Retrograde ejaculation means that when the patient has sexual pleasure, no semen is discharged. At this time, the location of semen discharge is away from the urethral opening, and enters the bladder neck and bladder. At this time, the patient has sexual pleasure, but no semen is discharged, or only a small amount of semen is discharged. When urinating, crystal jelly or gelatinous semen can be seen, discharged along with urine. The patient personally feels that he has achieved sexual pleasure, but no ejaculation or very little semen is discharged. There is no sperm component in the ejaculated liquid. Generally, there is no low back pain, abdominal pain, and urethral pain symptoms. It is often seen in patients after prostate surgery. After prostate surgery, part of the bladder neck is removed. At this time, the closing pressure in the urethral opening is greater than the closing pressure of the bladder neck. During ejaculation, the sperm is ejected toward the bladder instead of the urethral opening. For patients with a history of prostate surgery, this is actually a normal condition. However, some patients who have not undergone bladder or prostate surgery also experience retrograde ejaculation, which may be related to abnormalities in the angle of opening of the spermatophore, and further urethroscopy is required for diagnosis. Retrograde ejaculation generally refers to being able to achieve sexual pleasure during sexual intercourse and having the feeling of ejaculation, but no semen flows out of the urethra. Normal ejaculation is when the penis erects during sexual intercourse to achieve sexual pleasure, followed by contraction of the tail end of the testicular scrotum, ejaculatory duct, and seminal vesicle, at which time the semen enters the posterior urethra, and then the urethra contraction, allowing the semen to metabolize into the posterior urethra, and finally the pelvic floor muscles contract to close the bladder neck, allowing the semen to be ejected through the urethra. If the bladder neck is not fully closed or the urethra is narrow, etc., the semen can travel backwards into the bladder, and there will be a feeling of male ejaculation, but no semen will flow out of the urethra. Men have no feeling when they ejaculate, and they lose the pleasure of sex life. This condition is called lack of ejaculation sensation, which is a manifestation of ejaculation difficulty. When this happens, the cause should be found out first. If the cause is confirmed, the original disease should be treated actively. For men who are tired from sex and can't get it hard, they should first control their sex life, and then use Chinese herbal medicine and Chinese medicine acupuncture and physiotherapy. Chinese herbal medicine should be based on dialectics. It is necessary to do a good job of daily life conditioning, strengthen the training of muscles commonly used for ejaculation, and do more levator ani exercises. Generally speaking, most patients can recover through comprehensive treatment and conditioning for about half a year. |
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