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  • Format: ePub

Delayed or impaired ejaculation is a medical disorder in which a male cannot ejaculate.
This is the opposite of premature ejaculation, and occurs when orgasm and ejaculation takes too long to reach.
This can happen occasionally to any man, but when it happens too frequently then it may be a problem.
It may happen either during intercourse or by manual stimulation by a partner.
Ejaculation is when semen is released from the penis.
The man does not need to achieve orgasm every time for the sexual intercourse to be pleasurable and pleasant.
His sexual partner may also become not
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Produktbeschreibung
Delayed or impaired ejaculation is a medical disorder in which a male cannot ejaculate.
This is the opposite of premature ejaculation, and occurs when orgasm and ejaculation takes too long to reach.
This can happen occasionally to any man, but when it happens too frequently then it may be a problem.
It may happen either during intercourse or by manual stimulation by a partner.
Ejaculation is when semen is released from the penis.
The man does not need to achieve orgasm every time for the sexual intercourse to be pleasurable and pleasant.
His sexual partner may also become not comfortable or feel discomfort with prolonged thrusting.
Men 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).
Delayed ejaculation may have psychological or physical causes.
Frequent psychological causes are:
1. Religious background that makes the person view sex as sinful
2. Lack of attraction for a partner
3. Conditioning caused by a habit of excessive masturbation
4. Traumatic events (such as being found masturbating or having illegal sex, or learning one's partner is having an affair)
5. Some factors, such as anger toward the partner, may be involved.
Physical causes are:
1. Blockage of the ducts that semen passes through
2. Use of certain drugs (such as prozac, mellaril, and guanethidine)
3. Nervous system diseases, such as stroke or nerve damage to the spinal cord or back
4. Testosterone deficiency
5. Nerve damage during surgery in the pelvis
The diagnosis of Delayed Ejaculation may involve the effects of prescribed medications:
1. Alpha-adrenergic blockers
2. Combined alpha- and beta-adrenergic blockers
3. Sympathetic nerve blockers
4. Anti-ulcer medications
5. Tricyclic antidepressants
6. Monoamine oxidase inhibitors
7. Selective serotonin reuptake inhibitors
8. Other antidepressants
9. Neuroleptics
10. Mood stabilizers
Microscopic examination of the bladder urine after a dry ejaculation is informative in distinguishing between retrograde ejaculation and emission failure.
When medicinal treatment for delayed ejaculation is under being determined, it is essential to exclude iatrogenic causes, such as medicines
Medicines that have been used are:
1. Alpha sympathomimetics (e.g., ephedrine or a combination of phenylpropanolamine hydrochloride and chlorpheniramine maleate)
2. Sildenafil
3. Imipramine
Any psychological intervention must treat both historical factors and current factors that might contribute to the present dysfunction.

TABLE OF CONTENT
Introduction
Chapter 1 Delayed Ejaculation
Chapter 2 Causes
Chapter 3 Symptoms
Chapter 4 Diagnosis
Chapter 5 Treatment
Chapter 6 Prognosis
Chapter 7 Male Orgasm
Chapter 8 Sexual Intercourse
Epilogue


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Autorenporträt
Dr. Kenneth Kee is a well-known medical doctor from Singapore who has been practicing medicine since 1972.
He graduated from the University of Singapore and furthered his studies with a Master of Science in Health Management in 1991, followed by a Ph.D. in Healthcare Administration in 1993.
Dr. Kee established Kee Clinic in 1974, located in the Holland Drive area of Singapore. The clinic has been a prominent feature of the community, offering general medical services for 5 decades.
Dr Kee also served his country Singapore as a national service police Inspector at night from 1975 to 1985 while working at his clinic during the day.
He had served as a police guard to the Woodland Petroleum Tanks at night during the Indonesian Confrontation period, took part in police rounds at night in the Beach Road area and taught First aid and emergency resuscitation to Police recruits.
He received the Singapore Police Bicentennial 2020 Medallion on 1st March 2024 as recognition for his work in the Singapore Police.
Even as he grew older, Dr. Kee continued to work actively in his clinic, although he eventually reduced his consultation hours.
Beyond his medical career, Dr. Kee is also an author.
He started writing about medical conditions in 2007, using blogs and other online platforms to share his knowledge with a broader audience.
Over time, he published various books, many of which provide simple and accessible guides to different health conditions.
His works include "A Family Doctor's Tale," "My Personal Singapore History," and numerous medical guides, available through platforms like Amazon.
His books often combine his personal experiences as a family doctor with insights into Singapore's healthcare system and history.
Dr. Kee has written extensively on health topics, contributing to both medical literature and general knowledge resources.

Dr. Kenneth Kee has written numerous books, primarily focused on health education and personal experiences as a family doctor. Some of his notable titles include:
"A Family Doctor's Tale"
This book is a blend of Dr. Kee's personal experiences and his reflections on being a family doctor in Singapore. It's a great choice if you're looking for a narrative that combines both medical knowledge and human stories.
"Specialized Medical Conditions"
Books like **"Congestive Heart Failure: Diagnosis and Treatment"** focus on specific conditions, offering in-dept...