Patient's question:
What are the reasons why a man cannot achieve orgasm and ejaculate?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 can be divided into two categories. Specifically: primary anejaculation and secondary anejaculation. A condition where a person has never experienced ejaculation 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, paraphimosis, severe prostatitis leading to atrophic changes, and the 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 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, non-consensual sexual activity, psychological factors, and emotional factors;
3. Previously, the person could normally ejaculate, but to intentionally prolong the duration, they used methods like diverting attention, which may have led to the habit of excessively delaying ejaculation, ultimately resulting 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 to undergo relevant health checks and adopt treatment based on the examination results.