What are the causes of non-ejaculation?

Patient's question:

Why does my husband take so long to ejaculate during sex. Sometimes he doesn't ejaculate at all. What could be the reason for this? Is there any medication for it?

Doctor's answer:

For patients with functional anejaculation, psychological and physical therapies, as well as drug treatments, can achieve good results. However, for organic anejaculation, especially in cases caused by central nervous system disorders, there are currently no effective treatments.
1. Psychological therapy is primarily used for patients with functional anejaculation. Educating patients about sexual knowledge and disseminating general knowledge to eliminate sexual ignorance is very important. It is also essential to involve the patient's partner in the treatment, correct their incorrect mindset, and provide men with active support, reassurance, and encouragement to achieve successful ejaculation.
2. Physical therapy mainly includes electrovibration and stimulation. For patients with functional anejaculation, a single session of electrovibration can help half of them achieve ejaculation. Most patients can be cured after about 10 treatments, achieving successful sexual intercourse with ejaculation.
3. Drug therapy often involves the use of ephedrine and levodopa, while sedatives should be avoided.

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