Patient's question:
I am not married. I often masturbate two or three times a day, and with a certain level of force, I finish quickly. However, when with a woman, I can initially get a normal erection, but when inside, I don't feel much. After about 10 minutes, it doesn't stay hard, and I always fail to climax. Is this a problem?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 this ability under certain influences is called secondary anejaculation. The causes of secondary anejaculation are as follows:
1. Abnormally intense sexual impulses, where after reaching the peak, improper methods prevent ejaculation;
2. Masturbation, improper sexual activity, psychological factors, and emotional factors;
3. Previously normal ejaculation, but intentionally prolonging the duration by distracting attention, leading to an overdelayed ejaculation habit, which may eventually result in anejaculation;
4. Organic causes, such as: lesions in the lateral lobes of the brain, spinal cord injuries, transmission nerve disorders, and local lesions;
5. Other conditions, such as hypopituitarism, hyperthyroidism, acromegaly, and myxedema, can also cause ejaculation disorders. Therefore, it is recommended to seek medical examination early and undergo relevant health checks. Treatment should be administered based on the examination results.