What methods should be used to treat non-ejaculation?

Patient's question:

I have had 2 babies, now every time I have sex with my husband, I can't satisfy him, and after doing it for so long, he still can't come.

Doctor's answer:

Analysis of the condition: Anejaculation typically refers to a situation where the penis can achieve normal erection and sexual intercourse, but fails to reach sexual climax or obtain sexual pleasure, and cannot eject semen; or it can eject semen in other circumstances but not inside the vagina. Both scenarios are collectively referred to as anejaculation.
Advice: Organic anejaculation is more commonly seen in congenital abnormalities of the urinary and reproductive systems, spinal cord injuries, vas deferens obstruction, certain cranial lesions, overly loose female vaginas, and the use of certain medications. It is less common than psychogenic anejaculation. Anejaculation affects reproductive health and can lead to male infertility. Additionally, due to the lack of sexual climax during intercourse, sexual interest is significantly reduced, often accompanied by decreased libido. This may also lead to emotional crises between partners, so it is important to seek medical attention proactively. The treatment of anejaculation should differ based on the underlying cause and involve etiological therapy.

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