What is the reason for not being able to ejaculate?

As we all know, when the relationship between a man and a woman develops to a certain level, it is natural for them to have sex. Even if their relationship is very good, a harmonious married life between the two is also very important. Some women find that when they have sex with their boyfriends, they often cannot ejaculate. What is the reason? The inability to ejaculate and the lack of ejaculation not only affect the relationship between the patient and his wife, but will also continue to affect fertility and is not good for the physical and mental health of men.

What is the reason for not being able to ejaculate?

1. Reproductive disease factors, such as congenital testicular dysplasia or acquired shrinkage, ejaculatory duct occlusion and ligation surgery, epididymal cyst, inflammation, stones, and stenosis of the seminal vesicle and prostate, inflammation, stones, and adhesions of the posterior urethra and spermatorrhea, etc. can all lead to weak or difficult ejaculation.

2. Psychological factors, such as abnormalities of cerebral nerves, damage to the abducens nerve, spinal cord injury, and removal of male testicular tumors by retroperitoneal external central nerve removal.

3. Mental and psychological disorders. Women think that men’s ejaculation will harm themselves, so they subconsciously do not want to ejaculate. Or the harsh living environment has a great impact, causing them to feel anxious and their sexual impulses to be suppressed.

4. Insufficient sexual arousal. Sexual arousal includes visual, auditory, and tactile sensations, which are all necessary conditions for arousal. Lack of verbal communication and skin touch before sex leads to insufficient stimulation, low sexual impulse, or insufficient frequency, strength, and duration of friction after the penis enters the vagina, which cannot stimulate the ejaculation center and cause weak ejaculation.

5. Reverse ejaculation: When you achieve sexual pleasure, you feel like a man ejaculates, but the semen travels in the reverse direction into the bladder.

What should I do if I can't ejaculate?

Patients who have never ejaculated while awake are called primary absolute ejaculation, which is caused by sexual ignorance or sexual inhibition, but they usually have frequent ejaculation. Those who can ejaculate during masturbation or by non-sexual stimulation such as female force or oral sex are called primary selective ejaculation.

This is due to subconscious rejection, misunderstanding of vaginal ejaculation, or insufficient excitement of the stimulating nerves during intercourse, the male ejaculation reflex is not "connected", or the reflex intensity is not achieved. The patient can first stimulate the female to produce sexual impulse and pleasure, and then use self-perfusion to achieve the purpose of male ejaculation. Sometimes the man can ejaculate with the help of the female, and sometimes the female's participation will inhibit ejaculation, relying entirely on self-perfusion.