Does premature ejaculation affect sperm quality?

Patient's question:

My husband has been experiencing premature ejaculation recently. He finishes in just five minutes during sex, and neither of us feels comfortable seeing a doctor. We are still planning to have a second child, so I wanted to ask if premature ejaculation affects sperm quality. If it doesn't, then I don't want him to seek treatment.

Doctor's answer:

The causes of male premature ejaculation vary. If it is triggered by urological conditions, it can affect the quality of male semen. However, in such cases, conception cannot be considered, and thorough semen quality tests must be conducted. Additionally, it is important to check for urological diseases, particularly prostatitis, seminal vesiculitis, and varicocele. Only by identifying the specific cause can effective treatment be administered. It is also necessary to rule out all factors that may affect normal conception. For premature ejaculation patients, timely treatment can reduce the incidence of the condition. If left untreated, it may impact overall health.

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