Can't Ejaculate Really Means Unable to Ejaculate?

Patient's question:

I experience nocturnal emissions even during deep sleep, and sometimes I can also ejaculate during sexual intercourse, but it often ends with a soft erection. Some men have prolonged erections but still cannot ejaculate. Is this a case of anejaculation? Can it be treated?

Doctor's answer:

Generally, psychological factors play a dominant role in non-ejaculation, such as a lack of sexual skills or improper sexual intercourse methods. Organic factors are more commonly seen in spinal cord injuries, sympathetic ganglion damage, diabetes, chronic alcoholism, etc. If non-ejaculation occurs frequently, it is necessary to identify the cause. First, experts should conduct a preliminary and thorough examination for you, and based on your condition, determine if there is a need to prevent the recurrence of urological diseases. Additionally, patients should maintain a positive mood to avoid worsening the condition. It is hoped that the answers to the above questions can assist everyone.

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