Patient's question:
Previously, I had a urological examination for the prostate at a first-class, second-class, or third-class hospital, and there were no issues. I was told that in my case, abstaining from masturbation and eliminating psychological factors could lead to recovery. However, now, after six months, I haven't ejaculated. I don't have a family history of this condition.Doctor's answer:
Hello, the reasons for non-ejaculation can be divided into two categories. That is: primary non-ejaculation and secondary non-ejaculation. A condition where a person has never ejaculated in a state of arousal is called primary absolute non-ejaculation, which is caused by sexual ignorance or sexual inhibition. The causes of primary non-ejaculation 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 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 non-ejaculation. The causes of secondary non-ejaculation are as follows: 1. Abnormally intense sexual impulses, where after the peak, due to improper methods, ejaculation cannot occur; 2. Masturbation, improper sexual activity, psychological factors, emotional factors, etc.; 3. Previously able to ejaculate normally, but due to intentionally prolonging the duration using methods like diverting attention, the habit of excessively delaying ejaculation may eventually lead to non-ejaculation; 4. Organic causes, such as: lesions in the lateral lobes of the brain, spinal cord injuries, conduction nerve disorders, local lesions; 5. Other conditions such as hypopituitarism, hyperthyroidism, acromegaly, myxedema, etc., can also cause ejaculation disorders. Therefore, it is recommended to seek a relevant health examination at a hospital as early as possible and adopt treatment based on the examination results.