Patient's question:
Now during sexual activity, it takes a long time to ejaculate, until the penis becomes flaccid. So far, this has not been resolved. However, when undergoing a semen examination, masturbation can lead to ejaculation, and there is no history of excessive masturbation.Doctor's answer:
Hello, the reasons for non-ejaculation can be divided into two categories. Specifically: primary non-ejaculation and secondary non-ejaculation. A condition where a person has never experienced ejaculation in an awake state is called primary absolute non-ejaculation, which is caused by sexual ignorance or sexual inhibition. The causes of primary non-ejaculation are as follows:1. Sexual ignorance;
2. Psychological and emotional factors;
3. Female factors;
4. Objective factors;
5. Anatomical factors.
Excessive foreskin, phimosis, pain, severe paraphimosis leading to atrophic changes, and inability to effectively participate in the ejaculation process. A person who has experienced ejaculation before marriage but has lost the ability to ejaculate under certain influences is called secondary non-ejaculation. The causes of secondary non-ejaculation are as follows:
1. Abnormally intense sexual impulses, where after reaching the peak, improper methods prevent ejaculation;
2. Masturbation, improper sexual activities, psychological factors, and emotional factors;
3. Previously able to ejaculate normally, but due to intentionally prolonging the duration using methods like diverting attention, the habit of excessively delaying ejaculation may eventually lead to non-ejaculation;
4. Organic causes, such as: lesions in the lateral lobes of the brain, spinal cord injuries, conduction nerve disorders, and local lesions;
5. Other conditions like hypopituitarism, hyperthyroidism, acromegaly, and myxedema can also cause ejaculation disorders. Therefore, it is recommended to seek early medical examination and treatment based on the examination results.