{"product_id":"2940153818641","title":"Delayed or Impaired Ejaculation, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions","description":"\u003cp\u003eDelayed or impaired ejaculation is a medical disorder in which a male cannot ejaculate.\u003cbr\u003eThis is the opposite of premature ejaculation, and occurs when orgasm and ejaculation takes too long to reach.\u003cbr\u003eThis can happen occasionally to any man, but when it happens too frequently then it may be a problem.\u003cbr\u003eIt may happen either during intercourse or by manual stimulation by a partner.\u003cbr\u003eEjaculation is when semen is released from the penis.\u003cbr\u003eThe man does not need to achieve orgasm every time for the sexual intercourse to be pleasurable and pleasant.\u003cbr\u003eHis sexual partner may also become not comfortable or feel discomfort with prolonged thrusting.\u003cbr\u003eMen with delayed ejaculation may be unable to ejaculate or may only be able to ejaculate with strenuous effort after having intercourse for a long time (for example, 30 to 45 minutes).\u003cbr\u003eDelayed ejaculation may have psychological or physical causes.\u003cbr\u003eFrequent psychological causes are:\u003cbr\u003e1. Religious background that makes the person view sex as sinful\u003cbr\u003e2. Lack of attraction for a partner\u003cbr\u003e3. Conditioning caused by a habit of excessive masturbation\u003cbr\u003e4. Traumatic events (such as being found masturbating or having illegal sex, or learning one's partner is having an affair)\u003cbr\u003e5. Some factors, such as anger toward the partner, may be involved.\u003cbr\u003ePhysical causes are:\u003cbr\u003e1. Blockage of the ducts that semen passes through\u003cbr\u003e2. Use of certain drugs (such as prozac, mellaril, and guanethidine)\u003cbr\u003e3. Nervous system diseases, such as stroke or nerve damage to the spinal cord or back\u003cbr\u003e4. Testosterone deficiency\u003cbr\u003e5. Nerve damage during surgery in the pelvis\u003cbr\u003eThe diagnosis of Delayed Ejaculation may involve the effects of prescribed medications:\u003cbr\u003e1. Alpha-adrenergic blockers\u003cbr\u003e2. Combined alpha- and beta-adrenergic blockers\u003cbr\u003e3. Sympathetic nerve blockers\u003cbr\u003e4. Anti-ulcer medications\u003cbr\u003e5. Tricyclic antidepressants\u003cbr\u003e6. Monoamine oxidase inhibitors\u003cbr\u003e7. Selective serotonin reuptake inhibitors\u003cbr\u003e8. Other antidepressants\u003cbr\u003e9. Neuroleptics\u003cbr\u003e10. Mood stabilizers\u003cbr\u003eMicroscopic examination of the bladder urine after a dry ejaculation is informative in distinguishing between retrograde ejaculation and emission failure.\u003cbr\u003eWhen medicinal treatment for delayed ejaculation is under being determined, it is essential to exclude iatrogenic causes, such as medicines\u003cbr\u003eMedicines that have been used are:\u003cbr\u003e1. Alpha sympathomimetics (e.g., ephedrine or a combination of phenylpropanolamine hydrochloride and chlorpheniramine maleate)\u003cbr\u003e2. Sildenafil\u003cbr\u003e3. Imipramine\u003cbr\u003eAny psychological intervention must treat both historical factors and current factors that might contribute to the present dysfunction.\u003c\/p\u003e\u003cp\u003eTABLE OF CONTENT\u003cbr\u003eIntroduction\u003cbr\u003eChapter 1 Delayed Ejaculation\u003cbr\u003eChapter 2 Causes\u003cbr\u003eChapter 3 Symptoms\u003cbr\u003eChapter 4 Diagnosis\u003cbr\u003eChapter 5 Treatment\u003cbr\u003eChapter 6 Prognosis\u003cbr\u003eChapter 7 Male Orgasm\u003cbr\u003eChapter 8 Sexual Intercourse\u003cbr\u003eEpilogue\u003c\/p\u003e","brand":"Kenneth Kee","offers":[{"title":"Default Title","offer_id":47076247535856,"sku":"2940153818641","price":2.99,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0737\/7593\/9824\/files\/2940153818641_p0.jpg?v=1764061463","url":"https:\/\/shop-qa.barnesandnoble.com\/products\/2940153818641","provider":"Barnes \u0026 Noble (DEV)","version":"1.0","type":"link"}