Treatment for Retrograde Ejaculation

Retrograde Ejaculation or ejaculating backwards or Dry Ejaculation may be defined as the persistent inability to ejaculate forwards through the penis as is normal and to instead ejaculate backwards and into the urinary bladder.

Normally, just at the point of ejaculating, the muscular valve at the base on the bladder automatically snaps closed preventing the semen from moving backwards into the bladder and propelling it forwards instead. When there is retrograde ejaculation this mechanism fails to function properly allowing the ejaculate to take the line of least resistance and move backwards into the bladder.

Causes of Retrograde Ejaculation: Anything that interferes with the closing of the valve at the bladder neck at the point of ejaculation will cause Retrograde Ejaculation. In the main there may be surgical or medical factors at play in this situation.

Surgery to the prostate gland and its nerve supply such as TURP, prostatectomy or bladder surgery, may cause retrograde ejaculation.

Medical conditions like diabetes, multiple sclerosis or spinal cord injury can interfere with the nerve supply to the bladder neck and cause Retrograde Ejaculation or Dry Climax.

Certain medications used to treat high blood pressure or benign prostate hypertrophy can cause this condition as indeed can certain anti-depressants like those in the MAOI and SSRI group of antidepressants.

Retrograde Ejaculation does not of itself cause too much of a problem. Ejaculation can usually be felt as pleasurable and the semen can later be flushed from the bladder during normal urination with ease. Where retrograde ejaculation can cause considerably difficulty is in the area of fertility and reproduction. Today however, by using trans-rectal electro-stimulation of the prostate grand, healthy sperm can be retrieved for later use in AI and ICSI procedures.   

For more information about how I can help you treat Retrograde Ejaculation please go to my website at: http://www.doctorrynne.com.

 

Treating Vaginismus

Vaginismus or vaginal muscle spasm on penetration makes sex impossible. You may have noticed that I have not used the term "fidget" to describe any female sexual dysfunction. I have not because I consider such a term to be a judgemental pejorative belonging to an earlier era of sexual repression. It may have been applied however to, among other things, muscular spasm to the vaginal entrance preventing intercourse. Today this is called 'vaginismus' and it can put a real strain on your daily life, as well as your sex life. Indeed it can spiral into a major problem you feel you'll never find a cure for. It can make a woman feel utterly inadequate and miserable. Her sex partner also will often incorrectly blame himself and this can make matters even worse.
If that happens to you, it is very easy to feel that no one fully understands what you are going through, or is prepared to take your vaginismus seriously. Searching for a quick fix for your problem, it is likely you will consider the many pills, exercises and vaginal dilators available both online, and in some cases, as a prescription via your GP.
Vaginismus is defined as the involuntary contractions or spasm of the muscles surrounding the vaginal opening causing pain and preventing penetration. In its more severe forms, the tensing may also extend to muscles of the inner thigh and abdomen.
Vaginismus may be either primary or secondary. Primary vaginismus is where the woman has had the problem from the very first attempt at intercourse. In this case there is often a background of strict religious orthodoxy where sex is depicted as 'dirty' or sinful or simply as painful and as something that has to be endured to please men.
Secondary vaginismus on the other hand is the situation where the woman once enjoyed sex to the full but, because of some traumatic experience like a rape or very difficult childbirth, developed vaginismus as a result of that assault.
Treatment consists of (a) relaxing the muscles of the pelvic floor and vaginal opening through specific relaxation exercised and (b) gentle and graded dilatation of the vagina using finger(s) and specially graded vaginal dilators known as boogies. Remember that practically all vaginismus is curable but it does take time and some effort. There is no quick fix.
Attending a skilled sex councilor is often the best way forwards.

Dr Andrew Rynne. http://www.doctorrynne.com   Dr Andrew Rynne is a medical practitioner and writer. He has thirty years experience in treating Sexual Dysfunction in men and women

Pain During Intercourse. Painful Sex. Dyspareunia.

Pain During Intercourse. Painful Sex. Dyspareunia.

Not being able to enjoy intercourse due to pain can put a real strain on your daily life, as well as your sex life, and before too long this can spiral into a major problem. Indeed you may well feel that you'll never find a cure for this. It can make a woman feel utterly inadequate and miserable. Her sex partner also will often incorrectly blame himself and this can make matters even worse.
Dyspareunia takes a great deal of patient analysis. It is very important that the doctor or therapist is clear in their mind as to when and where the woman experiences pain during intercourse. It is easy to feel that no one fully understands what you are going through, or is prepared to take your dyspareunia seriously. There usually is no quick fix for your problem but with proper history taking and careful consideration a solution can be found.
The key to fixing dyspareunia is making the correct diagnosis. Dyspareunia, or pain during intercourse can be caused by either something inside the vagina or outside in the pelvic organs. Inside the vagina some common causes are:
Vaginismus or painful spasm of the vaginal muscles.
Female Sexual Arousal Deficit.
Vaginitis or infection.
Perineal tear.
Vulvar trauma from childbirth.
Outside the vagina some common causes are:
Endometriosis.
Ovarian Cyst.
Uterine fibroids.
Diverticular disease.
Pelvic Inflammatory Disease'
Each of these problems has additional symptoms other than dyspareunia and their presence can often be elicited through careful history taking. Finding that solution, tailor-made to address your specific needs, can be a challenge. Too many people think that by just throwing tablets at it, female dyspareunia can be cured. It does not work that way however.
Just one final note. Pain felt around or inside your vagina may not be arising from there at all. Referred pain, arising from some source distant from the vagina but felt there is not uncommon. Damage to the Iliolumbar ligament or endometriosis are good examples.

Dr Andrew Rynne. http://www.doctorrynne.com Dr Andrew Rynne is a medical practitioner and writer. He has thirty years experience in treating Sexual Dysfunction in men and women.