Everything in the world has two sides, just like there is day and night, and there is warmth and cold. Some men are troubled by too short sex life time, but some men are troubled by too long sex life time. For example, Xiao Li, who has just been married for more than a year, has a harmonious relationship with his lover and a smooth career, but he has been troubled by not ejaculating for a long time. When he and his lover lived together, he always felt that he could not reach an orgasm, and finally stopped because he was exhausted and unable to ejaculate. It’s fine once or twice in this situation, but after more times, the lover starts to complain. The long time of sex life made her miserable, and she began to wonder if Xiao Li had an opinion on her, and this problem also directly affected the couple's family planning.
What is Anoejaculation
Xiao Li came to the hospital and asked the doctor for help. After consultation, physical examination and examination, the doctor gave him a diagnosis of ejaculation.
What kind of disease is this? What does it have to do with ejaculation difficulties? Difficulty ejaculating belongs to the ejaculation disorder in male sexual dysfunction, usually manifested as delayed ejaculation or slow ejaculation, and the most extreme case is anoejaculation, that is, men cannot achieve orgasm during sexual life, so they cannot discharge semen.
Anojamia is when the penis is capable of normal erection and sexual intercourse, but no ejaculation of semen, or otherwise ejaculation of semen, but no ejaculation in the vagina, so that orgasm and sexual pleasure cannot be achieved. According to whether the patient usually has nocturnal emission and whether ejaculation can be stimulated by masturbation, aejaculation can be divided into functional aejaculation and organic aejaculation. Functional aejaculation is more common, accounting for about 90% of the total number of cases. It is characterized by no semen excretion during sexual intercourse, but ejaculation during normal masturbation or nocturnal emission during non-sexual life. Organic aejaculation does not ejaculate under any circumstances, and may be accompanied by symptoms, signs, etc. corresponding to the primary disease.
Normal ejaculation is a complex physiological process, which is a complex physiological reflex process involving the nervous system, endocrine system and genitourinary system. If any part of the process has functional or organic disorders, it can lead to anoejaculation. Non-ejaculation can cause male infertility, affect the relationship between husband and wife, and even lead to the breakdown of family relations.
Reasons for not ejaculating
The causes of non-ejaculation or difficulty in ejaculation are as follows:
1. Functional non-ejaculation
Mental and psychological factors are common reasons. Dissatisfaction with the spouse, unharmonious relationship between husband and wife, high ideological pressure, and poor sex life environment can all make the man take a restrained attitude towards sex life, which will lead to non-ejaculation in the long run.
Both husband and wife lack sexual knowledge, do not know how to have intercourse, or have fear of sex (such as the woman is afraid of pregnancy or pain) and restrict the man's large and fast twitch, so that the man cannot reach the threshold of ejaculation, and it will also lead to non-ejaculation.
Sexual fatigue or excessive masturbation can easily cause dysfunction of the spinal cord ejaculation center and lead to non-ejaculation.
Long-term masturbation may cause ejaculation. Because the intensity of sexual stimulation during masturbation exceeds that during sexual intercourse, the ejaculation center adapts to the strong stimulation of masturbation, resulting in the failure to reach the ejaculation threshold during sexual intercourse. On the other hand, due to the influence of traditional concepts, masturbators usually have a sense of guilt and shame, which can also inhibit ejaculation.
2. Organic non-ejaculation
Nervous system lesions and injuries, such as lateral lobe lesions and spinal cord injuries, can cause non-ejaculation.
Iatrogenic factors, such as thoracolumbar sympathectomy and retroperitoneal lymph node dissection, can damage nerves and cause non-ejaculation.
Local lesions of the genitourinary system, such as hypertrophy of the spermary caruncle, phimosis or prepuce with narrow foreskin opening, penile trauma, induration, scar, fibrosis, severe hypospadias, etc., can cause non-ejaculation.
Endocrine diseases, such as diabetes, hypopituitarism, hyperthyroidism, etc., can cause ejaculation disorders.
Drug-related factors, such as taking antihypertensive drugs, sedatives or adrenaline blockers, etc., as well as long-term alcoholism or drug use, can induce non-ejaculation.
As men age, their penises need more stimulation to ejaculate. Many men over the age of 40 experience a decrease in urgency to ejaculate. In fact, men can experience premature ejaculation at any age, but after the age of 40, most men realize that ejaculation often requires more friction and fantasy than before.
Reproductive system infections, such as prostatitis, gonorrhea, and non-specific urethritis can cause typical painful urination, or painful ejaculation, or may not ejaculate due to fear of pain.
3. Other reasons
There are several diseases that may cause ejaculation difficulty or non-ejaculation, such as multiple system sclerosis, hemiplegia, and advanced syphilis.
After further questioning about Xiao Li's medical history, the doctor found that Xiao Li should have functional aejaculation, that is, he could masturbate and ejaculate himself, but he couldn't achieve orgasm when he was in the same room with his lover, so he couldn't ejaculate. When the doctor analyzed the reasons, he found that Xiao Li had the habit of masturbating when he was a teenager. In order to prevent his family from discovering, he used the method of pressing the bed to achieve orgasm and ejaculate. Over time, he got used to this ejaculation method, and when he got married and had sex with his wife, conventional stimulation would not be able to make him orgasm.
How to treat ejaculation
The treatment of asexuality mainly includes psychological and sexual education treatment, sexual behavior therapy, drug therapy, physical therapy (mechanical or electrical stimulation to induce ejaculation), surgical treatment, and traditional Chinese medicine treatment. For those with clear etiology, timely treatment of the primary disease is the key.
1. Psychological and sex education treatment
It is mainly suitable for functional aejaculation patients. When treating such patients, it is necessary to teach both sex organ anatomy, physiological knowledge and sexual response knowledge to both men and women, and pay attention to sexual intercourse postures and methods, eliminate wrong ideas, and coordinate the relationship between husband and wife. The woman should cooperate with the man to help the man eliminate sexual anxiety, make the man have sexual intercourse in a fully relaxed and passionate state, increase the intensity of stimulation, so that the penis can receive more sexual stimulation, so as to achieve the purpose of treatment.
2. Sexual Behavior Therapy
Mainly through sexual concentration training, patients can gradually adapt and become familiar with the process of sexual intercourse, improve their own sense of sexual response, fully enjoy the pleasure of sexual intercourse, and reduce anxiety and fear of sexual intercourse. In addition, in order to strengthen the stimulation of the penis, ejaculation can be further induced by masturbating beforehand, adjusting the frequency and time of sexual intercourse, changing the body position, and the woman contracting the perineal muscles after the man penetrates.
3. Drug treatment There are few types of drugs
used for the treatment of ejaculation, and the curative effect is also controversial in the world. Clinical findings, oral levodopa, ephedrine, etc. can promote ejaculation, but patients with hypertension, coronary heart disease, and hyperthyroidism are contraindicated.
4. Physical therapy
mainly includes mechanical stimulation and electrical stimulation to induce ejaculation. Physiotherapy combined with assisted reproductive technology is an effective way to treat infertility caused by atypical ejaculation.
5. Surgical treatment It is
mainly aimed at the diseases of the penis itself, such as the prepuce and phimosis patients with narrow foreskin opening. The foreskin can be surgically removed to expose the glans to increase its sensitivity to stimulation and facilitate ejaculation.
The doctor suggested that Xiao Li and his lover fully communicate, get the understanding and support of his lover, relax his mind, cooperate closely during sex life, do not blame each other, change the way of masturbation, and then change the way of ejaculation.
Warm reminder to all men and their partners, don't pursue the length of sex life too much. It doesn't mean that the longer the time, the more satisfied each time. Sometimes, too long sex time will not only not increase the pleasure, but will add a lot of troubles. Infertility is a disease that requires prompt attention and treatment.
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