Patient's question:
I am 28 years old. I started experiencing symptoms of erectile dysfunction after July 2004. I began having diabetes in 2001. In 2004, with the help of medication, I could achieve an erection, but only a small amount of semen was released after intercourse. This gradually decreased, and now there is none at all.Self-perception: During ejaculation, it feels as though there is little force in the penis, although there is a sense of climax, it is not very intense.
Currently, I have started insulin treatment, and my blood sugar can be controlled below 10. With my wife's touch, I can achieve an erection without medication, which is slightly better than before. However, I still feel that there is no force during ejaculation, and no semen is released.
Please ask.
Doctor's answer:
First, anejaculation without pleasure may be due to psychological factors. Ejaculation in males is actually an "expulsion" process, where the trabecular muscles of the corpora cavernosa play a key role. If a man is under significant psychological stress and remains in a state of long-term anxiety and tension, it can lead to dysfunction of the vegetative nervous system, thereby affecting the contraction and relaxation of the trabecular muscles, which in turn reduces pleasure during ejaculation. At the age of 40, men are often at their most stressful stage in terms of career and family, and their mood is inevitably affected. Therefore, learning to regulate emotions and release stress is a skill that every man must master. Remember, never fall into the vicious cycle of "the more tense you are, the worse it gets, and the worse it gets, the more tense you become."Second, anejaculation without pleasure may be influenced by physical condition. Lack of exercise for a long time can lead to weakened muscle strength or increased susceptibility to fatigue, which can weaken the force of the smooth muscles in the corpora cavernosa. This is also one reason why some men experience reduced pleasure during ejaculation. Thus, regular exercise not only strengthens the immune system but also enhances the sensation during sexual activity. Men should take action quickly and not let their bodies "rust."
Third, anejaculation without pleasure may be a sign of sexual (orgasmic dysfunction). This is indeed a medical condition, usually caused by dysfunction of the reproductive endocrine system. In addition to reduced pleasure during ejaculation, it may also be accompanied by symptoms such as reduced semen volume and decreased libido. In such cases, medical diagnosis and treatment are necessary.