Patient's question:
For a while now, my husband and I have been doing it but it just doesn't last, we go back, he doesn't ejaculate. We haven't been to the hospital.Doctor's answer:
Ejaculation failure is a type of male sexual dysfunction, more severe than impotence or premature ejaculation, and requires greater patience in treatment. If ejaculation failure occurs, it is unnecessary to panic excessively, as this may worsen psychological burdens. It is important to seek medical attention from a reputable and professional hospital promptly to rule out organic causes, such as anatomical abnormalities in the urinary and reproductive systems, spinal cord disorders, or the use of drugs that affect sympathetic nerve function (e.g., guanethidine).There are three distinct types of ejaculation failure:
① The male experiences sexual arousal and reaches orgasm but does not engage in ejaculation or experience semen leakage. This is due to the failure of the sacral spinal cord's ejaculation center.
② The male experiences sexual arousal and attempts ejaculation but fails to release semen. This is caused by dysfunction in the coordination of the ejaculation center, often seen in cases of autonomic nervous system disorders resulting from conditions like diabetes.
③ During sexual activity, the male does not experience sexual arousal, ejaculation, or semen leakage. This is due to dysfunction in the cerebral cortex, which leads to excessive inhibition of lower sexual centers.
Organic causes of ejaculation failure are rare. The majority of patients with ejaculation failure are influenced by psychological factors. The main reasons include:
① A lack of scientific understanding of sexual issues, influenced by feudalism, superstition, or religion.
② Exaggerating the harmful effects of masturbation, leading to psychological burdens; or excessive masturbation, as the stimulation to the genitals during masturbation is often stronger than during intercourse, causing some individuals to develop a dependency on masturbation and raising the threshold for sexual arousal, making genital contact insufficient to achieve adequate excitement.
③ Disharmony in the marital relationship.
④ Fear of pregnancy in the female partner. Additionally, many people do experience ejaculation failure due to excessive sexual activity, such as multiple sexual encounters in one night. Such patients are advised to abstain from sexual activity for one month before resuming intercourse.