Patient's question:
How to treat retrograde ejaculation?Doctor's answer:
Ejaculatory dysfunction, also known as anejaculation, is a condition where a person experiences normal sexual arousal during intercourse, with a rigidly erect penis and prolonged sexual activity, but without reaching sexual climax or emitting semen. Dr. Zheng from Shanghai Wanda Hospital explains: To treat Ejaculatory dysfunction, it is essential to first identify the cause and thoroughly understand the patient's sexual history. For Ejaculatory dysfunction caused by psychological factors, sensory focus therapy can be applied to eliminate the factors leading to the dysfunction, allowing the individual to discard all unrelated worries during intercourse and concentrate emotions and sensations on sexual activity.At the same time, the wife plays a crucial role in the treatment. Initiating ejaculation through various methods by the wife is a decisive milestone in the treatment. If the wife can stimulate the penis to cause ejaculation during the first attempt, both partners will gain confidence. After the penis becomes erect, the wife can gently stroke the scrotum and press it against the pubic symphysis, which may help induce ejaculation during high excitement. Meanwhile, the husband can guide the wife on how to apply pressure and control timing. When the husband reaches sexual climax and feels close to ejaculation, the wife can assume a superior position and quickly insert the penis into the vagina while continuing to stimulate it, often leading to ejaculation. If unsuccessful, the process can be repeated multiple times. With mutual coordination, the condition can generally be cured.
Additionally, under medical guidance, an electric massager can be used to induce ejaculation. Initially, sustained stimulation may be required for 10–15 minutes, but later, only 5 minutes may be needed to achieve ejaculation. The primary stimulation areas are the glans and frenulum, though it can also be moved up and down the penis shaft. If necessary, ephedrine (25–30 mg) can be taken orally before bedtime for 1–4 weeks, and levodopa (250 mg) can be taken four times daily. Additionally, strychnine (2 mL) can be injected intramuscularly one hour before intercourse.
It is particularly important to note that when treating Ejaculatory dysfunction patients, if they are taking tranquilizers, especially phenothiazine-class drugs or certain antihypertensive medications, these drugs may themselves cause Ejaculatory dysfunction as a side effect. Traditional Chinese medicine (TCM) has shown significant efficacy in treating this condition. Some people have reported excellent results by taking Majian Tongguan San (0.3 g of brucine, 0.5 g of centipede, and 0.1 g of menthol) half an hour before bedtime. Acupuncture also has a certain therapeutic effect, with commonly selected points including Qihai, Guanyuan, Zhongji, Zusanli, Sanyinjiao, and Quchi.