Patient's question:
What are the symptoms of ejaculation disorder? How is it treated? If you know, please tell me.Doctor's answer:
Experts at Shanghai Changjiang Hospital for Infertility and Sterility believe that ejaculation disorders are primarily divided into two major categories: excessive ejaculation (premature ejaculation) and impaired ejaculation (ejaculation disorders including anejaculation and retrograde ejaculation). Premature ejaculation is the most common symptom of ejaculation disorders, mostly functional and caused by psychological factors. Other neurological disorders include:1. Premature Ejaculation: Premature ejaculation refers to sexual intercourse that is harmonious but unsatisfactory, where the penis is inserted into the vagina before the female reaches orgasm, and the male's sexual activity duration is shorter than 2 minutes, leading to early ejaculation. Generally, 30% of men experience this condition. Although the problem is minor, it can reduce sexual quality and may also cause other sexual dysfunctions such as erectile dysfunction.
2. Anejaculation: Patients with anejaculation cannot achieve ejaculation during sexual intercourse, and no sexual climax occurs during the act. Primary anejaculation should be distinguished from absolute primary anejaculation and selective primary anejaculation. Absolute primary anejaculation has never occurred even in a state of arousal, often caused by sexual ignorance or sexual repression, but nocturnal emissions may still occur. Selective primary anejaculation, however, allows ejaculation during masturbation or when the female manually or orally stimulates the male without sexual intercourse. This is due to an unconscious sexual resistance or an incorrect perception of ejaculation within the vagina.
3. Retrograde Ejaculation: This refers to the presence of sexual climax and ejaculation, but the semen flows into the bladder urethra instead of being expelled externally. Post-orgasm urine tests can detect sperm and fructose. Experts advise that if symptoms such as premature ejaculation, anejaculation, or retrograde ejaculation occur, it is essential to seek a comprehensive examination at a professional and reputable hospital. Once the cause is identified, treatment should be guided by a doctor. It is unnecessary to bear excessive psychological burdens or resort to unprofessional self-medication.