Why is there no ejaculation

Patient's question:

Duration of the illness and its persistence: This has happened twice already. I don't know why I repeatedly thrust during sex without the intention to orgasm, and eventually I can only wait for it to gradually subside. Is this abnormal?

Doctor's answer:

1. Psychological and Sexual Education Therapy
Primarily used for patients with anejaculation. When treating this type of patient, both partners should be taught about the anatomy, physiology, and sexual response of the genital organs. Attention should also be paid to sexual positions and methods, eliminating erroneous beliefs, and harmonizing the marital relationship. The female partner should cooperate with the male to help alleviate sexual anxiety, enabling the male to engage in sexual activity in a state of full relaxation and passion. This enhances stimulation intensity, allowing the penis to receive more sexual stimulation, thereby achieving the goal of treatment.
2. Sexual Behavior Therapy
This primarily involves sensate focus training to help patients gradually adapt to and become familiar with the sexual process, improve their self-awareness of sexual response, fully enjoy the pleasure of sexual activity, and reduce anxiety and fear related to intercourse. Additionally, to further stimulate the penis, techniques such as pre-intercourse masturbation, adjusting the frequency and timing of intercourse, changing positions, or the female contracting the pelvic floor muscles after the male insertion can be employed to further induce ejaculation.