Unless ejaculation occurs before entering the vagina, ejaculation is rarely affecting fertility too early.Sludge ejaculation is an important issue for couples who want to be pregnant.The most common situation is that when sexual intercourse cannot ejaculate, there are also semen exuded from the urethra when the orgasm does not reach the orgasm, instead of the effectively ejected through the perineal muscle contraction.The characteristic of functional non -ejaculation is that sexual intercourse does not ejaculate, but there is a dream.
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) Routine urine examination is normal.After sexual intercourse, the urine specimen is not found to be good, no residual urine, and the examination of prostate fluid is normal;
(3) Evidence of clinical examinations without quality changes and abnormal mental state;
(4) History of medication without external injuries, surgery and taking antihypertensive drugs.
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 carried out; those who have fear or worry about ideas should be performed in addition to sex education, and psychotherapy should be performed at the same time.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 stimulation (such as using an electric massager, 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: Xiaofeng)
