Patient's question:
I am 24 years old and male. I have found that I do not experience pleasure during ejaculation. What illness do I have?Doctor's answer:
Most men experience sexual pleasure during sexual intercourse and ejaculation, but some may have less obvious pleasure, and some who previously had pleasure may now experience none. What could be the reason for this? The absence of pleasure during ejaculation can be attributed to the following factors.1. Age Factor. Younger men are more likely to experience sexual pleasure, while older men may find it more difficult. As age increases, testicular function declines, testosterone secretion decreases, and neural reflexes and sensitivity diminish, leading to a lack of pleasure during ejaculation.
2. Sexual Activity Factor. Excessive sexual activity can lower sexual nerve sensitivity, making it harder to experience pleasure. Insufficient preparation before intercourse, such as dryness in the genital area, can cause discomfort and hinder the experience of pleasure.
3. Organic Factors. Phimosis and excessive foreskin can prevent the glans from being fully exposed, affecting sexual pleasure. Inflammatory conditions of the sexual organs, such as urethritis, prostatitis, spermatic cord inflammation, seminal vesiculitis, and orchitis, can also impact the occurrence of pleasure.
4. Physical Factors. Mental and physical fatigue, as well as chronic illnesses, can lead to a lack of sexual interest and a lack of pleasure. Taking sedatives, hypnotics, or antiallergic drugs can also affect the sensitivity of the sexual nerves, thereby influencing pleasure.
To restore sexual pleasure, it is important to regulate the frequency of sexual activity and, if necessary, temporarily pause sexual relations. Those with genital inflammation or chronic illnesses should actively seek treatment. It is advisable to minimize the use of sedatives and hypnotics and explore alternative methods for sleep. Additionally, factors affecting sleep should be addressed. Only by identifying the cause and adjusting or treating it can the possibility of regaining sexual pleasure be achieved.