Patient's question:
Hello, I am 25 years old and have had sexual activity with my girlfriend for two years. But recently, for the past six months, I've noticed that I no longer ejaculate, although my libido is still there. However, the feeling of ejaculation at climax, which I used to have, has disappeared. No matter what I do, there is no semen coming out, and it feels like I have anejaculation.Doctor's answer:
Hello, patients with anejaculation can achieve a hard and firm erection without difficulty during sexual activity, and the duration of intercourse can be long without becoming flaccid. However, they cannot reach sexual climax or ejaculation, let alone experience pleasure. In fact, such patients are not uncommon, but many are too embarrassed to speak up and avoid seeking medical help. They often silently endure the distress caused by sexual issues and infertility. So, what are the main symptoms of anejaculation?1. Functional Anejaculation: During sexual intercourse, there is no sexual climax, no ejaculation, and no discharge of semen outside the body. Alternatively, even if a climax is felt, there is neither ejaculation nor semen discharge. However, the patient may experience nocturnal emissions or involuntary ejaculation outside of sexual activity.
2. Organic Anejaculation: During sexual intercourse, there is no ejaculation, and no semen is discharged under any circumstances. Additionally, there are corresponding symptoms and signs related to the underlying primary disease, such as prostatitis, tuberculosis or tumors of the seminal vesicles causing obstruction of the seminal tract.