Low libido, weak ejaculation, no pleasure - what to do?

Patient's question:

Low libido, weak ejaculation, almost no pleasure, went to the hospital for a thorough check-up, results were within the normal range, urine test was normal, the urology department prescribed medication. Six months ago, I had a thorough check-up for testosterone at a traditional Chinese medicine hospital, the result was 3.21, no reference value. Hello, is my testosterone level still normal?

Doctor's answer:

The occurrence of weak ejaculation can be broadly categorized into two aspects: physiological factors and pathological factors. Physiological factors primarily refer to excessive sexual activity, which leads to an overload on the central nervous system responsible for controlling ejaculation, making it unable to effectively issue the command for ejaculation. As a result, weak ejaculation occurs. Additionally, poor sexual quality, a lack of strong sexual arousal in the male, or psychological factors such as regret over the wife becoming pregnant, distress over causing pain during intercourse, concerns about sexual dysfunction, or anxiety about the wife's dissatisfaction with sex—all these negative stimuli, influenced by the brain, can also lead to weak ejaculation.

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