What is the reason for not ejaculation?

Patient's question:

Sexual arousal and erection are normal, with pleasure, but he doesn't ejaculate during some encounters. Sometimes he forces it, but previously he would become very excited before ejaculation. Now, when he tries, he doesn't feel anything and becomes soft without any semen being released. What is the reason for not ejaculating?

Doctor's answer:

According to your situation, you have no ejaculation. This condition may be caused by two types of factors: physiological and pathological.
Physiological factors include excessive sexual activity, overly frequent intercourse, overloading of the sexual nervous center, mental exhaustion, which can lead to no ejaculation. Additionally, poor sexual quality, lack of strong sexual arousal, or psychological concerns about sexual function can also affect the function of the central nervous system, resulting in no ejaculation.
Pathological factors refer to certain neuroendocrine diseases, such as inflammation of the brain, spinal cord, hypothalamus, pituitary gland, or even testicular diseases, which can affect the metabolism of sex hormones and cause this symptom. It is recommended to adjust the frequency of sexual activity and take proper rest.

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