Patient's question:
I am not married, and I often masturbate two or three times a day. With a certain level of force, I can climax quickly. However, when with a woman, I can initially get a normal erection, but when inserted, I don't feel much sensation. After about 10 minutes, my erection becomes weak, and I always struggle 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 are 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, paraphimosis, 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 reaching the peak, improper methods prevent ejaculation;
2. Masturbation, improper sexual activity, psychological factors, and emotional factors;
3. Previously normal ejaculation, but the habit of intentionally prolonging the duration by diverting attention may eventually lead to anejaculation;
4. Organic causes, such as: lesions in the lateral lobes of the brain, spinal cord injuries, conduction 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 early medical examination and treatment based on the examination results.