Why does prolonged sexual activity without ejaculation occur?

Patient's question:

Why does prolonged sexual activity without ejaculation occur?

Doctor's answer:

Hello, this situation is not normal and it is important to be aware of the possibility of anejaculation. The reasons for anejaculation can be divided into two categories. Specifically: primary anejaculation and secondary anejaculation. A condition where a person has never experienced ejaculation in a state of arousal is called primary absolute anejaculation, which is caused by sexual ignorance or sexual inhibition. The causes of primary anejaculation 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 prosthetic inflammation leading to atrophic changes, and the 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 anejaculation. The causes of secondary anejaculation are as follows:
1. Abnormally intense sexual impulses, where after the peak, improper methods prevent ejaculation;
2. Masturbation, improper sexual activity, psychological factors, emotional factors, etc.;
3. Previously normal ejaculation, but intentionally prolonging the duration by distracting attention, leading to an overly delayed ejaculation habit, which may eventually result in anejaculation;
4. Organic causes, such as lesions in the lateral lobes of the brain, spinal cord injuries, conduction nerve disorders, or local lesions;
5. Other conditions, such as hypopituitarism, hyperthyroidism, acromegaly, or myxedema, can also cause ejaculation disorders. Therefore, it is recommended to seek early medical examination and treatment based on the examination results.

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