For men, the length of time it takes to ejaculate indicates the strength of their male function, so many men delay ejaculation during sex in order to demonstrate their "ability". In fact, if you don't ejaculate for an hour and for a long time, it is not good for men's health, as it can easily cause problems with the vas deferens, so it is best not to prolong the time of ejaculation. During sexual intercourse, the sexual organs (mainly the glans penis) sense sexual impulses, which are transmitted through afferent nerves to the spinal ejaculation center and the ejaculation center, and then through efferent nerves to control the effector organs (vas deferens, seminal vesicles, pelvis, bladder neck and prostate), inducing ejaculation and accompanied by pleasure. This ejaculation reflex is controlled by the brain. If any link in the ejaculation pathway has functional or organic disorders, it can lead to ejaculation disorders. 1. Functional anejaculation (1) Psychological factors are common causes. Dissatisfaction with the spouse, lack of harmony in the relationship, high mental pressure, and a poor sexual environment can all cause the man to adopt a restrained attitude towards sex, which can lead to anejaculation in the long run. (2) Lack of sexual knowledge. Both spouses lack sexual knowledge and do not know how to have sex, or they have a fear of sex (such as the woman is afraid of pregnancy or pain) and restrict the man from thrusting too quickly and widely, making it impossible for the man to reach the ejaculation threshold, leading to anejaculation syndrome. (3) Sexual fatigue or ejaculation failure. Excessive sexual intercourse or masturbation can easily cause dysfunction of the spinal ejaculation center and lead to anejaculation. (4) Chronic masturbation Chronic masturbation may lead to anejaculation syndrome. Since the intensity of sexual stimulation during masturbation often exceeds that during sexual intercourse, the ejaculation center is accustomed to the strong stimulation of masturbation and may not reach the ejaculation threshold during sexual intercourse. On the other hand, due to the influence of traditional concepts, masturbators usually have a sense of guilt and shame, which also inhibits ejaculation. 2. Organic anejaculation (1) Diseases and damages of the nervous system, such as lateral lobe disease and spinal cord damage, can cause anejaculation. (2) Iatrogenic factors such as thoracolumbar sympathectomy and retroperitoneal lymph node dissection can damage the nerves and cause anejaculation. (3) Local lesions of the urogenital system such as hypertrophy of the vulva, phimosis or prepuce hyperplasia with narrow foreskin opening, penile trauma, nodules, scars, fibrosis, severe hypospadias, etc. can cause anejaculation. (4) Endocrine abnormalities such as diabetes, hypopituitarism, and hyperthyroidism can cause ejaculation disorders. (5) Drug-related factors: Antihypertensive drugs, sedatives or adrenaline blockers, as well as long-term alcoholism or drug abuse can induce anejaculation. |
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