Patient's question:
Sometimes when I have sex with my wife, I don't cum, not because I don't want to but because I just can't. It makes me feel very uncomfortable. But I'm not really comfortable talking about it. I'm afraid that if this continues, it will harm my future work and life. I want to get treated. I don't know what good methods there are.Doctor's answer:
Hello, this situation is not normal and it is important to be aware of the possibility of anejaculation. The reasons for anejaculation are divided into two categories. Specifically: primary anejaculation and secondary anejaculation. A condition where a person has never ejaculated in a state of full consciousness is called primary absolute anejaculation, which is caused by sexual ignorance or sexual inhibition. The causes of primary anejaculation are as follows:1. Sexual ignorance;
2. Psychological and emotional factors;
3. Factors related to the female partner;
4. Objective factors;
5. Anatomical factors. Excessive foreskin, phimosis, pain, severe prostatitis leading to atrophic changes, and the inability to effectively participate in the ejaculation process are examples.
Anejaculation that occurred after marriage but was lost due to certain influences is called secondary anejaculation. The causes of secondary anejaculation are as follows:
1. Abnormally intense sexual impulses, where after reaching the peak, improper methods prevent ejaculation;
2. Masturbation, improper sexual activity, psychological factors, and emotional factors;
3. Previously normal ejaculation, but intentionally prolonging the duration by distracting attention, leading to an overdelayed ejaculation habit, which may eventually result in anejaculation;
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, such as 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.