Why do ejaculate

It can be used "on demand". You'll usually be advised to take it between 1 and 3 hours before sex, but not more than once a day. This is when a medicine is used for a different purpose than it was licensed for. Doctors can prescribe an off-label medicine if they decide it's in the patient's best interest. Other SSRIs that may be prescribed for premature ejaculation include paroxetine , sertraline or fluoxetine.

You'll usually need to take these types of SSRIs for 1 or 2 weeks before gaining the full effects. Anaesthetic creams and sprays such as lidocaine or prilocaine cream can help by making your penis less sensitive. Using an anaesthetic cream with a condom can be particularly effective.

A GP should be able to recommend a suitable cream. There are a number of medicines that can be used if it's thought SSRIs are responsible for causing delayed ejaculation. These include:. These help block some of the chemical effects of SSRIs that may contribute towards delayed ejaculation. Alcohol misuse and drug use can be separate underlying causes of delayed ejaculation, so addressing these problems may help.

Read more about getting help with alcohol misuse and drug use. Pseudoephedrine tablets may be tried, but these will need to be prescribed "off-label".

This means the medicine shows promise in treating delayed ejaculation but it has not been licensed for this particular use pseudoephedrine is normally used as a decongestant. Retrograde ejaculation is a rarer type of ejaculation problem. It happens when semen travels backwards into the bladder instead of through the urethra the tube that urine passes through.

Men with retrograde ejaculation still experience the feeling of an orgasm and the condition does not pose a danger to health.

However, it can affect the ability to father a child. Retrograde ejaculation is caused by damage to the nerves or muscles that surround the neck of the bladder the point where the urethra connects to the bladder. Usually when you ejaculate, semen is pushed out of your urethra. It is prevented from entering your bladder by the muscles around the neck of the bladder, which close tightly at the moment of orgasm. However, damage to the surrounding muscles or nerves can stop the bladder neck closing, causing the semen to move into the bladder rather than up through the urethra.

Prostate gland surgery or bladder surgery is the most common cause of retrograde ejaculation. Other causes are diabetes , multiple sclerosis , and a class of medicines known as alpha blockers, which are often used to treat high blood pressure hypertension. Most men do not need treatment for retrograde ejaculation because they are still able to enjoy a healthy sex life and the condition does not have adverse effects on their health.

But if treatment is required usually because of wanting to father a child , there are options to try. For example, pseudoephedrine commonly used as a decongestant has proved effective in treating retrograde ejaculation caused by diabetes or surgery.

If retrograde ejaculation is caused by using a certain medicine, then normal ejaculation will usually return once medicine is stopped. Speak to your GP before stopping any prescribed medicine. However, if the retrograde ejaculation has been caused by significant muscle or nerve damage, treatment may not be possible.

Men who want to have children can have sperm taken from their urine for use in artificial insemination or in-vitro fertilisation IVF.

If you're having problems with your sex life and are seeking treatment, it is usually recommended you involve your partner as much as possible. Communicating your concerns can often go a long way to helping to resolve them. And, in some cases, your partner may also have their own problems that are contributing towards problems with your sex life.

For example, some women are unable to reach climax during "normal" intercourse and require manual or oral stimulation. Most men occasionally reach orgasm sooner than they'd like. For example, it is common for a man to ejaculate quickly the first time he has sex. It is also common if a man hasn't ejaculated for a long time.

The occasional loss of control doesn't mean the man has a sexual problem. In the past, premature ejaculation was thought to be entirely psychological. However, it is now thought that some men particularly those with lifelong premature ejaculation have a chemical imbalance in the brain centres controlling this function this is called a neurobiological cause.

This can, in turn, lead to associated psychological problems, such as performance anxiety. Some men develop acquired premature ejaculation because they have erectile dysfunction are unable to get or keep an erection than enables them to have sex. Seeking help for premature ejaculation from a doctor or sex therapist is a good idea. Treatments for premature ejaculation will vary depending on the cause and whether it is lifelong or acquired premature ejaculation.

The treatments include:. This page has been produced in consultation with and approved by:. Did you know that deaths from injury are 2. That men are more likely to die from preventable diseases? In Victoria, you can have two types of abortion: surgical and medication.

Both types are safe and reliable. You can have a medication abortion up to nine weeks of pregnancy. This type of therapy can be used as the only treatment, or it may be used along with medical or behavioral therapy. Behavioral therapy uses exercises to help build tolerance to delay ejaculation. The goal is to help you train your body away from PE. Some choices are the squeeze method and the stop-start method. Exercises work well, but they may not be a lasting answer. No drugs have been approved in the U.

Still, there are a number of drugs, numbing creams and numbing sprays that may slow ejaculation in men with PE. Doctors noticed that men and women on antidepressants have delayed orgasms. Drugs such as fluoxetine, paroxetine, sertraline, clomipramine and tramadol affect serotonin levels.

Some doctors use these drugs "off-label" for a different reason than the drug's original use to treat PE. If one drug does not work, your doctor may suggest you try a different drug.

Drugs for PE can be taken each day or only before sex. Your health care provider will suggest when you should take a drug based on your activity level.

The best time to take the drug is not clear. Most doctors suggest from 2 to 6 hours before sex. PE can return if you stop taking these drugs. Most men with PE need to take these drugs on an ongoing basis. Numbing creams and sprays may be put on the head of the penis about 20 to 30 minutes before sex. Wash the cream off your penis 5 to 10 minutes before sex. Wearing a condom can also help dull sensation. With the techniques listed here, about 95 out of men will recover from PE.

There is no way to promise recovery, but learning how to relax may help. If the problem stays, keep working with your health care provider to find solutions. Read the latest issue of Urology Health extra, the Urology Care Foundations patient-focused magazine. This web site has been optimized for user experience and security, therefore Internet Explorer IE is not a recommended browser.

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