Patient's question:
The past two nights, I've experienced nocturnal emissions, but the amount of semen released was very little, almost none. I've been mostly sitting still, always feeling like I need to ejaculate. When I stand up and walk around, it feels a bit better. I've tried having sexual intercourse to release, but it took a long time, and I still didn't ejaculate. Additionally, I've been experiencing intermittent, needle-like pain in my testicles and lower abdomen, as well as the left side. I've had frequent sexual experiences. What could this be? What tests should I undergo? What should I do about the nocturnal emissions I've had the past two nights?Doctor's answer:
Generally, there are several reasons why ejaculation may not occur, mainly including the following aspects:Local factors. Such as bladder relaxation, hypertrophy of the prostate, penile injury, penile plaques, or hypospadias;
Neurological factors. Such as the removal of a testicular tumor and the implementation of a laparoscopic sympathectomy;
Medication-related factors. In addition to potentially causing retrograde ejaculation, it is possible that an infection has occurred. Long-term medication intake is required, and for male patients, it is essential to seek medical attention at a professional and reputable hospital promptly. Treatment should be considered based on the examination results, and attention should be paid to quitting smoking and drinking alcohol, as well as maintaining personal hygiene.