What is semen retention

What is semen retention

Ejaculation disorder is a pathological condition accompanied by untimely ejaculate expulsion during sexual intercourse. To date, this disease is the most common sexual dysfunction in men under 40 years of age, but most of them for various reasons do not go to the doctor.

Etiology and clinical presentation of ejaculation disorders

There are several main clinical varieties of ejaculation disorders. Let’s consider the main ones.

  1. Premature ejaculation is ejaculation before intercourse or less than a minute after it begins, which does not lead to sexual satisfaction of at least one of the partners. It occurs most often due to inflammatory urogenital diseases, congenital anomalies and too much sexual arousal, especially in men who have recently started sexual life. In the latter case the pathology is of psychogenic character.
  2. Delayed ejaculation is an inability to finish intercourse 30 minutes after its start, despite the mutual desire of partners. The reasons for this may be organic, such as infectious diseases of the genital system, some diseases of the nervous system – multiple sclerosis, parkinsonism, lumbar plexus nerve damage, endocrine pathology (hypothyroidism).
  3. There is a special form of ejaculatory dysfunction – retrograde ejaculation, in which semen enters the urethra and then into the bladder. It occurs because of anatomical anomalies in the structure of the seminal tract. Clinically it is manifested by a small volume of ejaculate or its absence, cloudy urine after intercourse.
    It should be noted that the amount of semen secreted in dysfunction can be both normal and reduced. In this case, the couple may also face the problem of conceiving a child.
    Diagnosis of ejaculation disorders

An andrologist or urologist should begin the examination with a detailed history of the disease. It is necessary to clarify with the patient how long he has been living sexually, whether he has regular sexual intercourse and whether he has encountered this problem before. If necessary, the man is also consulted specialists such as an endocrinologist, neurologist and psychotherapist. The following instrumental and laboratory tests are prescribed:

Blood tests for HIV, syphilis. Serologic blood tests for sexually transmitted infections. Biomicroscopy of a urethral smear. Analysis of urine after ejaculation. Examination of prostatic secretion (prostate gland massage is performed prior to this). Transurethral ultrasound of the prostate . Ultrasound of the scrotum. Urethroscopy and cystoscopy. X-ray of the skull and CT scan of the brain (to find out if the patient has hormone-producing tumors). Functional tests prescribed by narrow specialists.

In many cases, the patient fails to identify any organic pathology, which indicates the psychogenic origin of the disease.
Treatment of ejaculation disorders

Often the effective correction of this disease lies in a competently conducted psychotherapy by a doctor. The patient also needs to observe a rational mode of work and rest and abstain from bad habits. If there is any organic pathology, it must be treated:

Antibacterial, anti-inflammatory and physical therapy to treat infectious and bacterial urogenital diseases. If there is concomitant pathology of the nervous and endocrine system, its compensation is carried out. Reflexotherapy, general tonic massages, therapeutic baths. With premature ejaculation may use local anesthetic gels to prolong sexual intercourse. With retrograde ejaculation may be carried out plastic surgery on the urethra.

It is important to understand that most often the problem of ejaculation disorders does not resolve itself. This condition can be both a primary disease and a manifestation of something more serious that requires timely treatment. The appearance of symptoms of ejaculatory dysfunction may indicate decompensation of diseases of the nervous and endocrine system that require immediate correction. Infectious diseases without long-term treatment can lead to complications or move to the stage of chronicity.