Do you also experience ejaculation during sex? Let's talk about Anejaculation!

Sometimes when you have sex or masturbate, even though you have reached the maximum sexual satisfaction, that is, an orgasm, do you have times when the semen does not come out? This is actually a sensitive issue that some men face. But don't be shy about talking about it. Today, we will talk about this condition called (Anejaculation) in detail and very simply.

What is (anejaculation)?

Simply put, Anejaculation is the failure to ejaculate. It means that even when you reach the peak of sexual satisfaction, what we call ``orgasm,'' your penis does not release semen.

This is a form of male sexual dysfunction. This can interfere with a satisfying sex life and can sometimes even lead to male infertility . But don't worry, there are solutions to this.

So, what is ejaculation?

Ejaculation is the release of semen from your penis. This usually happens during sexual intercourse, masturbation, or when you reach orgasm.

This seminal fluid is produced by our male reproductive system. This fluid contains sperm . You know, in order to conceive a child, a male sperm must join a female egg. So, seminal fluid is like the vehicle that carries these sperm out.

The important thing is that most people with anejaculation produce sperm in their bodies. But the problem is that the seminal fluid containing the sperm cannot be expelled.

What is the difference between (Anejaculation) and (Anorgasmia)?

Don't confuse the two.

• Anejaculation means that you have an orgasm, but no fluid comes out of your body.
• Anorgasmia is the inability to achieve orgasm, or the sensation of orgasm is very weak, despite sexual stimulation.

See the difference? In one case, there is the amulet, but no fluid. In the other, there is no amulet at all.

How common is this condition (anejaculation)?

You may think that this is a problem that only affects you and that you are too embarrassed to talk about. But it is not. It is estimated that about 12,000 men seek treatment for anejaculation each year. However, the actual number of people with this condition is likely much higher. This is because many people do not seek medical advice about it. So, remember that you are not alone.

What are the main types of anejaculation?

This condition can affect each person differently. Some men are never able to ejaculate (this is called Primary Anejaculation ). For others, the ability to ejaculate is lost for various reasons (this is called Secondary Anejaculation ).

There are several main types of anejaculation:

• Situational: In this, you can ejaculate in some situations, but not in others. For example, you can ejaculate during masturbation, but not during sex with your wife or partner. Or, you may not have this problem at home, but it can happen when you go to a hotel or other unfamiliar place. This is often related to psychological reasons.
• Total: In this, you cannot ejaculate during masturbation, sexual intercourse, or anywhere, at any time.
• Orgasmic: In this, you are unable to ejaculate during orgasm. This is often caused by a physical problem, such as nerve damage.

Is the condition called (Retrograde Ejaculation) similar to this?

Yes, this is another similar condition called `(Retrograde Ejaculation)`. In this, instead of the semen coming out of the penis, it goes backwards into the bladder. In `(Retrograde Ejaculation)`, orgasm also occurs, but no fluid comes out. So a medical examination is needed to find out the exact difference between the two.

What are the causes of anejaculation?

Sometimes, men with erectile dysfunction may not be able to stay erect long enough to ejaculate. However, most men with anejaculation do not have erectile problems.

Let's look at some of the main causes of anejaculation:

• Physical reasons:
• Chronic diseases like Diabetes Mellitus.
• Various infections.
• Certain medications: Some medications you take can also affect this. For example, antidepressants or alpha-blockers for high blood pressure or prostate enlargement.
• Nerve damage: Nerve damage can occur due to bladder surgery, prostate surgery, trauma to the pelvic area, or radiation treatment for cancer.
• Nervous system diseases: For example, diseases like `(Parkinson's disease)` and `(Multiple Sclerosis)`.
• Spinal cord injury.
• Treatment for testicular cancer, especially lymph node removal surgery.

• Psychological and situational causes (often contributing to Situational Anejaculation):
• Severe anxiety and depression.
• Fear of getting pregnant.
• Relationship issues with partner.
• Severe mental stress.

What are the symptoms of Anejaculation?

The main and most obvious symptom of this is the absence of ejaculation during orgasm. In other words, it can feel like a 'dry orgasm'.

How do doctors diagnose this condition?

When you see a doctor about a problem like this, he or she will first ask you about your symptoms and medical history. Then, they will do a physical exam.

• If you are able to have an orgasm, your doctor will often ask you to do a urinalysis soon after the orgasm .
• If there are no sperm in this urine sample (this condition is called azoospermia), it may be anejaculation.
• However, if there is sperm in the urine sample, you may have what we talked about earlier as ``retrograde ejaculation.'' This means that instead of the semen coming out of the penis, it goes back into the bladder (where our urine collects).

How is Anejaculation treated? How is it managed?

First of all, anejaculation does not cause any serious long-term health problems. Therefore, some people are not interested in seeking treatment. Whether or not to seek treatment, and if so, what to do, depends on the cause.

• If the cause of situational (anejaculation) is anxiety or stress, psychotherapy (talk therapy), sex therapy, and sometimes anti-anxiety medication may help.
• Some people can avoid this condition by changing the medications they take or by better controlling medical conditions like diabetes.
• However, some causes, such as nerve damage, may not have a specific treatment. But don't worry, there are ways to adopt a child for that too.

Can someone with anejaculation not have children?

This is a big problem for many people. (Anejaculation) can make it a little difficult to conceive a child, but it is not impossible at all.

A urologist or reproductive medicine specialist can use various methods to retrieve sperm from your testicles. Then, the retrieved sperm can be used to fertilize eggs through infertility treatments. For example:

• Intrauterine Insemination (IUI)
• In Vitro Fertilization (IVF)

Here are some of the main methods used to obtain sperm from men with anejaculation:

• Penile Vibratory Stimulation (PVS): In this, a specially designed vibrator is placed on the tip of the penis and vibrates it. These vibrations travel through the nerves to the spinal cord, helping to cause ejaculation. About six out of ten men with anejaculation are able to ejaculate with PVS. This treatment can be done at home or in a doctor's office.
• Electroejaculation: If PVS is not successful, your doctor may insert a small probe through your rectum and directly stimulate the sensory nerves near your prostate. The device sends gentle electrical pulses that cause you to ejaculate. This procedure is usually done under general anesthesia, meaning you are asleep. This procedure can help about nine out of ten men ejaculate. However, sperm quality may be slightly reduced in the early stages. You may need to repeat the procedure several times to get a good sample of sperm.
• Sperm extraction: For example, a procedure called Microscopic Testicular Sperm Extraction (TESE). In this procedure, a doctor will surgically remove a small amount of tissue from your testicles and separate the sperm from it. This procedure is also done while you are asleep.

You see, how advanced technology is. So don't give up hope.

When should I see a doctor?

If you think you have anejaculation, be sure to see a doctor, especially in these cases:

• If this is preventing you from enjoying your sex life or achieving or maintaining a healthy libido.
• If you are trying to have a child and this condition is preventing you from doing so.

What questions should you ask the doctor?

When you see a doctor, you can ask questions like these:

• "Doctor, what could be the reason for my condition (anejaculation)?"
• "Do I need treatment for this?"
• "What treatment is best for me?"
• "What kind of side effects can these treatments cause?"
• "Will I be able to adopt a child?"
• "Are there any other complications I should be aware of?"

Never be afraid or embarrassed to ask these questions. You have every right to know about your health.

Finally, take-home message

Not having an orgasm can be a very stressful and distressing experience for both you and your partner. But don't be ashamed to talk about it. Talk openly with your doctor about it.

There are various treatments and techniques available today that can help with this. Especially if you are expecting a child, be sure to seek medical advice. There are solutions in medicine today that can help you start a family. So, take courage and take the necessary steps.

` Anejaculation, male infertility, sexual problems, erectile dysfunction, sperm, seminal fluid