what causes a man not to reach climax

Understanding Male person Sexual Issues -- the Basics

What Are Male Sexual Bug?

Issues with sexual functioning are common, affecting more than one-half of all couples at some time. Although sexual dysfunction rarely threatens physical health, it can take a heavy psychological toll, bringing on depression, anxiety, and debilitating feelings of inadequacy. Male sexual bug, detail erectile dysfunction, may suggest an increased risk of vascular disease, and then tell your doctor most it.

The major categories of sexual dysfunction in men include:

• Erectile dysfunction: sometimes called impotence, it is the inability to have or maintain an erection sufficient for sexual functioning.
• Premature ejaculation: an disability to filibuster orgasm and ejaculation, such that it occurs very early in the class of sexual contact, leaving the other partner dissatisfied.
• Male person orgasmic disorder: an disability to attain orgasm (climax) with a partner; or the inability to achieve orgasm without lengthy sexual contact; or the inability to have an orgasm during intercourse. In some cases, orgasm can be accomplished only through masturbation or oral sex.
• Inhibited or hypoactive sexual desire: a disinterest in sexual contact or consummate lack of sexual desire.
• Retrograde ejaculation: the semen, rather than emerging from the end of the penis, moves astern into the bladder during orgasm. This isn't dangerous. It is ofttimes a side effect of taking sure medications.
• Priapism: a prolonged erection unaccompanied by sexual desire; this rare condition is painfil, potentially unsafe, and requires immediate medical attention.

If your sexual problem only occurs nether a particular set of circumstances, or only with certain sexual partners, then your condition is considered to be "situational" rather than "generalized" (occurring regardless of the circumstances or partner).

Many of these sexual atmospheric condition will occur at some point during the course of a man's life. In fact, some researchers just consider a diagnosis of sexual dysfunction if the trouble occurs in 25% of all attempted sexual encounters.

What Causes Male Sexual Problems?

Considering the sexual response is so complex, involving multiple factors, at that place are many causes of sexual dysfunction including concrete and psychological causes.

An erection involves the nervous and vascular systems (the network of arteries and veins) and appropriate levels of hormones, so problems with any of these systems tin can interfere with sexual functioning.

Common physical causes of sexual problems include the following:

• Conditions or behaviors that increment the risk of vascular disease, such as smoking, high claret force per unit area, diabetes, high cholesterol, and obesity, or the medications to treat these and other disorders
• Diabetes, particularly if you have blazon 2 diabetes
• Hypogonadism, in which the testicles practice non produce enough testosterone
• Thyroid disorders(both hyperthyroidism and hypothyroidism)
• Adrenal lesions (Cushing's syndrome)
• Noncancerous pituitary growths that increase levels of a hormone called prolactin
• Diseases that affect the nervous organization, including strokes, spinal cord injuries, multiple sclerosis, long-standing diabetes, and Parkinson'due south disease
• Damage to arteries or veins following pelvic surgery (such as prostate, colon, or bladder surgery) or after radiation treatment
• Conditions that touch the penis straight, such every bit Peyronie's disease (penile curvature) or injury to the penis itself or to the arteries, veins, or fretfulness that supply the penis
• Cardiovascular (heart) affliction
• Blockages in the blood flow to the penis (normally due to injury)
• Leaky veins

Premature ejaculation (PE) is ordinarily not due to physical causes, although the problem is sometimes linked to a neurological disorder, prostate infections, or urethritis.

Possible psychological causes of sexual dysfunction include:

• Anxiety
• Guilty feelings about sex activity
• Sexual aversion disorder
• Learned beliefs pattern of rapid ejaculation seen with frequent masturbation or infrequent sexual activity

Painful intercourse ordinarily has concrete causes such as these:

• An infection of the prostate, urethra, or testes, which can be initiated past sexually transmitted diseases, such as chlamydia and genital canker
• An allergic reaction to spermicide or condoms
• Peyronie's disease, fibrous plaques on the upper side of the penis that oft produce a painful bend during erection
• Arthritis of the lower dorsum

Lack of sexual desire may exist due to any of these factors:

• Physical illness
• Hormonal abnormality (usually depression testosterone levels)
• Medications that touch libido
• Alcohol or recreational drug abuse
• Psychological causes, including depression or relationship issues, which a therapist may help place

Retrograde ejaculation may occur in men from these causes:

• Prostate or urethral surgery
• Medication that keeps the bladder cervix open up
• Diabetes (which can hurt the nerves that normally close the float during ejaculation)

Priapismmay exist caused by:

• Penile trauma
• Medical conditions such equally sickle jail cell disease, leukemia, gout, diabetes
• Certain medications, including those used to care for erectile dysfunction

Can Medication Cause Sexual Issues?

Many medications take been implicated in sexual dysfunction, causing inhibited sexual desire and/or erectile dysfunction, such as:

• Drugs to treat high claret force per unit area
• Diuretics (including thiazides and spironolactone)
• Histamine blockers
• Antidepressant medications
• Common over-the-counter preparations (particularly antihistamines and decongestants)
• Antipsychotic medications
• Sedatives
• Medications used to treat anxiety
• Apply of drugs, including alcohol, methadone and heroin, anabolic steroids, and tobacco

Psychological Factors in Sexual Problems

Psychological factors play an of import part. You may detect it difficult to enjoy a sexual relationship if:

• You are under a lot of stress
• Your relationship is troubled
• You take a history of traumatic sexual encounters (rape or incest)
• You lot were raised in a family with strict sexual taboos
• You're afraid of getting your partner pregnant or of contracting a sexually-transmitted disease
• You lot have negative feelings (including guilt, anger, fear, depression self-esteem, and anxiety)
• You are depressed
• You are severely fatigued
• You are pushing yourself to accept sexual relations with someone y'all are non attracted to sexually
• Gender dysphoria issues.

Environmental Factors in Sexual Bug

You may find it hard to enjoy sex if there is no safe, private place to relax and let yourself to become sexual, or if fatigue due to an overly busy work and personal life robs you of the free energy to participate sexually. Parents may find information technology hard to find the time to be sexually intimate, given the demands/presence of their children.

Fear of contracting HIV (human immunodeficiency virus, which can pb to AIDS), the difficulties of striving for "safer sexual practice," and the psychological effects of bigotry are just a few of the factors that can cause anxieties for men.

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Source: https://www.webmd.com/sexual-conditions/understanding-male-sexual-problems-basics

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