Patient's question:
Now during sexual activity, he cannot ejaculate for a long time, and it lasts until his penis becomes soft. So far, this issue 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. That is: 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 prosthetic inflammation leading to atrophic changes, and inability to effectively participate in the ejaculation process. A person who has experienced ejaculation after 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, due to improper methods, ejaculation cannot occur; 2. Masturbation, improper sexual activity, psychological factors, emotional factors, etc.; 3. Previously able to ejaculate normally, but due to intentionally prolonging the duration using methods like diverting attention, 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, local lesions; 5. Other conditions such as hypopituitarism, hyperthyroidism, acromegaly, myxedema, etc., can also cause ejaculation disorders. Therefore, it is recommended to seek early medical examination at a hospital to undergo relevant health checks and adopt appropriate treatments based on the examination results.