In sexual life, some patients can erected without difficulty in sexual life. The sexual intercourse time can last for a long time without weakness, but they cannot reach orgasm or ejaculation. Of course, they can't talk about pleasure.In fact, this kind of patients are not uncommon, but many people are ashamed to enlighten their teeth and taboo diseases and doctors. They often endure the trouble caused by sexual problems and infertility.It turned out that he had been inaccurate after marriage. Although he was seeking medical treatment everywhere, he spent a lot of injustice money and did not see the spiritual experience. Seeing that he was old, he had to adopt a boy.
Because this disease is mainly found in young adults, improper treatment will affect the relationship between husband and wife, and even cause family breaks, bringing mental distress to patients.
A meaningful comparison may explain the problem. Masters and Johnson introduced about 450 male sexual dysfunction patients in the book "Humans", of which only 17 were not ejaculated, less than 4%;Among the 2087 patients reported by Professor Jiangyu and others in China, 32.39%of those who did not ejaculate; although the two different types of different groups could not be compared, if they were analyzed from the sexual dysfunction in these 2087 infertility, they analyzedThe proportion of non -ejaculation will obviously be higher.Compared with the statistics related to foreign infertility, this number is far exceeding the average foreign level.More than 70%of these people are caused by lack of sexual knowledge and incorrect intercourse methods, indicating that the poorness of the neutral knowledge of domestic people is quite amazing and worthy of attention.
Functional non -ejaculation is the most common type of ejaculation disorder, accounting for more than 90%of the number of cases, it includes:
(1) Central ejaculation disorder.It is mainly due to abnormal brain function, strengthening the inhibitory of sexual excitement, especially inhibitoryness to the ejaculation center. Patients have no orgasm and ejaculation movements.There are also a few cases that are not ejaculated by feeling organs, feelings, and intellectual obstacles.
(2) Spinal cord central ejaculation disorder.The dysfunction or failure of the lumbosacral intramuscular ejaculation and erectile central dysfunction will cause the penis to weaken and not even erection at all.
(3) Psychological factors.This type of ejaculation disorders do not have no organic diseases of the reproductive system, which is purely caused by psychological factors.
Functional non -ejaculation can be divided into the following three types:
(1) No ejaculation activity, after a long time of sexual intercourse or even some form of orgasm, it is still no ejaculation.
(2) Rebellion of sexual ejaculation, the sexual intercourse time is normal, but there is still no normal ejaculation after the climax.
(3) Do not discharge sperm, refers to no semen excretion after ejaculation.
Here only discuss the problem of non -ejaculation, the reasons are diverse.It can be divided into two categories.
1. Primary and not ejaculation
Patients who have never ejaculated in a sober state are absolutely not ejaculating spermatozoa, which is caused by sexual ignorance or, but usually has nocturnal emission.In the masturbation or non -sexual stimulation by the woman's hands or mouth, it can ejaculate, which is called primary selective non -ejaculation.This is an unconscious resistance, there is an incorrect view of internal ejaculation, or the degree of stimulation of nerve excitement during sexual intercourse is not enough. The ejaculation reflection does not "connect" or does not achieve the reflection strength.Patients can first stimulate the female party to generate sexual excitement and pleasure, and then they can use self -masturbation to achieve ejaculation.Sometimes she can ejaculate with the assistance of the woman. Sometimes the woman's participation will inhibit ejaculation and can only masturbate by herself.The cause of the cause is as follows:
(1) Sexual ignorance.Before the wedding, both parties did not know what was going on with sexual intercourse, completely lacking sexual knowledge, and did not know what the other party had any requirements, and even had fear of sexual relationships, or for shyness.I do n’t know that the penis should be frequently and large in the vagina during sexual intercourse. I do n’t even know that sexual intercourse will be ejaculated.To.
The sexual intercourse posture is not right, and individual people don't even know the vagina.Sexual intercourse in the anus or urethra for a long time.During the sexual intercourse, the urineness (mostly the man) is interrupted because of the fear of damp -damp sheets. After urination, the penis is weak and the sexual intercourse cannot continue.
(2) spiritual and emotional factors.I think about some kinds of "puppets" in intercourse, and treat sexual life like a flood beast, and most of them have distorted sex into the inferior, dirty, and obscene things because of education from an early age.Or he is not satisfied with the current spouse, and he does not forget the old lover; hostile spouse, suspecting that his wife has an affair; or the woman has been raped or has sexual experience, and the husband is worried about this;Suddenly decreased; due to the nervousness of the newlywed, after several failures of sexual life, he was cold and disgusted by his wife, forming sexual malignant stimuli, gradually lost interest in the opposite sex, decreased sexual desire, avoiding sexual intercourse, and even led to couples.
(3) Women's factors.The woman is afraid of sexual intercourse pain, scratching the vagina, and being afraid of suffering and cystitis to restrict the men's twitching.
(4) Objective factors.For example, the housing is narrow, the family is living together, the environment is noisy, and the formation of sexual suppression; the two sides have different work, different hours of get off work, and inconsistent sexual activities; the man's work is too tired.
(5) Anatomical factors., Rubbing in the vagina, the penis head is unbearable; incarceration, pain, and sexual intercourse are forced to interrupt; severe sperm inflammation causes atrophic changes and cannot effectively participate in the ejaculation process.
Second, secondary non -ejaculation
There were ejaculation after marriage, but losing ejaculation ability under other reasons.
(1) After the first marriage, the sexual impulse is extremely intense. Although it can ejaculate when it is not touched, after this peak period, it cannot ejaculate due to improper methods.After marriage, due to various factors or career, they do not want to have children for the time being, and use in vitro exclusion.Turbines such as condoms and other measures.When you plan to ask for a child, you are affected by some psychology without ejaculation.
(2) Masturbation or improper sexual intercourse activities are discovered and punished, causing mental trauma; unmarried cohabitation and pregnancy are criticized, bringing fear of pregnancy, not ejaculating after marriage;Affected by the various mistakes of masturbation hazards, no ejaculation in the same room after marriage; emotional injury or displeased, fear of ejaculation; sexual and mental abnormalities, can ejaculate when there is an affairOccasional sexuality does not ejaculate; the two sides are not coordinated.
In the past, it was able to ejaculate normally, but in order to deliberately extend the sexual intercourse time and adopt methods such as transfer of transfer, to develop the habit of delayed ejaculation, it may eventually lead to non -ejaculation.At that time, no matter how strong the penis was stimulated, it did not work, until it was too fatigue and had to suspend the activity.The woman is used to enjoying the pleasure brought by the male ejaculation, and once the anxiety is still not ejaculated, the woman gradually feels painful about the continued sexual stimulus. This psychology in turn increases the psychological burden of the man.
There are also about 1/10 patients in the following cases, and treatment is quite difficult.
(1) Brain -side lobe lesions.After the lesion of this part, even if the sexual desire is normal, the sexual intercourse cannot be ejaculated. If the side lobe is removed, it can cause sexual abnormal state and a permanent ejaculation disorder.
(2) Spinal cord injury.Ship 12-waist 1 section and sacral segment.
(3) Transmit neurological disorders.For example, the thoracic and lumbar sympathetic nerve resection, and the laculinity lymphadenopathy cleansing can damage the nerves and cause no ejaculation.
(4) Local lesion.The bladder neck is relaxed, the sperm is hypertrophic, the penis trauma, the stiffness, the scar, the fibrosis, the extreme bending, and the urethral cracking is severe.
Others, such as low pituitary function, hypertrophy, mucus edema, etc. can also cause ejaculation disorders.
Is sexual intercourse not ejaculation?There are also medical -oriented reasons that cause non -ejaculation, such as drug influence: pyrine and blood -blooded levels of hypertension; nestius and metulfidine, such as neurasthenia or insomnia, have this side effect.Taking too much Chinese medicine, alcoholism can also cause ejaculation.
(Editor in charge: Internship Liu Suqiong)
