Does rapid ejaculation affect fertility?

Patient's question:

During sex with my wife, I tend to ejaculate quickly. I want to know if my quick ejaculation will affect fertility?

Doctor's answer:

Generally, it will not cause infertility. If premature ejaculation occurs frequently and each time fails to the woman's vagina, there will be very few chances for sperm to enter the cervix, uterus, and fallopian tubes, which can lead to infertility. The causes of premature ejaculation include physical and psychological factors. In most cases, premature ejaculation is due to a weakened inhibitory process in the cerebral cortex, excessive excitability of the higher sexual center, a weakened inhibitory process of the primary center, and excessive excitability of the sacral spinal cord ejaculation center.

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