Patient's question:
My husband suffers from hyperthyroidism and hypothyroidism, but his condition is stable and he has been off medication for six months. However, our sex life is very infrequent, with only about one session per month. Additionally, each time he has difficulty achieving ejaculation. What could be the reason for this? (We've only been married for a year)First follow-up question: Also, I've noticed that his penis is always very hard in the morning. Is this a medical condition? How should it be treated?
Second follow-up question: But, we just had an endocrine check-up, and all the results are within the normal range.
Doctor's answer:
Ejaculatory dysfunction is a type of male sexual dysfunction. It is characterized by some patients who can achieve a hard and erect penis without difficulty during sexual activity, and can maintain erection for a long time without softening, but cannot reach climax or achieve ejaculation, let alone pleasure. There are three types in bed: (1) No ejaculation activity, even after long sexual intercourse or certain forms of climax exhaustion, still no ejaculation. (2) Retrograde ejaculation, normal sexual intercourse duration, but no normal semen discharge after climax, with sperm and fructose in urine after intercourse. (3) No ejaculation, refers to having a climax but no semen discharge after ejaculation. It is recommended to go to the hospital for examination to identify the cause.