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Ejaculatory Dysfunction

Ejaculatory dysfunction is when ejaculation does not occur or is very difficult despite sexual arousal.

What is ejaculatory dysfunction?

Ejaculatory dysfunction is a condition where semen does not come out or ejaculation does not occur despite sexual arousal and erection. In some individuals, there is no ejaculation at all, while in others, it may occur after a very long period of stimulation.

What causes it?

Delayed ejaculation can be associated with certain medications, diabetes, nervous system diseases, prostate or bladder surgeries, psychological factors, and, rarely, retrograde ejaculation.

What is the difference from retrograde ejaculation?

In retrograde ejaculation, semen may not come out because it travels backward into the bladder. The person may feel an orgasm, but there is little or no outward release of semen. This condition can be associated with certain surgeries or medications.

When to see a doctor

Medical evaluation is recommended in the following situations: no seminal fluid release when planning to have children, newly developed ejaculatory dysfunction, onset after prostate or bladder surgery, presence of diabetes or nervous system disease, or if it occurs along with erectile dysfunction.

Tests used for diagnosis

  • Sperm test (spermiogram)
  • Urine analysis
  • Hormone tests
  • Physical examination

Frequently asked questions

Can ejaculatory dysfunction cause infertility?

If ejaculation does not occur or semen does not exit, plans to have children may be affected. In this case, an evaluation for male infertility may be conducted.

Is ejaculatory dysfunction the same as anorgasmia?

They are not always the same. Some individuals may feel an orgasm but no semen exits. This distinction is important in evaluation.

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