How to treat dysejaculation? Three common clinical methods

In daily life, there are many factors that cause male infertility, and dysejaculation syndrome is one of them. So, how to treat dysejaculation syndrome?

Drug treatment

1. Sex hormones: For patients with decreased libido, weak erections or short duration of erections, short-term use of human chorionic gonadotropin, methyltestosterone and other treatments can be used.

Neostigmine: It can enhance the effect of acetylcholine, directly act on skeletal muscles, treat muscle weakness, urinary retention, etc. It is effective for anejaculation caused by weakness of the sciatic and bulbar cavernous muscles. It is contraindicated for people with asthma.

2. Levodopa: It can reduce the level of prolactin and increase the level of adrenaline in the circulating blood, thereby stimulating the cerebral cortex and achieving the effect of ejaculation. Usage: Take 0.25 grams orally each time, 3 times a day, and can be taken for half a month. If it is ineffective, stop taking the medicine and change to other treatment methods.

3. Ephedrine: It has an excitatory effect, increases sexual excitement, and can contract the smooth muscles of the sperm tract, thereby accelerating ejaculation. If it is ineffective, stop taking it and try another treatment. However, it is contraindicated for patients with hypertension or coronary heart disease.

Treatment of anejaculation

1. Sex education and sexual psychotherapy: Most patients with functional anejaculation can achieve immediate 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 functional patients are cured in one treatment. The vast majority of patients can return to normal after repeated treatment. Francois and Brandley used electric vibration to treat patients with spinal cord injuries: the success rate for patients with cervical thrust injuries was 90.9%, 67.5% for thoracic spine injuries, and only 22.2% for patients with thoracolumbar spine injuries. The success rate of rectal insertion electrical stimulation in the treatment of anejaculation is 60.9%.

3. Drug treatment: Taking ephedrine, a drug that acts on α and β receptors, one hour before sexual intercourse can help restore ejaculation function.

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

Treatment for Retrograde Ejaculation

1. Drug therapy: It is only effective when the bladder neck structure is intact and has active functions, such as in patients with diabetes or autonomic neuropathy. Drugs can enhance their stimulation and promote the closure of the bladder neck. However, it is not effective in patients with congenitally wide bladder neck or after cystotomy.

Drugs include antihistamines and anticholesterol agents such as brompheniramine maleate, imipramine, desipramine and ephedrine, all of which have certain therapeutic effects.

2. Surgical treatment: For retrograde ejaculation caused by a wide bladder neck due to various reasons, bladder neck reconstruction can be performed to increase bladder neck resistance and allow semen to be discharged smoothly from the urethra.