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Reply by: guy
Men who never ejaculate during masterbation or sexual intercourse may also never have an orgasm. This is called Anorgasmic Anejaculation and can be a physical or physiological cause. If you have "Wet-Dreams" then probable cause is not organic.
Anejaculation can result from spinal cord injury, major lymph node surgery, diabetes mellitus or multiple sclerosis. The classic cause of anejaculation is disruption of the nerve supply that may be caused by traumatic injuries. It is normal practice for a physical examination to be conducted and organic causes ruled out before other anorgasmic ejaculate treatment physiological options are considered.
Some may experience an orgasm but do not ejaculate semen, either because there is failure of the semen to come out due to a block in the tubes or damage to the nerves or because the semen flows back into the bladder due to weakness of the bladder neck (retrograde ejaculation). Men who do not have an orgasm and do not ejaculate can be difficult to treat. If there is a history of a traumatic sexual episode in the past, this needs to be discussed with your doctor who will refer you to a sexologist or a psychologist. Find a doctor near you in the USA
The use of a vibrator is the main treatment. This provides a strong stimulus to the penis for a long duration. This allows the man to reach an orgasm and ejaculate. This is successful in 60% of men. If the vibrator fails then electroejaculation can be performed. This involves direct electrical stimulation of the nerves to the penis. This requires general anaesthesia and is only used if repeated sessions with the vibrator fail.
Men who have an orgasm but do not ejaculate usually have a physical problem and the treatment will depend on the type of problem. If the nerves are damaged then medicine may help. If this fails then vibrator stimulation or electroejaculation may help to obtain a sample of semen for fertilization if needed. If there is a block in the tubes due to infection this can sometimes be cleared by surgery.
Other Anorgasmic ejaculation physiological treatments are likely to be facilitated by a qualified sex counselor or sex therapist. Typically, treatment is based around an educational package which includes homework that addresses the sexual activities. Anorgasmic male climax ejaculate disorder, dysfunction and inhibitions success rates for this form of therapy are estimated between 65 to 85 per cent.
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