Patient's question:
Sexual intercourse without ejaculation recentlyDoctor's answer:
Hello:No ejaculation refers to a condition during sexual intercourse where the penis can achieve normal erection and hardness, but it fails to ejaculate or cannot ejaculate into the female vagina during sexual climax, failing to reach sexual climax. The penis gradually becomes soft and returns to normal after a period of erection. It is a form of sexual dysfunction characterized by the inability to ejaculate even after sexual intercourse lasting over 45 minutes, leading to physical fatigue. No ejaculation is classified into two types: primary and secondary. Primary no ejaculation means that the erect penis has never been able to ejaculate into the vagina. If there was previously the ability to ejaculate during intercourse but it has now been lost, it is considered secondary no ejaculation.
The causes of no ejaculation are varied, including:
(1) Psychological disorders.
(2) Insufficient excitement of the sexual nervous center.
(3) Insufficient sensitivity of the penis, lacking pleasure.
(4) An overly loose vagina, which provides insufficient stimulation to the penis.
(5) Endocrine system disorders, with insufficient secretion of sexual hormones. Supplementation with androgens such as testosterone should be considered.
(6) Cold invasion into the penis.
(7) Drug use.
(8) Excessive foreskin length, leading to intense itching of the glans during vaginal friction, phimosis, pain, and forced interruption of intercourse.
(9) Severe prostatitis that cannot effectively participate in the ejaculation process, among others.
It is recommended that you seek further examination at a specialized hospital to identify the underlying cause and receive targeted treatment. Wishing you good health!