Patient's question:
I had sex with my girlfriend yesterday and it took a lot of effort, but I didn't climax in the end. My body felt very tired. This has never happened before. Could this be a problem? Is it normal to have difficulty climaxing? I'm very worried. I want to ask what the actual reasons are for not climaxing.Doctor's answer:
Hello, non-ejaculation can be divided into two categories: psychological and organic. For psychological non-ejaculation, mental factors can be identified during sexual counseling. Common psychological factors include: a sense of revenge against women caused by psychological trauma, suppressed sexual impulses, marital discord, lingering feelings for a past lover, extramarital affairs, or extramarital sexual behavior by the wife; fear of health risks associated with ejaculation or intentionally controlling it to prevent the wife from getting pregnant; lack of sexual knowledge, not understanding that the penis should be thrust during intercourse, operational errors leading to insufficient arousal; a high threshold for excitement in the ejaculation center, premarital masturbation, which is also a relatively common cause.Organic non-ejaculation is more common in congenital abnormalities of the urinary and reproductive systems, spinal cord injuries, vas deferens obstruction, certain cranial lesions, excessively loose vaginal conditions in women, and the use of certain medications. It is less common than psychological non-ejaculation. Non-ejaculation affects reproductive health and can lead to male infertility. Additionally, due to the lack of sexual climax during intercourse, sexual interest is significantly reduced, often accompanied by decreased libido. This may also lead to emotional crises between partners, so it is important to seek medical attention proactively.
The treatment of non-ejaculation must distinguish between different causes and adopt etiological therapy.