Ejaculation disorder

Patient's question:

What are the symptoms of ejaculation disorder? How is it treated? My friend knows, please tell me.

Doctor's answer:

Experts at Shanghai Changjiang Hospital for Infertility and Sterility believe that ejaculation disorders are primarily divided into two categories: excessive ejaculation (premature ejaculation) and inadequate ejaculation (ejaculation disorders such as anejaculation and retrograde ejaculation). Premature ejaculation is the most common symptom of ejaculation disorders, mostly functional and caused by psychological factors. Other neurological disorders include:
1. Premature Ejaculation: Premature ejaculation refers to sexual intercourse where the penis is inserted into the vagina, but before the female reaches orgasm, the male's intercourse duration is shorter than 2 minutes, leading to early ejaculation and resulting in sexual disharmony. Generally, 30% of men experience this condition. Although the issue may seem minor, it can reduce sexual quality and may also lead to other sexual dysfunctions such as erectile dysfunction.
2. Anejaculation: Patients with anejaculation cannot achieve ejaculation during sexual intercourse, and they do not experience orgasm during the process. Primary anejaculation requires distinguishing between absolute primary anejaculation and selective primary anejaculation. Absolute primary anejaculation has never occurred even in a state of arousal, often caused by sexual ignorance or sexual repression, but nocturnal emissions may still occur. Selective primary anejaculation, however, allows ejaculation during masturbation or when the female manually or orally stimulates the male without sexual intercourse. This is due to an unconscious sexual resistance or an incorrect perception of ejaculation within the vagina.
3. Retrograde Ejaculation: This refers to the presence of sexual climax and ejaculation, but the semen flows into the bladder urethra without being expelled. Post-orgasm urine tests can detect sperm and fructose. Experts advise that if symptoms such as premature ejaculation, anejaculation, or retrograde ejaculation occur, it is essential to seek comprehensive examinations at professional and reputable hospitals as soon as possible. After identifying the cause, treatment should be administered under the guidance of a doctor. There is no need to bear excessive psychological burdens or resort to unprofessional self-medication.

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