Patient's question:
Detailed medical condition and consultation purpose: At the age of 25, I had a nocturnal emission. When I was about to ejaculate, I squeezed my penis and didn't manage to ejaculate. Since then, I have had no pleasure during sexual intercourse, and it's not ejaculation but a flow instead.Duration and course of the current illness: Always been like this.
Current general condition: Always been like this.
Medical history: Always been like this.
Previous diagnoses and treatment history and outcomes: No diagnosis or treatment.
Ancillary tests: None.
Other: None.
Doctor's answer:
Hello: The male penis has no abnormalities during erection, with a firm erection degree and a prolonged erection duration, allowing for sexual intercourse. However, during ejaculation, the semen flows out weakly, not forcefully expelled but slowly leaking out, and the amount is also small. There is a slight mild sensation of ejaculation but not the typical psychological pleasure derived from ejaculation, and in some cases, there is no ejaculation sensation at all. Therefore, it can be said that there is no sexual climax.Ejaculation incompetence is essentially no different from anejaculation, so the treatment methods are the same. Due to limited understanding of the causes of ejaculation incompetence, treatment has been challenging. However, improvement can still be achieved to a certain extent through the following methods:
1. The interrupted urination exercise method: Since the lower part of the male urethra and the ejaculation passage are shared, some muscle activities during urination are similar to those during ejaculation, such as the contraction and relaxation of the external urethral sphincter, the contraction of the transverse perineal muscles, and the anal sphincter. Therefore, by practicing interrupted urination, these muscles can be trained to increase their tension, which can improve ejaculation. The method is: interrupt urination halfway through each time, wait for a moment, and then resume urination. Repeat this practice. After a period of training, the ejaculation strength of some patients can be improved and enhanced.
2. Taking Chinese medicine for regulation: Some Chinese medicines that can regulate the sexual system and the function of sexual organs can be selected for regulation. It should be noted that Chinese medicine regulation is only effective for some patients. It is hoped that a more ideal treatment method can be found in the future.