Men can't ejaculate anymore, what's wrong?

Many male friends have encountered a very big problem, that is, no matter whether they masturbate or have sex, they can't ejaculate. In the face of such a situation, what is the problem?

(1) Functional anejaculation, the causes of which are as follows:

① Mental and emotional factors, also known as psychogenic ejaculation disorders, are the most common in clinical practice. They are mainly caused by sexual dysfunction, increased inhibition of the ejaculation center, and inability to get excited. Sometimes there is a premonition of ejaculation, but it disappears in an instant. The causes are all from the mental and psychological aspects, such as frequent masturbation before marriage, so that sexual intercourse after marriage cannot reach a sufficient intensity and ejaculation does not occur; the education received since childhood distorts sex into something obscene, dirty, and obscene; or dissatisfaction with the spouse, loss of interest in the opposite sex, decreased sexual desire, and avoidance of sexual intercourse; some are afraid that their wives will get pregnant after marriage, and they restrain their sexual life for a long time, forming a conditioned reflex of not ejaculating.

② Lack of sexual knowledge: Incorrect sexual intercourse posture or method, the penis stagnates after insertion into the vagina, there is no friction or the friction intensity is not enough, the excitement is not aroused or the intensity required for ejaculation is not reached, which often leads to no ejaculation.

③Female factors: The female is afraid of pain during sexual intercourse, worries about pregnancy or sexual desire, and restricts the male's movements; the female has a poor physical condition and is disgusted with sexual activities, which frustrates the male's sexual impulse.

④ Drug factors: mainly due to taking drugs that affect sympathetic nerve tension, such as guanethidine and reserpine for the treatment of hypertension; chlordiazepoxide and methoxazole for the treatment of neurasthenia or insomnia, phenothiazines, monoamine oxidase inhibitors, etc. Excessive use of bitter and cold Chinese medicines and alcoholism can also cause anejaculation.

⑤Objective factors: such as small housing, noisy environment, sexual inhibition; different jobs for both parties, different working hours, and uncoordinated sexual activities, etc.

⑥ Anatomical factors: The foreskin is too long, rubbing in the vagina, causing unbearable itching of the glans penis; the foreskin is incarcerated and painful, forcing sexual intercourse to be interrupted; severe fumonitis leads to atrophic changes and inability to effectively participate in the ejaculation process.

⑦Other factors: Frequent sexual intercourse, overwork, excessive use of bitter and cold Chinese medicine, alcoholism, etc. can also cause anejaculation.

(2) Organic anejaculation, the causes of which are as follows:

① Genital anatomical abnormalities: congenital defects of the urogenital tract, such as congenital absence of the seminal vesicle and congenital absence of the vas deferens; obstruction of the vas deferens, seminal vesicle, epididymis, etc. of the reproductive tract caused by injury or inflammation.

② Nervous system diseases: such as lateral lobe disease and resection, spinal cord injury, lumbar sympathetic nerve resection, and post-radical pelvic surgery.

③ Endocrine dysfunction: such as lesions of the pituitary gland, gonads, thyroid glands, etc.