Patient's question:
Hello, I have a three-year sexual history, but I've always experienced no pleasure during ejaculation. Is it due to inflammation or other reasons? What should I do? Thank you! First follow-up question: It's not a lack of force during ejaculation, nor is it erectile dysfunction. Thank you for the expert's answer.Doctor's answer:
Hello: The male penis has no abnormality during erection, with a firm erection and a prolonged duration, allowing for sexual intercourse. However, during ejaculation, the semen flows out weakly, not forcefully expelled but slowly released, and in small quantities. There is a slight sensation of ejaculation but not the typical psychological pleasure associated with it, and in some cases, no ejaculation sensation at all. Therefore, it can be said that there is no sexual climax.Ejaculation incompetence is essentially no different from anejaculation, so the treatment methods are the same. Due to limited understanding of the causes of ejaculation incompetence, treatment can be challenging. However, some improvement can still be achieved through the following methods:
1. The interrupted urination exercise method: Since the lower part of the male urethra and the ejaculation pathway are shared, some muscle activities during urination are similar to those during ejaculation, such as the contraction and relaxation of the external urethral sphincter, the contraction of the transverse perineal muscles, and the anal sphincter. Therefore, by practicing interrupted urination, these muscles can be strengthened, improving their tension and thus enhancing ejaculation. The method is as follows: Urinate halfway, then stop, wait for a moment, and then resume urination. Repeat this exercise regularly. After a period of practice, the ejaculation strength of some patients can be improved.
2. Taking Chinese medicine for regulation: Some Chinese medicines that can regulate the sexual system and the function of sexual organs can be used for this purpose. It should be noted that Chinese medicine regulation is only effective for some patients. It is hoped that a more ideal treatment method can be found in the future.