How to treat non-ejaculation?

Patient's question:

The symptom of not achieving ejaculation has lasted for over a year. The basic situation is that he can achieve ejaculation during masturbation, but he cannot during normal intercourse with his wife.

Doctor's answer:

Treatment for Non-Ejaculation Syndrome
1. Medication Therapy: Targeted regulation of the neuro-endocrine axis and sexual glands, while also regulating the function of endothelial cells in penile arteries. This promotes moderate vasodilation, increases blood flow, activates corpus cavernosum dynamics, significantly improves erection hardness, extends erection duration, and restores normal ejaculation threshold.
2. Surgical Therapy: Primarily addresses penile conditions such as phimosis, balanitis, and paraphimosis. Patients may opt for surgical treatment, which involves excising the foreskin to expose the glans, thereby enhancing its sensitivity to stimulation and facilitating ejaculation.
3. Psychological Therapy: Complementary psychological treatment is recommended during the course of therapy. Sex psychologists engage in deep psychological communication with patients to identify the root causes of subconscious barriers. Targeted psychological interventions can effectively eliminate psychological obstacles and boost patients' confidence in sexual function recovery.