Patient's question:
We have been together for two years. Recently, we've noticed that neither of us is ejaculating, but we still have sex drive. Every time we reach climax, we lose sensation, no matter how we try, we still can't ejaculate. Is there any good method to treat this? What are the methods to treat anejaculation?Doctor's answer:
Ejaculatory dysfunction refers to the inability to achieve ejaculation during normal sexual intercourse, or the absence of sperm and fructose in post-coital urine analysis. Based on its underlying causes, it can be classified into two categories: functional and organic. If ejaculation has never occurred in a state of arousal, it is termed primary anejaculation; if there was a history of vaginal ejaculation followed by a recurrence of anejaculation, it is referred to as secondary anejaculation.Treatment: Psychological anejaculation should undergo psychological counseling. Insufficient sexual knowledge should be provided with necessary education on erection and ejaculation, teaching easier-to-achieve positions to allow for substantial, rapid thrusting during intercourse to facilitate ejaculation. Medication-induced anejaculation should be discussed with a specialist on how to discontinue the medication or switch to an alternative drug.