Patient's question:
How many years have my husband and I been married? We want to have a child, but recently, in the past one or two years, he hasn't been able to ejaculate during sexual activity. What should we do? Before, it was fine, but we used condoms for contraception.Doctor's answer:
Hello! Functional anejaculation is generally divided into two categories: one is the occurrence of sexual intercourse without ejaculation immediately after marriage, and the other is normal sexual life after marriage, which, after a period of time, results in sexual intercourse without ejaculation due to some reason. In the first category, there are two situations: one is a lack of sexual knowledge. Due to the influence of feudal thoughts, some people believe that sexual life is evil and that it cannot be discussed or heard, so they are unfamiliar with sexual physiology. Some people do not ejaculate during sexual life due to insufficient friction intensity. Some people, on the other hand, have a high threshold for excitement in the ejaculation center, so general stimulation cannot cause ejaculation, but masturbation or increased stimulation can. For this type of functional anejaculation, the following methods can be adopted to promote ejaculation. First, the wife should cooperate closely, showing tenderness and caressing to excite her husband. She can stroke her husband's external genitalia to enhance stimulation to the penis and induce ejaculation through masturbation. Achieving a successful ejaculation once can give her husband confidence. Later, during sexual life, attention should be paid to adjusting the position, increasing the frequency and amplitude of thrusting, and prolonging the duration to achieve satisfactory ejaculation. Second, create a suitable environment. The room should have soft lighting, the wife should be proactive rather than passively waiting, and there should be no noise interference around. Third, during sexual life, the wife should not show frustration or use uncooperative language, which may lead to unhappiness for both parties and prevent them from maintaining excitement throughout the process. For those who feel psychologically tense due to anejaculation, drinking moderately before sexual life can help alleviate tension and achieve successful ejaculation. For the second category, where sexual life is normal after marriage but without ejaculation after a period of time, it is mostly caused by psychological factors. It may be due to cracks in the marital relationship, disharmony in sexual life, or various psychological factors during intercourse that suddenly reduce the excitement of the ejaculation center, leading to failure to satisfactorily complete the sexual life process midway. Over time, this forms a pathological sexual process. This indicates that the key to satisfactory sexual life lies in the emotional foundation between the husband and wife. To have harmonious sexual life, it is necessary for the husband and wife to be in close cooperation and support each other.