What are the symptoms of non-ejaculation?

Patient's question:

I have had sex with my girlfriend many times, with normal sexual desire, normal erections, and normal pleasure. However, no semen has ever been released from my penis. The doctor said this condition is called anejaculation. But I still don't understand this symptom very well. I don't know what it is specifically.

Doctor's answer:

Ejaculation failure, also known as anejaculation, refers to a condition where an individual has normal sexual desire, normal penile erection, and the ability to maintain erection and engage in intercourse for a period of time, even for a long time, but without reaching sexual climax and being unable to ejaculate. This condition arises from a dysfunction in a specific link of the sexual physiological reflex process, which involves the central nervous system, peripheral nervous system, endocrine system, and reproductive organs, resulting in insufficient stimulation of sexual arousal to trigger the ejaculation reflex.

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