What should I do if I get an erection but don't ejaculate?

Patient's question:

Friend has been under a lot of pressure recently, maybe because of a recent promotion, or maybe because of a recent marriage. After getting into bed with his girlfriend, he hasn't been able to ejaculate for a long time. He initially thought it was a good thing, but later his body started to hurt more and more, and he lost energy during the day. He wants to know what to do about an erection without ejaculation.

Doctor's answer:

Ejaculation without erection is also known as nocturnal emission, which typically occurs in two situations: First, physiological nocturnal emission, which often happens in abstinent young men because the sperm production function of the testes is overly active. When the semen in the epididymis reaches a certain level, it can lead to spontaneous ejaculation. Second, pathological nocturnal emission, which often occurs in patients with phimosis, prostatitis, or seminal vesiculitis. This is because the inflamed sexual organs have a persistent excitatory effect on the sexual nerves.

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