Patient's question:
7 days without cohabitation, why can't the male sperm be ejected after cohabitation? Is it because my husband has women outside!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 arousal 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 prosthetic inflammation leading to atrophic changes, and the inability to effectively participate in the ejaculation process are among the causes.
A person who has experienced ejaculation before marriage but has lost the ability to ejaculate under 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 the habit of intentionally prolonging the duration by diverting attention may eventually lead to anejaculation;
4. Organic causes, such as: lesions in the lateral lobes of the brain, spinal cord injuries, transmission 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 to undergo relevant health checks and adopt appropriate treatments based on the examination results.