The Etiology of Nonejaculation; Nonejaculation should be treated by both husband and wife

Unless ejaculation occurs before entering the vagina, premature ejaculation usually rarely affects fertility. Slow ejaculation is an important problem for couples who want to get pregnant. The most common situation is that you cannot ejaculate during sexual intercourse, and if you have not reached orgasm, the semen is not contracted through the perineal muscles but exudes from the urethra. Functional non-ejaculation syndrome is characterized by non-ejaculation during sexual intercourse, but it has a dream.

The treatment method should first eliminate the organic diseases, find out the possible causes in combination with the medical history, and treat both husband and wife at the same time. For those who lack sexual knowledge, have little sexual contact, and have sexual misconceptions, sex education should be carried out for those who have fear and anxiety in their minds. Besides sex education, psychological treatment should also be carried out. Secondary non-ejaculation is post-marital ejaculation, and non-ejaculation for other reasons (sexual psychological abnormality, frequent masturbation before marriage, fear of pregnancy, etc.).

Because ejaculation is a complex physiological process, terminal excitation and central excitation are two important links, but the former is more important. The patients with primary non-ejaculation have enough central excitation, but the terminal excitation is insufficient to cause ejaculation, so the treatment focus of the patients is to strengthen local stimulation. Secondary non-ejaculators have enough excitement at the ends, but because some psychological factors strengthen the inhibition of the center, ejaculation fails. At this time, the focus of treatment is to eliminate the central inhibition of ejaculation. The incidence rate of primary and secondary azoospermia is about 9:1.

In recent years, drug-induced ejaculatory disorders can impair ejaculatory function by treating hypertension, psychosis, neurosis, depression and other commonly used drugs in clinic. For example, amitriptyline, chlorpromazine, guanidine ethane, perphenazine, phentolamine, and hemostatic equality. If the patient is found to have ejaculatory dysfunction after using these drugs, it should be stopped immediately and replaced with other safe drugs. In addition, premature ejaculation is also a manifestation of ejaculation dysfunction. Premature ejaculation refers to the phenomenon of ejaculation before the penis is inserted into the vagina. It cannot be called premature ejaculation when it happens accidentally. Only those who often have premature ejaculation and cannot have sex can be confirmed as sick and need treatment. In the prime of life, healthy men ejaculate about 2 to 6 minutes after sexual intercourse, sometimes becoming shorter.

How to treat non-ejaculation?

Nonejaculation will not only lead to infertility, but also lead to sexual desire changes and erectile dysfunction. Therefore, the need for attention and active treatment.