Patient's question:
At critical moments, not climaxing means I have premature ejaculation? I'm really puzzled. Every time my wife climaxes, I still don't climax, making some of our sexual lives unpleasant. My wife has also grown colder towards me. Is this a case of anejaculation?Doctor's answer:
Ejaculation dysfunction is medically classified into two major categories: functional ejaculation dysfunction and organic ejaculation dysfunction. Functional ejaculation dysfunction accounts for approximately 90% of all ejaculation dysfunction cases. Factors such as excessive excitement or tension, depression, stress, overexertion, and marital discord can all lead to ejaculation dysfunction. Organic ejaculation dysfunction is relatively rare. It includes neurological inflammation, endocrine inflammation, vascular factors, and urogenital perinatal organic inflammation, such as urethritis, prostatitis, benign prostatic hyperplasia, epididymitis, varicocele, medication effects, and phimosis or excessive masturbation. Therefore, if a man experiences ejaculation dysfunction, he should seek medical attention promptly for a thorough examination and then receive symptomatic treatment based on the underlying cause.