How to solve the symptom of not achieving ejaculation?

Patient's question:

The penis can achieve normal erection and masturbation, but it does not reach sexual climax or obtain sexual pleasure, and cannot eject semen; or in other situations, it can eject semen, but not inside the vagina. No complaints

Doctor's answer:

Hello: Ejaculation failure is divided into primary and secondary forms. Primary ejaculation failure refers to a condition where an erect penis has never been able to ejaculate inside the vagina. If there was previously the ability to ejaculate through masturbation but now loses this ability during vaginal intercourse, it is considered secondary ejaculation failure. There are several causes of ejaculation failure, so it is recommended that you visit a specialized hospital for further examination to identify the specific cause and receive targeted treatment.
The daily treatment for male patients primarily involves symptomatic medication. Patients can take some oral medications, supplement with vitamins, and maintain a regular schedule while avoiding alcohol. We hope that male patients can recover quickly! Thank you!