How to treat male anejaculation?

Patient's question:

I recently had sex with my wife and didn't feel very comfortable because I had been trying for a long time but couldn't climax. I thought it might just be a one-time thing, but later, during some of our other sexual encounters, I still couldn't climax. How should I treat male anejaculation? Am I suffering from some kind of illness? Thank you

Doctor's answer:

Men may experience the sensation of ejaculation during sexual activity but without the emission of semen, which is a symptom of anejaculation. The reasons for this condition may be related to psychological factors, such as poor communication between sexual partners or excessive tension. However, if this situation persists, it is not normal and may be caused by excessive masturbation, sexual activity, or neurological inflammation and injury. It is recommended to identify the underlying cause and seek appropriate treatment. For severe cases of male urological disorders, it is advisable to seek immediate medical attention and follow the doctor's guidance for treatment. Avoid changing medications arbitrarily, as this may have the opposite effect. The above advice is for reference only.