Ejaculation dysfunction

Introduction to ejaculation dysfunction Ejaculatory dysfunction (also known as ejaculation dysfunction), normal ejaculation includes semen production and semen discharge. Ejaculation dysfunction is often premature ejaculation, no ejaculation and retrograde ejaculation. basic knowledge The proportion of illness: 0.103% Susceptible people: male Mode of infection: non-infectious Complications: male infertility infertility

Ejaculation dysfunction

1, congenital factors congenital wide bladder neck, congenital urethral valve or urethral diverticulum, congenital spina bifida. These congenital diseases lead to bladder neck obscuration and increased resistance to the urethral membrane, resulting in retrograde ejaculation.

2, iatrogenic factors mainly include various bladder neck and prostate surgery, thoracolumbar sympathectomy, extensive retroperitoneal lymphadenectomy and other pelvic surgery, resulting in nerve root resection or injury, making the bladder neck insufficiency , retrograde ejaculation occurs.

3, mechanical factors traumatic and inflammatory urethral stricture due to increased urethral resistance, leading to semen blocking during ejaculation. Traumatic pelvic fracture often causes stenosis caused by posterior urethral injury, and the fracture piece can damage the structure of the bladder neck, resulting in retrograde ejaculation caused by poor bladder neck closure. In addition, long-term dysuria can also cause the bladder neck tension to drop, resulting in closure weakness.

4, disease factors Diabetes can be complicated by retrograde ejaculation, spinal cord injury can make patients lose the ability to ejaculate or retrograde ejaculation, the incidence is higher.

5, drug factors taking a-adrenergic receptor blockers, such as reserpine, guanethidine, benzamidine and bromobenzylamine can cause smooth muscle contraction weakness and retrograde ejaculation.

6. Some reasons for the special factors are unknown.

Male ejaculation disorders will lead to infertility, and ejaculation disorders are different because of different reasons, so the treatment should be differentiated first, and then differentiated for treatment.

Ejaculation dysfunction prevention

1. Understand sexual knowledge: Prevention of ejaculation disorders should strengthen sexual education, understand sexual life and sexual psychology; communicate more between husband and wife, fully understand the other half of the sexually sensitive zone, and enter the state more quickly during sexual life.

2, family members should pay more attention: family members should patiently guide and comfort the patients with ejaculation disorders, the wife should encourage patients to establish confidence, use care and caress to influence him, improve the quality of sexual life.

3, participate in outdoor exercise: strengthen exercise, enhance physical fitness; do not over-indulge, control sexual intercourse, avoid masturbation.

Ejaculation dysfunction complications Complications, male infertility, infertility

No adverse complications were observed, and some patients may develop infertility.

Ejaculation dysfunction symptoms common symptoms nocturnal emission ejaculation pain semen less organic premature ejaculation semen

Premature ejac

In sexual intercourse, penile erection does not enter the vagina, that is, the sperm is definitely premature ejaculation. In general, healthy young adults usually ejaculate within 2 to 6 minutes of sexual intercourse, but in a shorter time, ejaculation is still normal, starting from sexual intercourse, penile insertion How long does it take for ejaculation to be normal after the vagina? There is no conclusion yet. Generally speaking, this time varies with age and physical factors. Therefore, there is no objective standard for premature ejaculation, except for typical premature ejaculation. Many clinical so-called premature ejaculation patients, in fact, there is no abnormality, but they think that the time of sexual intercourse is not long enough, should identify functional and organic causes, functional non-ejaculation often have nocturnal emission and can masturbate ejaculation, psychological trauma or Lack of sexual knowledge without neurological disease, diabetes and trauma, history of surgery.

2. No ejaculation

When the patient is in sexual life, the penis can erect without difficulty, and is highly eager for the release of orgasm and adequate sexual stimulation. However, even if the sexual intercourse is long, the orgasm cannot be achieved and the ejaculation cannot be achieved. :1 penis can not ejaculate in the vagina; 2 patients do not have orgasm during sexual intercourse, primary non-ejaculation need to pay attention to distinguish between primary absolute ejaculation and primary selective ejaculation, primary absolute ejaculation in There has never been ejaculation in waking state, mostly caused by sexual ignorance or sexual depression, but usually can have spermatorrhea, primary selective ejaculation can be ejaculation when masturbating or by female hand or mouth for non-sexual stimulation. This is an unconscious sexual conflict caused by an incorrect view of vaginal ejaculation.

3. Retrograde ejaculation

Refers to sexual orgasm and ejaculation, but semen flows into the bladder, there is no semen out of the urethra, and urine and fructose can be found in urine after orgasm.

Ejaculation dysfunction check

an examination:

1. Determine the concentration of FSH, prolactin, LH and testosterone in the blood, and identify the presence or absence of endocrine diseases such as hypogonadism and hyperprolactinemia.

2. Sexual intercourse without ejaculation can be condoms test, after sex, observe the semen in the condom and can do related checks, vaginal smear after sexual intercourse, no semen and sperm.

3. Retrograde ejaculation check the urine for sperm and fructose after sexual intercourse.

Special inspection:

Possible premature ejaculation patients with neurological excitability tests, including dosal nerve somatosensory evoked potential (DNSEP), penile sensation threshold measurement and bulbo cavernousevokeresponse potential latency (BCRSEP), sexual intercourse The ejaculation can be used to understand the presence or absence of obstruction.

Diagnosis and identification of ejaculation dysfunction

No ejaculation needs to be differentiated from retrograde ejaculation. The biggest difference between no ejaculation and retrograde ejaculation is that retrograde ejaculation has orgasm, and there is ejaculation feeling and movement at the same time as climax. Without ejaculation, there is no orgasm and no ejaculation. And movements, retrograde ejaculation patients can see sperm and fructose in the urine after orgasm, but not in patients who do not ejaculate.

Functional and organic causes should be identified. Functional non-ejaculation often has nocturnal emission and can masturbate ejaculation, lack of psychological trauma or lack of sexual knowledge without neurological disease, diabetes and trauma, history of surgery.

The material in this site is intended to be of general informational use and is not intended to constitute medical advice, probable diagnosis, or recommended treatments.