Patient's question:
Please sincerely ask everyone (doctors are preferred) to take a look at what causes the difficulty in ejaculation.Doctor's answer:
During sexual activity, men will experience ejaculation. If ejaculation does not occur, there must be a reason.The first major factor: penile diseases such as excessive foreskin or narrowed foreskin orifice can lead to entrapment during intercourse, causing pain and interrupting the act. Phimosis, where the foreskin covers the glans, reduces friction and stimulation, making it difficult to reach the "ejaculation threshold." Additionally, penile glans inflammation, allergies, or other conditions that make the glans unable to tolerate repeated friction can prevent ejaculation.
The second major factor: nervous system disorders or injuries, such as diseases or surgery on the lateral lobe of the brain, damage to the lumbar sympathetic ganglia or surgical removal, spinal cord injuries of various causes, or pelvic surgeries like prostatectomy or radical rectal surgery, which can cause neurological damage and disrupt ejaculation function.
The third major factor: endocrine abnormalities, primarily seen in hypofunction of the pituitary, gonads, thyroid, or peripheral nerve damage caused by diabetes.
The fourth major factor: drug-related factors. Many medications can cause ejaculation dysfunction, such as tranquilizers and sleeping pills, which reduce neural excitability and suppress sexual arousal. Adrenergic receptor blockers (e.g., guanethidine, phenothiazines) and anti-androgen drugs (e.g., cyproterone acetate) can also inhibit ejaculation.