Why can't I ejaculate?

Sexual life is a way for couples to deepen their feelings and is also the basis for couples to have children. Problems in sexual life should not be ignored. When men are sexually stimulated, the cavernous body in the penis will become congested and swollen. However, many men feel powerless during sexual life and have difficulty getting an erection. In addition, some men have difficulty ejaculating after getting an erection. What exactly causes this?

1. What is the reason why men cannot ejaculate?

1.1 Human Factors

When you first get married, your sexual impulse is very intense. You can ejaculate even without twitching during intercourse. But after this peak period, you can't ejaculate due to improper methods. You can use artificial interference methods such as external ejaculation and condoms to prevent ejaculation.

1.2 Psychological factors

Psychological factors can also lead to anejaculation. Improper sex life is discovered and punished, causing mental trauma. Frequent masturbation before marriage, strong stimulation, insufficient stimulation after marriage and inability to ejaculate. Emotional damage, fear of ejaculation.

1.3 Organic factors

Endocrine dysfunction; spinal cord injury, nerve damage; phimosis, etc.

1.4. Sexual habits

In the past, he could ejaculate normally, but in order to intentionally prolong the duration of sexual life, he used methods such as diverting his attention and developing the habit of delaying ejaculation, which may eventually lead to no ejaculation. At that time, no matter how hard he stimulated the penis, it would not work until he was too tired and had to stop the activity.

2. What tests should be done if you do not ejaculate?

2.1. Penis condom test: After sexual intercourse, you can observe whether there is semen in the penis condom, and then do relevant examinations. Generally, the examination will show no semen and sperm.

2.2. Blood test: Test the concentration of hormones such as FSH, prolactin, LH and testosterone in the blood to see if there are any endocrine diseases such as hyposexual hormone function and hyperprolactinemia.

2.3. Neuroexcitation examination: Patients with premature ejaculation can undergo neuroexcitation examination, including measurement of somatic sensory evoked potential of dorsal penile nerve, measurement of penile vibration threshold and measurement of bulbocavernous reflex latency. Patients who do not ejaculate during sexual intercourse can undergo vasectomy to understand whether there is any obstruction.

3. Suggestions on men’s inability to ejaculate

Stop masturbating and using strong friction to stimulate ejaculation to avoid further damage to the nerves of the penis, especially the glans penis.

Taking effective Chinese medicine to regulate and restore the nerve sensation of the penis, especially the glans penis, and restore the normal ejaculation reflex: the ejaculation reflex is a nerve reflex pattern of the external genitalia receiving sexual stimulation-sexual center-stimulating ejaculation, and the formation of an incorrect nerve reflex pattern is a process. Similarly, it takes some time to restore the normal ejaculation reflex, which requires confidence and patience.

The dangers of men not ejaculating

1. Erectile dysfunction: Forcibly controlling sexual intercourse when approaching orgasm will increase the burden on the sexual nervous system and sexual organs due to excessive congestion in the pelvis. Over time, this will reduce male sexual desire and induce erectile dysfunction.

2. Hemorrhoids: Frequent control of ejaculation will affect blood circulation in the anus and cause hemorrhoids.

3. Chronic prostatitis or aseptic prostatitis: This is due to the forced interruption of ejaculation leading to a persistent state of congestion, which will induce reproductive system infectious diseases and congestive diseases.

4. Seminal vesiculitis: If you hold back ejaculation during sexual intercourse, the seminal vesicles will be permanently congested, which will cause the capillaries in the seminal vesicles to dilate or even rupture, resulting in hemorrhagic seminal vesiculitis.

5. Frequent ejaculation: If you often control the ejaculation of semen, the semen will have nowhere to go, which will lead to ejaculation.

6. Neurasthenia: Because the cerebral cortex is in a state of tension and anxiety due to controlling ejaculation, it will cause neurasthenia over time, and cause insomnia, forgetfulness, headache, dizziness, etc.

7. Infertility: Forced control of semen will often lead to retrograde ejaculation and may cause infertility.

Treatment for male ejaculation failure

1. Behavioral guidance: It is mainly aimed at behavioral treatment of premature ejaculation. During sexual intercourse, if you are about to ejaculate, you can pause for a while to reduce the degree of sexual excitement before thrusting again. Repeating this process can effectively prolong the duration of sexual intercourse.

2. Psychological: For ejaculation disorders caused by certain psychological factors, doctors can instill and educate patients with sexual knowledge to help them correctly recognize ejaculation disorders, correct their erroneous psychology, and eliminate psychological barriers. This method often has little therapeutic effect.

3. Medication: Medication mainly reduces the sensitivity of the glans penis, thereby prolonging the time of male ejaculation. You can choose some Chinese medicines that can regulate the sexual system and genital function. It should be pointed out that Chinese medicine regulation is only effective for some patients. I hope that a more ideal treatment method can be found in the future.

4. Interrupted urination training method: Since the lower urethra and ejaculation channel of men are shared, some muscle activities during urination and ejaculation are common, such as contraction and relaxation of the external urethral sphincter, contraction of the perineal striated muscles and anal sphincter, etc. Therefore, by interrupting urination to train the above muscles and increase their muscle tension, ejaculation can be improved.