Sex without ejaculation

When a couple has sex, the intercourse usually ends with the male ejaculating. However, there are also many men who do not ejaculate during sex. In clinical medicine, this symptom is called anejaculation, which has a great impact on the quality of male sex life and fertility. Below, we will introduce the relevant knowledge of anejaculation in detail.

1. Functional anejaculation: sexual intercourse can be maintained for a long time without fatigue, but orgasm or ejaculation cannot be achieved during intercourse. There is no ejaculation action and no semen is discharged from the body. Even if there is a feeling of sexual climax, there is neither ejaculation action nor semen is discharged from the body. However, semen is ejaculated at ordinary times or during non-sexual intercourse.

2. Organic anejaculation: There is no ejaculation during sexual intercourse, and semen is not discharged under any circumstances. There are symptoms and signs corresponding to the primary disease, such as prostatitis, seminal vesicle tuberculosis or tumor-induced sperm obstruction.

2. Treatment of anejaculation in traditional Chinese medicine

(1) Yin deficiency and excessive fire: The treatment principle is to nourish Yin and strengthen water, and connect the heart and kidney. Prescription: Cuscuta chinensis 20g, Lycium barbarum 15g, Golden cherry 12g, Cornus officinalis 15g, Chinese yam 20g, Moutan bark 12g, Anemarrhena asphodeloides 12g, Phellodendron chinense 12g, Zexie 12g, one course of treatment for 1 to 4 weeks.

(2) Liver depression and excessive fire: Soothe the liver and regulate qi, clear the heart and purge fire. Prescription: Gentiana 15g, Bupleurum 12g, Radix Rehmanniae 12g, Scutellaria 15g, Rhizoma Anemarrhenae 12g, Lophatherum gracile 15g, Rhizoma Imperatae 12g, Poria 12S, Acorus calamus 9g, Fructus Ligustri Lucidi 12g, Rhizoma Cibotii 12g, Radix Glycyrrhizae 6g, one course of treatment for 1 to 4 weeks.

1. Psychotherapy

It is mainly used for those with functional anejaculation. It is very important to carry out sex education, popularize sex knowledge, and eliminate sex ignorance. It is also necessary to strive for the patient's spouse to cooperate with the treatment, correct their incorrect psychology, give the man active cooperation, comfort and encouragement, and promote his successful ejaculation.

2. Physical therapy mainly includes electric vibration and stimulation. For patients with functional anejaculation, one electric vibration can make half of the patients achieve ejaculation. Most of them can be basically cured after about ten treatments and achieve successful sexual intercourse and ejaculation.

(1) Ephedrine: Taken orally 1 hour before sexual intercourse, it helps to restore ejaculation.

(2) Levodopa: It can increase the excitement of the ejaculation center. 0.25g, taken orally 3 times a day, has a good promoting effect on the recovery of ejaculation.

4. Surgical methods are mainly aimed at diseases of the penis itself, such as prepuce is too long, prepuce is narrow and phimosis. Patients can undergo surgical treatment to remove the foreskin and expose the glans penis to increase its sensitivity to stimulation and facilitate ejaculation.