Patient's question:
There is a feeling of ejaculation, but it's unable to come out. What could be the reason?Doctor's answer:
Ejaculation failure refers to a condition where the penis can achieve normal erection and rigidity during sexual intercourse, but fails to ejaculate or cannot ejaculate into the female vagina during sexual climax, failing to reach sexual climax. The penis gradually softens and returns to normal after a period of erection. It is a form of sexual dysfunction characterized by the inability to ejaculate despite intercourse lasting over 45 minutes, leading to physical fatigue. Ejaculation failure is classified into primary and secondary types. Primary ejaculation failure occurs when an erect penis has never been able to ejaculate into the vagina. If there was previously successful ejaculation during intercourse but the ability to ejaculate into the vagina is now lost, it is considered secondary ejaculation failure.90% of ejaculation failure is attributed to psychological factors, with organic causes being less common. The possible causes include:
- Local factors, such as bladder relaxation, hypertrophy of the prostate, penile injury, penile plaques, or hypospadias.
- Neurological factors, such as abnormalities in brain function, peripheral nerve damage, spinal cord injury, or post-surgical complications from sympathectomy (e.g., after testicular tumor removal).
- Medication-related factors, such as side effects from antisympathetic drugs used to treat hypertension (e.g., guanethidine) or depression, which may impair ejaculation function.
It is recommended that you seek a comprehensive medical evaluation to determine the specific cause and receive targeted treatment.