Ejaculation is weak and seems to flow out

Men's ejaculation can be considered as a manifestation of orgasm. The semen spurts out from the penis vigorously, which will give people a strong sexual pleasure. However, some men have no power to ejaculate. This phenomenon is called ejaculation dysfunction in medicine. In severe cases, it can lead to the inability of semen to enter the woman's body and cause infertility. If it happens frequently, it should be taken seriously and treated in a regular hospital in time.

Clinical manifestations

Clinically, weak ejaculation is considered an ejaculation disorder. It can reduce male sexual pleasure and lead to male sexual apathy. Weak ejaculation is also known as partial incomplete ejaculation, which is characterized by normal ejaculation and abnormal ejaculation phase. The patient's orgasm sensation is reduced, and the rhythmic contraction during ejaculation disappears. However, this contraction still exists in patients with weak ejaculation due to urethral obstruction. Weak ejaculation is usually caused by neurological or urethral lesions, which generally do not affect sperm quality.

The occurrence of impotent ejaculation can be roughly divided into two aspects: physiological factors and psychological factors:

Physiological factors

It is mainly due to too frequent sexual intercourse, which causes the central nervous system that controls ejaculation to be overloaded and cannot issue ejaculation commands well, thus causing ejaculation dysfunction. In addition, the quality of sexual life is not high, the man lacks strong sexual excitement, or under the influence of certain psychological factors (such as fear of his wife getting pregnant, fear of sexual intercourse causing pain to his wife, concern about his own sexual function problems, worry about his wife being dissatisfied with sex life, etc.), which can affect all aspects of sexual activity through the brain and cause ejaculation dysfunction.

There are several possible reasons for the reduction of ejaculation force and semen volume: frequent ejaculation can reduce semen volume; benign prostatic hyperplasia or any urethral injury (urethral stenosis, condyloma acuminatum) can weaken ejaculation force; incomplete bladder closure causes some semen to flow back into the bladder, and only a small amount of semen is discharged from the urethra under the weak force. Retrograde ejaculation may occur after prostatectomy, sympathectomy, extensive pelvic surgery or after taking certain antihypertensive drugs.

There are problems in the nervous system that weaken the contraction of the perineal striated muscles. Some nervous system diseases may also cause excessive stimulation of the parasympathetic nerves, thereby increasing the contractility of the external sphincter. The effect of the spasmodic contraction of the external sphincter is similar to the effect of urethral obstruction. Another possibility is spinal cord injury or direct injury to the sympathetic trunk, which will cause similar consequences to sympathetic trunk resection, making the internal urethral sphincter unable to contract as during normal ejaculation. Treatment methods should be symptomatic, such as switching to other drugs, eliminating local urethral obstruction and other factors, which are expected to improve ejaculation strength.

It is mainly caused by certain lesions in the nervous system and endocrine system. For example, lesions in the brain and spinal cord will hinder the normal function of ejaculation; lesions in the hypothalamus, pituitary gland, and testicles will affect the normal metabolism of sex hormones, and the ejaculation process is inseparable from the effects of sex hormones, which will in turn affect the normal function of ejaculation.

Psychological factors are another important cause of weak ejaculation. Premature ejaculation plays a major role in causing weak ejaculation. Men suffer from premature ejaculation, which puts them under great psychological pressure. Every time they have sex, they are often not enjoying the pleasure of sex, but trying to avoid premature ejaculation. But the harder they try, the more likely they are to have premature ejaculation. Because of the heavy burden on their minds, men are unable to experience the pleasure of sex. Over time, sex cannot bring them the reward of pleasure. Loss and pain are mixed in the moment of ejaculation, and the pleasure slowly disappears. In terms of behavior, if there is no positive reward (here refers to sexual pleasure), then this behavior will gradually degenerate, and the powerful ejaculation behavior will gradually weaken, resulting in weak ejaculation. To change the phenomenon of weak ejaculation, the root cause of premature ejaculation must be solved. Generally, progressive delay training is adopted. While curing premature ejaculation, men are rewarded with pleasure in sex and slowly restore their expectations for pleasure during ejaculation, thereby slowly increasing the strength of ejaculation, which also cures weak ejaculation.

treatment

1. Sex education and sexual psychotherapy: Most patients with ejaculatory dysfunction can achieve significant results by explaining sexual knowledge, eliminating negative psychological influences and misconceptions, and providing sexual behavior guidance.

2. Electric vibration and electrical stimulation therapy: About 50% of patients with ejaculation disorders can be cured in one treatment. Most patients can return to normal after repeated treatments.

3. Drug treatment: Treatment can be carried out by taking Western medicine or Chinese medicine.

4. Other treatments: For ejaculation disorders caused by endocrine disorders or drugs, appropriate hormone supplements or discontinuation of ejaculation drugs should be used. For ejaculatory duct obstruction, the ejaculatory duct opening can be opened with an endoscope.