Generally, functional non -ejaculation can be divided into two types: primary and secondary.Primary non -ejaculation means that there is never ejaculation in a sober state. The diagnostic criteria are:
(1) Married men's sexual desire and penile erection normally, have a history of nocturnal emission, but never ejaculate when sexual intercourse or masturbation;
(2) Urine routine examination is normal.After sexual intercourse, the urine specimen is not found to be good, no residual urine, and the examination of prostate solution is normal;
(3) Evidence of clinical examinations without organic changes and abnormal mental state;
(4) History of taking medicine without external injuries, surgery and taking antihypertensive drugs.>>> Recommended reading: How to treat ejaculation is not effective
The treatment method should first exclude organic lesions, find out the possible cause in combination with the medical history, and treat both the couple at the same time.For those who lack sexual knowledge, less sexual contact, and existence of sexual errors, sexual education should be performed; those who have fear or worry about ideas should be treated with psychotherapy in addition to sex education.The secondary non -ejaculation is ejaculation after marriage. It occurs without ejaculation under other reasons (such as sexual psychological abnormalities, frequent masturbation before marriage, fear of pregnancy, etc.).Because ejaculation is a complex physiological process, the excitement and center excitement of the end is two important links, but the former is more important.Although the primary non -ejaculation has sufficient central excitement, but because the peripheral excitement is not enough, it is still not enough to cause ejaculation. Therefore, the focus of the treatment of such patients is to strengthen local stimuli (such as using electric massagers, etc.).Although secondary non -ejaculating people are excited enough, because some psychological factors have strengthened the inhibitory effect of the center, the ejaculation fails.At this time, the focus of treatment is to eliminate the inhibitory of the center of ejaculation.The ratio of primary and secondary non -ejaculation is about 9: 1.
(Editor in charge: Xiao Lei)
