Patient's question:
With his girlfriend, he always fails to climax, but he can achieve climax through masturbation. Can you tell me what the problem is? Patient: Male, 24 years old, previously in good healthDoctor's answer:
Ejaculatory dysfunction is a type of male sexual dysfunction. It is characterized by some patients who can achieve a hard and erect penis without difficulty during sexual activity, and can maintain erection for a long time without fatigue, but fail to reach climax or achieve ejaculation, let alone pleasure. Clinically, it is divided into three types: (1) No ejaculation activity, even after prolonged sexual intercourse or certain forms of climax exhaustion, no ejaculation occurs. (2) Retrograde ejaculation, normal intercourse duration, but no normal semen is expelled after climax, with sperm and fructose found in the urine after intercourse. (3) Anejaculation, refers to the presence of climax followed by the absence of semen expulsion. It is recommended to seek medical examination to identify the underlying cause.