How is the treatment effective in cases where there is no ejaculation?

Patient's question:

The patient is married and has a sexual history. Currently, during intercourse, he can get hard and maintain it for about twenty minutes, but he becomes soft afterward and does not ejaculate. How can the doctor recommend the best treatment for this?

Doctor's answer:

Based on your description, it is inferred that you do not have premature ejaculation, but you are experiencing recurring symptoms of difficulty in ejaculation. This condition may be related to factors such as psychological and mental issues, sexual fatigue, and nervous system inflammation. It could also be caused by blocked vas deferens or abnormal sexual hormones.
Guidance and recommendations: It is advisable to visit a hospital for a follow-up examination early on, undergo a nervous system check-up and thorough endocrine tests to confirm the diagnosis. Hormone therapy may be used, or medroxyprogesterone can be taken orally to enhance ejaculation. In addition to receiving proper medical treatment for male reproductive health issues, patients should also pay attention to care aspects, such as maintaining a light diet and avoiding spicy foods. At the same time, patients should also be mindful of choosing a professional hospital for treatment to achieve better therapeutic outcomes.

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