How is it better to treat retrograde ejaculation?

Patient's question:

Hello, I am 25 years old, and I have had sexual activity with my girlfriend for two years. But recently, for the past six months, I have noticed that I no longer ejaculate, although my libido is still there. However, the feeling of ejaculation at climax, which I used to have before, has disappeared.

Doctor's answer:

Hello:
Failure to ejaculate is a serious urological condition, and if not treated promptly, it can lead to male infertility. Therefore, it is essential to approach this condition with scientific rationality and seek professional, standardized diagnosis and treatment to effectively ensure recovery.
Symptoms:
1. Functional Impotence: During sexual activity, the individual cannot reach orgasm. The intercourse can last for a long time without becoming flaccid, without ejaculation, and without the release of semen. Even if there is a sense of sexual climax, there is neither ejaculation nor the release of semen. However, the person may experience nocturnal emissions or involuntary ejaculation outside of sexual activity.
2. Organic Impotence: During sexual activity, there is no ejaculation, and no semen is released under any circumstances. It is accompanied by symptoms and signs corresponding to the underlying primary disease, such as prostatitis, tuberculosis or tumors of the seminal vesicles causing obstruction of the seminal tract.

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