What is the reason for not achieving ejaculation during sex?

Patient's question:

Problem Description:

Doctor's answer:

Ejaculatory dysfunction typically refers to a condition where the penis can achieve normal erection and engage in sexual intercourse, but fails to reach sexual climax or experience sexual pleasure, and cannot eject semen; or in other situations, semen can be ejected, but not inside the vagina. Both conditions are collectively referred to as ejaculatory dysfunction. Organic ejaculatory dysfunction is more commonly seen in congenital urinary and reproductive system developmental abnormalities, spinal cord injuries, vas deferens obstruction, certain cranial lesions, overly loose female vaginas, and the use of certain medications. It is less common than psychogenic ejaculatory dysfunction. Ejaculatory dysfunction affects reproductive health and can lead to male infertility. Additionally, due to the lack of sexual climax during intercourse, sexual interest is significantly reduced, often accompanied by decreased libido. This may also lead to emotional crises between partners, making it necessary to seek medical attention proactively. The treatment of ejaculatory dysfunction must differentiate between different causes and adopt etiological treatment. Functional ejaculatory dysfunction often has a history of genetics and ejaculation outside of sexual intercourse. For example: (1) lack of sexual knowledge. (2) psychological factors. (3) ejaculation failure syndrome.

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