Patient's question:
I'm just 28 this year, and recently, the duration of our sexual activity with my wife is often around 1 hour. I get exhausted enough but still fail to reach climax (my wife has experienced this more than once). However, because I last too long, she starts to get impatient, and sometimes even suspects that I've taken some medication. It's frustrating. Now I've noticed that while I'm erect, although my penis is sufficiently engorged, firm, and upright, the head of my penis remains soft. The veins on the back of my penis are very prominent, appearing to connect directly to the head. I wonder if it's because that vein is too thick, causing blood to drain from the head too quickly, making it less firm? Is there any way to fix this? Is this a medical condition? I hope it doesn't require surgery.Doctor's answer:
Hello: You are normal and do not need surgery, but based on your sexual activity, it is possible that you have anejaculation. Anejaculation is a type of male sexual dysfunction. It is characterized by some patients who can achieve a hard erection without difficulty during sexual activity, and the erection can last a long time without getting soft, but they cannot reach orgasm or ejaculate, let alone pleasure. In actual life, such patients are not uncommon, but many are too embarrassed to talk about it and avoid seeking medical attention. They often endure the troubles brought by sexual issues and infertility silently. Since this condition mainly affects young and middle-aged adults, improper handling can affect ( refers to the relationship between husband and wife, which is a cultural term and can be translated as "marital relationship" or "spousal relationship"). It can even lead to the breakdown of the family and bring mental distress to the patient. Functional anejaculation is the most common type of ejaculation disorder, accounting for more than 90% of such cases. Here, we will briefly introduce what functional anejaculation is.Functional anejaculation includes the following three aspects:
1. Central Ejaculation Disorder: Mainly caused by abnormal brain function, leading to increased inhibitory effects on sexual arousal, especially on the ejaculation center. Patients experience no sexual desire climax or ejaculation. In a few cases, anejaculation is caused by sensory organ disorders, emotional issues, intellectual impairments, etc.
2. Spinal Central Ejaculation Disorder: Refers to dysfunction or failure of the ejaculation and erection centers in the lumbar and sacral spinal cord, which can lead to weakened or complete inability to achieve an erection, as well as delayed or complete inability to ejaculate.
3. Psychological Factors Ejaculation Disorder: This type of ejaculation disorder is caused by...