Patient's question:
My husband woke up from sleeping, but he didn't go to the bathroom first and instead had sex with me directly. It lasted for about 4 or 5 minutes. He said he was still holding back urine and couldn't ejaculate. I don't understand whether he wanted to ejaculate but couldn't because of the urine or if he simply couldn't ejaculate. Later, he went to the bathroom and came back without ejaculating. I feel like it's quite difficult for him to ejaculate.Then in the afternoon, we did it for a little while longer. We were watching TV together, but because he kept getting distracted by the TV, he became less erect, and we stopped.
What could be the reason for not ejaculating during sex? Are there different types of problems that could cause this?
Doctor's answer:
Hello, psychological factors generally play a dominant role in non-ejaculation, such as a lack of sexual knowledge or improper sexual intercourse methods. Fear of sexual failure or concern about the partner becoming pregnant can inhibit ejaculation. Organic factors are more commonly seen in conditions like spinal cord damage, sympathetic ganglion injury, diabetes, chronic alcoholism, etc. Antihypertensive medications and psychiatric drugs that interfere with the sympathetic nervous system may also cause non-ejaculation.Since the treatment methods and medications vary depending on the specific cause and condition, it is important to note that diseases are constantly evolving. I recommend that you visit the sexual function department of a hospital for relevant examinations to clarify the issue, followed by appropriate treatment to achieve early recovery.