Self-abuse without ejaculation

Patient's question:

None of them masturbate, it depends on the mood at the time! When watching porn, I tend to prefer more intense scenes, is it because I'm not mentally healthy? So far, I haven't had sex with a woman yet.

Doctor's answer:

Medical Analysis: Hello, based on your situation where you were previously able to ejaculate but now experience the sensation of ejaculation during masturbation without actually releasing sperm, it is likely that you are experiencing retrograde ejaculation.
Advice: If retrograde ejaculation is indeed the issue, it can affect fertility since sperm does not exit the body properly. However, this condition does not impact sexual activity—everything remains normal. The current priority is to confirm whether you are truly experiencing retrograde ejaculation. You should visit a hospital for a urine test to check if sperm is present in your urine.

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