Patient's question:
Problem Description: I often do not ejaculate for over an hour during sexual intercourse, while my wife has already reached orgasm. I frequently feel very tired and experience pain, and I am becoming increasingly afraid of having sex. I also feel unsatisfied due to prolonged lack of ejaculation, as the penis remains erect and I cannot achieve relief. Is this a medical condition? What should I do?Doctor's answer:
Hello Definition: No ejaculation refers to a condition during sexual intercourse where the penis can normally become erect and hard, but fails to ejaculate or cannot ejaculate into the female vagina during sexual climax, failing to reach sexual climax. The penis gradually becomes soft and returns to normal after a period of erection. It is a form of sexual dysfunction characterized by not achieving ejaculation within 45 minutes of intercourse, leading to physical fatigue. No ejaculation is divided into primary and secondary types. Primary no ejaculation means that an erect penis has never been able to ejaculate into the vagina. If there was previously sexual intercourse with ejaculation, but the ability to ejaculate into the vagina is now lost, it is considered secondary no ejaculation. Causes: There are many reasons for no ejaculation, including: 1) Psychological disorders. Sexual ignorance, where education from a young age has distorted sex as vulgar, dirty, and obscene; lack of proper understanding of sexual life; the belief that "masturbation is evil." The female fears sexual pain; afraid of damaging the vagina and internal organs, restricting the male's thrusting; the female's physical weakness limiting sexual life. After marriage, marital harmony is poor, fear of pregnancy, and various taboos in sexual life. 2) Insufficient excitement of the sexual nervous center. "Testosterone" and other androgen hormones should be taken to supplement it. 3) Insufficient sensitivity of the penis, lack of pleasure. "Electromagnetic wave drug penetration functional therapy device" and medication for impotence can be used for treatment. 4) The vagina is too loose, insufficient stimulation to the penis. Sexual positions can be changed, or "advanced vaginal prosthesis masturbation device" can be used for treatment. 5) Endocrine system disorders, insufficient secretion of sexual hormones. "Testosterone" and other androgen hormones should be taken to supplement it. 6) Cold invasion into the penis. 7) Drug use. 8) Excessive foreskin, causing unbearable itching of the glans during vaginal friction, phimosis entrapment, pain, and forced interruption of sexual intercourse. 9) Severe prostatitis that cannot effectively participate in the ejaculation process, etc. It is recommended that you go to a professional urological hospital to identify the cause and receive targeted treatment. I hope my answer is helpful to you. Wish you health! 23