What is the cause of non-ejaculation?

Patient's question:

I don't seem to be normal, doctor. Since I started having sex, I've always had very slow ejaculation. Sometimes my climax has faded before the sperm even comes out. It's been very embarrassing several times. Now it's even worse—I've had several instances where I haven't been able to ejaculate at all. I haven't dared to tell my girlfriend because I'm afraid she'll mock me. What is this condition called "no ejaculation"?

Doctor's answer:

First, non-ejaculation is divided into functional and organic non-ejaculation. Functional non-ejaculation is further classified into primary and secondary types. This requires a detailed medical history to understand how you have experienced nocturnal emissions again or whether you have ever had ejaculation that later ceased due to certain reasons. Additionally, a lack of sexual knowledge, insufficient understanding of the sexual act, and various other factors such as emotional tension, a noisy environment, and overexertion during training may also interfere. Moreover, organic non-ejaculation is often associated with neurological, endocrine diseases, or organic inflammation of the reproductive system.

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