for Benenden Health. Q As the mornings are starting to get darker, I’ve found myself struggling to get out of bed and suffering with extreme drowsiness. How can I wake up feeling rejuvenated? Anne, Oldham A Our bodies

      2 min read

    • Article

      Ask The Experts

      Feb 14, 2023

      Ask The Experts
      4 min read

    • Article

      ASK Dr Martin

      Jan 11, 2024

      Q There's a lump in my vagina that hurts during sex. During my smear a nurse said it was a Bartholin's cyst, will it get better? Jo, Richmond A Bartholin' cysts are common and harmless though can be a nuisance if they start to hurt through sex or eve

      2 min read

    • Article

      Where’s Your Head At?

      May 2, 2019

      Where’s Your Head At?
      3 min read

    • Article

      Your HEALTH

      Feb 2, 2023

      Q For many years I have had depression and have tried antidepressants. They seem to work for a period of time and then stop. I’ve also had some talking therapy, but no matter what I do, it always comes back when I stop taking the medication. What can

      4 min read

    • Article

      Yoga, Ageing And The Menopause

      Oct 22, 2021

      Yoga, Ageing And The Menopause
      5 min read

    • Article

      Testosterone to Multitasking

      Jun 18, 2019

      Your work has received a lot of attention. Why do you think that is? Mindfulness has received a lot of attention. And we know that sexual-health concerns are very common among women; low desire is very common. There haven’t been a lot of evidence-bas

      3 min read

    Related categories

    Reviews for Ejaculatory Dysfunction, (Different Types) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

    5/5

    1 rating0 reviews

    What did you think?

    Tap to rate

    Review must be at least 10 words

      Book preview

      Ejaculatory Dysfunction, (Different Types) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee

      Ejaculatory Dysfunction,

      (Different Types)

      A

      Simple

      Guide

      To

      The Condition,

      Diagnosis,

      Treatment

      And

      Related Conditions

      By

      Dr Kenneth Kee

      M.B.,B.S. (Singapore)

      Ph.D (Healthcare Administration)

      Copyright Kenneth Kee 2017 Smashwords Edition

      Published by Kenneth Kee at Smashwords.com

      Dedication

      This book is dedicated

      To my wife Dorothy

      And my children

      Carolyn, Grace

      And Kelvin

      This book describes Ejaculatory Dysfunction, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.

      (What The patient Need to Treat Ejaculatory Dysfunction)

      This eBook is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If the patient would like to share this book with another person, please purchase an additional copy for each reader.

      If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

      Thank the patient for respecting the hard work of this author.

      Introduction

      I have been writing medical articles for my blog http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.

      My purpose in writing these simple guides was for the health education of my patients.

      Health Education was also my dissertation for my Ph.D (Healthcare Administration).

      I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com.

      This autobiolographical account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Disorders into a new Wordpress Blog A Family Doctor’s Tale on http://kenkee481.wordpress.com.

      From which many free articles from the blog was taken and put together into 800 amazon kindle books and 200 into Smashwords.com eBooks.

      Some people have complained that the simple guides are too simple.

      For their information they are made simple in order to educate the patients.

      The later books go into more details of medical disorders.

      The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

      Since 2013, I have tried to improve my spelling and writing.

      As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

      Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

      I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

      I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

      I apologize if these repetitions are irritating to some readers.

      Chapter 1

      Ejaculatory Dysfunction

      Though ejaculation often occurs normally and is an intensely pleasurable sensation for most men, it is an extremely complex phenomenon that is regulated by many different systems.

      Hence, things often can, and do go wrong.

      What is Ejaculatory Dysfunction?

      Ejaculatory dysfunction is the inability of a man to successfully ejaculate semen from the penis at the occasion of sexual climax.

      Typically, ejaculatory disorders fall into two categories.

      These are: delayed ejaculation and early ejaculation.

      In the vast majority of cases, the most effective therapeutic approach for ejaculatory dysfunction is a combination of biologic and psychological therapy.

      The main types of male sexual dysfunction are:

      1. Erectile dysfunction (difficulty getting/keeping an erection)

      2. Ejaculatory Dysfunction

      a. Premature ejaculation (reaching orgasm too quickly) 75%

      b. Delayed or inhibited ejaculation (reaching orgasm too slowly or not at all) 8%

      c. Retrograde or no ejaculation (dry orgasm)

      3. Low libido (reduced interest in sex)

      Ejaculatory dysfunction is one of the most frequent male sexual disorders, but is still often misdiagnosed

      Premature ejaculation occurs in 1 in 3 men.

      Very often the penis is highly sensitive.

      The patient is usually easily tensed and sometimes depressed.

      Counseling and sex education involving the couple such as Master and Johnson squeeze methods has help to reduce the incidence of premature ejaculation.

      Stopping alcohol and smoking may also help to improve the health of the men.

      Drug abuse such as ecstasy and amphetamines should be stopped.

      New treatment such as new medicine Priligy may help to reduce the incidence of premature ejaculation.

      1. The most common ejaculatory dysfunction is premature ejaculation (PE), which affects 5-40% of sexually active men

      2. Ejaculation involves cerebral sensory areas, motor centers and several spinal nuclei that are tightly interconnected

      3. Diagnosis of PE in medical practice is straightforward, as it is simply based on patient self report, medical history, and sexual history and examination findings

      4. The major objective when diagnosing PE is to quantify the length of time between penetration and ejaculation, even though a multidimensional assessment of patients affected with PE, such as psychosocial involvement, is also required

      5. Selective serotonin reuptake inhibitors and topical anesthetic creams can provide good efficacy for treating PE, even if a clear understanding of the cause of lifelong PE is lacking

      Ejaculatory dysfunction (EjD) is one of the most frequent male sexual dysfunctions, but EjD is still frequently misdiagnosed or overlooked as a result of many patient and doctor barriers.

      Recently I have an elderly patient who is unable to ejaculate even though he is able to manage an erection.

      His wife felt that is unusual and wonder whether there is a blockage in the seminal ducts.

      He is also depressed because he felt that he should be able to ejaculate.

      The wide spectrum of EjD ranges from premature or rapid ejaculation, through delayed ejaculation, to a complete inability to ejaculate (also known as anejaculation) and includes retrograde ejaculation and painful ejaculation.

      Conventional algorithms (problem-solving operations) for treating ejaculatory disorders are based either on an organic or psychogenic cause, with the latter more often considered the main cause.

      As established, a normal sexual response cycle consists of four interactive, nonlinear stages:

      1. Desire,

      2. Arousal,

      3. Orgasm and

      4. Resolution.

      In males, orgasm normally coincides with ejaculation, but represents a distinct cognitive and emotional cortical event.

      Fertility is a major concern for younger men while EjD can cause distress to men of all ages.

      In a recent survey of men aged 50-80 years, 46% reported an ejaculatory disturbance within the previous 4 weeks and 59% were especially troubled by it, especially when occurring concomitantly with lower urinary tract symptoms

      What are the causes of ejaculatory dysfunction?

      Psychological causes might include:

      1. Concern about sexual performance

      2. Marital or relationship problems

      3. Depression, feelings of guilt

      4. Effects of past sexual trauma

      5. Work-related stress and anxiety

      Physical causes of overall ejaculatory dysfunction may be:

      1. Low testosterone levels

      2.

      Enjoying the preview?
      Page 1 of 1