Why can't I ejaculate sperm?

Possible reasons for not being able to ejaculate: 1. Patients who masturbate for a long time may not be able to achieve normal sexual pleasure due to the pressure of the penis during sexual intercourse, so they cannot ejaculate. 2. If there is a disease in the glans penis, such as dorsal penile nerve surgery or traumatic damage to the dorsal penile nerve, tunica albuginea, etc., it may cause the inability to ejaculate after surgery, and the patient cannot achieve sexual pleasure.

3. If the patient has achieved sexual pleasure but still cannot ejaculate, consider the possibility of retrograde ejaculation. At this time, the semen is ejected into the bladder and mixed with the urine, so no semen can be ejected from the urethra, but semen may be mixed with the urine during urination. This situation is common in urethral obstruction or posterior urethral surgery. For example, after bladder neck incision or transurethral resection of the prostate, there will be sexual pleasure but no semen ejaculation.

Ejaculation refers to the whole process of ejaculation from the urethra at the end of sexual intercourse. Normal sexual intercourse ends with ejaculation, and the penis just starts to soften after ejaculation. But occasionally, sexual intercourse cannot end with ejaculation. Ejaculation dysfunction means that sexual pleasure cannot be felt, which leads to ejaculation dysfunction. Most of them are caused by psychological factors. Patients may have frequent nocturnal emission during sleep, and sometimes masturbation can also cause ejaculation. Most of them end with ejaculation after a certain period of sexual intercourse. Some people can remain erect for a long time, but still cannot ejaculate. The reason is often due to lack of sexual stimulation, insufficient stimulation of the glans penis, and inability to achieve the required amount of stimulation for the ejaculation reflex. Neurogenic impotence accounts for about 90% of anejaculation, and the remaining 10% is caused by organic diseases of the urogenital system. Causes of impotence include abducens neuropathy caused by diabetes, spinal cord injury, pelvic fracture, posterior urethra injury, etc.

Possible reasons for not being able to ejaculate: 1. Patients who masturbate for a long time may not be able to achieve normal sexual pleasure due to the pressure of the penis during sexual intercourse, so they cannot ejaculate. 2. If there is a disease in the glans penis, such as dorsal penile nerve surgery or traumatic damage to the dorsal penile nerve, tunica albuginea, etc., it may cause the inability to ejaculate after surgery, and the patient cannot achieve sexual pleasure. 3. If the patient has achieved sexual orgasm but still cannot ejaculate, consider the existence of retrograde ejaculation. At this time, the semen is ejected into the bladder and mixed with the urine, so no semen can be ejected from the urethra, but semen may be mixed in the urine during urination. This situation is common in urethral obstruction or posterior urethral surgery. For example, after bladder neck incision or transurethral resection of the prostate, there will be sexual orgasm but no semen ejaculation.