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Home > Archive > Impotence Support > January 2007 > Delayed ejaculation!
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Delayed ejaculation!
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| Mungy@HorribleISP.gov 2007-01-10, 5:10 pm |
| My favorite subject. Finally vindication!!! Lack of seminal vesicle
and prostatic fluid may be the cause.
Reading "Current Medical Diagnosis & Treatment" a Lange publication,
the 2007 edition no less and it says:
"The loss of emission (lack of antegrade seminal fluid during
ejaculation) may result from several underlying disorders. Retrograde
ejaculation may occur as a result of mechanical disruption of the
bladder neck, especially following transurethral resection of the
prostate or sympathetic denervation as a result of medications
(a-blockers), diabetes mellitus, or radical pelvic or retroperitoneal
surgery. !!!!!!!!!!!!!!!!!Androgen deficiency may also result in lack
of emission by decreasing the amount of prostatic and seminal vesicle
secretions.!!!!!!!!!!!!!!!!! If libido and erection are intact, the
loss of orgasm is usually of psychological origin. Premature
ejaculation is usually an anxiety-related disorder and rarely has an
organic cause. The history may elucidate the presence of a new
partner, unreasonable expectations about performance, or emotional
disorders. Pharmacologic therapy with clomipramine 25 mg prior to
intercourse has been effective in delaying ejaculation."
The "!" are mine.
OTOH I'm not so sure about the part about premature ejaculation being
anxiety-related. I thought the current thinking was that this was
caused by an excess of serotonin receptors (a genetic characteristic
in some people) which are not normally filled, thus the SSRI works by
increasing the amount of serotonin at the synapse and so filling them.
Just like the pre-viagra era, everything was psychological. A blame
the victim mentality. Then along came Viagra and all of a sudden ED
has an organic cause. Is it any wonder that people prescribe for
themselves?
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| Mungy@HorribleISP.gov 2007-01-10, 5:10 pm |
| And continuing further research...
One of the questions that arises is how can the seminal vesicles
accumulate fluid if there is nothing to prevent it from seeping down
the ejaculatory duct into the prostatic urethra. The urologists and in
this case the surgeons don't know but at least have similar hypotheses
to yours truly. In particular Skandalakis' Surgical Anatomy (2004) in
chapter 25 Male Genitals in discussing the ejaculatory ducts says:
"Since a sphincter has not yet been found in this area, a fold of
mucosa acting as a valve could be an obstacle, preventing retrograde
passage of fluid up the ejaculatory duct. Perhaps the "curvy" pathway
of the ducts is responsible for this action. It is possible that the
ducts are compressed by prostatic glandular tissue, except in orgasm
when internal pressure caused by the ejaculation opens the duct."
If the latter is true the dysfunctional prostate, evidenced by LUTS,
could be the reason for inadequate pressure not restricting seepage of
seminal vesicle fluid (and sperm) and consequent failure to reach a
"seminal vesicle pressure tipping point" [my concept] necessary for
the onset of emission.
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