When I was a child, sperm did not come out.

Patient's question:

Detailed medical condition and consultation purpose: Don't know, always summarized at the beginning, premature ejaculation, don't know what's going on
Current general condition: There are no major problems, both urination and defecation are fine, just premature ejaculation during sex

Doctor's answer:

Hello!
In your case, it is likely premature ejaculation. If the testicles are swollen, it is best to go to the urology department of a hospital for examination to check for inflammation or tumors. Premature ejaculation refers to the condition where a man reaches orgasm and ejaculates before or without penetrating the vagina during sexual contact with a woman. Although the penis remains erect, it becomes soft and limp shortly after ejaculation, preventing further sexual activity. As a result, neither partner can achieve sexual satisfaction. Therefore, premature ejaculation is one of the manifestations of male sexual dysfunction. If it is not treated in a timely manner, it may lead to erectile dysfunction over time.
It should be noted that a single instance of premature ejaculation does not necessarily constitute the condition. Only when a man frequently experiences premature ejaculation and is unable to engage in sexual intercourse can it be confirmed as premature ejaculation. In the early stages of marriage, or due to a lack of sexual experience, excessive sexual excitement, or excessive mental tension, the occurrence of premature ejaculation is not necessarily pathological. However, some people may misunderstand the ejaculation process, mistakenly believe they have premature ejaculation, and develop psychological burdens. Over time, this may lead to a series of sexual dysfunctions, so attention should be paid to this.
Premature ejaculation is one of the more common sexual dysfunctions in clinical practice. Providing a precise definition for premature ejaculation is challenging, and opinions vary. Internationally, Masters and Johnson define premature ejaculation as the inability of a man to control ejaculation during intercourse to the extent that a sexually functional woman is satisfied in at least 50% of normal sexual encounters. Kaplan suggests that if a man can maintain erection for more than 5 minutes after insertion or if both partners agree that their sexual experience is satisfying without being affected by efforts to delay ejaculation, it is considered normal. However, some reports indicate that 75% of men ejaculate within 2 to 6 minutes after insertion or even sooner, and this is still considered normal. Clinically, the diagnosis of premature ejaculation is...