Patient's question:
Now during sexual activity, he cannot ejaculate for a long time, and it lasts until he becomes soft. So far, this has not been resolved. However, during a semen examination, he can ejaculate through masturbation, and he does not have a history of excessive masturbation.Doctor's answer:
Hello, the reasons for non-ejaculation are divided into two categories. Namely: primary non-ejaculation and secondary non-ejaculation. A condition where a person has never ejaculated in a state of arousal is called primary absolute non-ejaculation, which is caused by sexual ignorance or sexual inhibition. The causes of primary non-ejaculation are as follows:1. Sexual ignorance;
2. Psychological and emotional factors;
3. Female factors;
4. Objective factors;
5. Anatomical factors. Excessive foreskin, phimosis, pain, severe paraphimosis leading to atrophic changes, and inability to effectively participate in the ejaculation process.
A person who has experienced ejaculation before marriage but has lost the ability to ejaculate under certain influences is called secondary non-ejaculation. The causes of secondary non-ejaculation are as follows:
1. Abnormally intense sexual impulses, where after the peak, improper methods prevent ejaculation;
2. Masturbation, improper sexual activities, psychological factors, and emotional factors;
3. Previously able to ejaculate normally, but due to intentionally prolonging the duration using distraction methods, the habit of excessively delaying ejaculation may eventually lead to non-ejaculation;
4. Organic causes, such as: lesions in the lateral lobes of the brain, spinal cord injuries, conduction nerve disorders, and local lesions;
5. Other conditions such as hypopituitarism, hyperthyroidism, acromegaly, and myxedema can also cause ejaculation disorders. Therefore, it is recommended to seek early medical examination to address related health issues and adopt appropriate treatments based on the examination results.