Patient's question:
I always don't ejaculate during sex with my wife, but everything else is normal. Why is it that I don't ejaculate? What is the best way to treat it?Doctor's answer:
Ejaculatory dysfunction typically refers to a condition where the penis can achieve normal erection and sexual intercourse, but fails to reach sexual climax or obtain sexual pleasure, and cannot eject semen; or in other situations, semen can be ejected but not inside the vagina. Both are collectively referred to as ejaculatory dysfunction. Organic ejaculatory dysfunction is more common in congenital urinary and reproductive system developmental abnormalities, spinal cord injuries, vas deferens obstruction, certain cranial lesions, overly loose female vaginas, and the use of certain medications. It is less common than psychogenic ejaculatory dysfunction. Ejaculatory dysfunction affects reproductive health and can lead to male infertility. Additionally, due to the lack of sexual climax during intercourse, sexual interest is significantly reduced, often accompanied by decreased libido. This may also lead to emotional crises between partners, and it is important to seek medical attention proactively. The treatment of ejaculatory dysfunction should differentiate based on different causes and adopt etiological treatment.