How does a husband sometimes not ejaculate?

Patient's question:

During our sexual activity, I am satisfied with the hardness of my husband's erection. Sometimes during sex, my husband does not ejaculate. During sexual activity, he has the action of ejaculation but does not actually come out?

Doctor's answer:

In this case, it is necessary to seek medical attention for a thorough examination to identify the cause of retrograde ejaculation. There are two types of retrograde ejaculation: primary and secondary. A condition where a person has never experienced ejaculation in a state of arousal is known as primary absolute retrograde ejaculation, which is caused by sexual ignorance or sexual inhibition. The causes of primary retrograde ejaculation are as follows:
⑴ Sexual ignorance;
⑵ Psychological and emotional factors;
⑶ Factors related to the female partner;
⑷ Objective factors;
⑸ Autopsy findings.
Excessive foreskin, phimosis, paraphimosis, severe prostatitis leading to subsequent atrophic changes, and the inability to effectively participate in the ejaculation process. Secondary retrograde ejaculation refers to a condition where a person has previously experienced ejaculation but has lost the ability to ejaculate due to certain factors after marriage.

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