What are the reasons for the difficulty of ejaculation in men? How can I fix it

It should be well known for men to ejaculate during orgasm, but there are also people who have difficulty ejaculating.

Why is ejaculation difficult?

1. The elderly. As men get older, their penis needs more stimulation to ejaculate. Many men over the age of 40 experience a decrease in the urgency of ejaculation. Men can experience premature ejaculation at any age, but after the age of 40, most men realize that ejaculation often requires more friction and fantasy than before.

2. Drugs. Many drugs associated with erection problems, especially alcohol, can cause ejaculation difficulties (see page Erectile dysfunction). Keep in mind that taking these medications does not necessarily cause difficulty with erections or ejaculation. However, if you have a problem or start taking anesthetics, sleeping pills, barbiturates, antidepressants, antipsychotics, ulcers, hypertension medications, you must consider the effects of the medication. In fact, when symptoms appear shortly after taking any drug, the effect of the drug should be taken into account.

3. Infection of the reproductive system. Prostatitis, gonorrhea, and nonspecific urethritis may cause typical painful urination, painful ejaculation, and non-ejaculation due to fear of pain

4. Acute life. As men get older, especially after the age of 40, hasty behavior may not be enough to provide enough stimulation to cause difficulty ejaculating.

How to solve ejaculation difficulties?

1. Sex education and sexual psychotherapy: Most functional non-ejaculation patients can often achieve immediate results by explaining sexual knowledge, eliminating adverse psychological influences and misconceptions, and supplementing sexual behavior guidance.

2. Electrical vibration and electrostuncture therapy: about 50% of functional patients are cured at one time. The vast majority of patients can return to normal after repeated retreatment. Francois and Brandley treated spinal cord injury patients with electrovibation: 90.9% of patients with cervical thrust injuries, 67.5% of patients with thoracic spine, and 22.2% of patients with thoracolumbar spine injuries. Rectal insertion The success rate of electrostimulation in the treatment of non-ejaculation is 60.9%.

3. Drug treatment: taking ephedrine, a drug that acts on α and β receptors, 1 hour before sexual intercourse, helps to restore ejaculatory function.

4. Other treatments: endocrine disorders or ejaculation disorders caused by drugs, appropriate amounts of hormones should be supplemented or drugs that affect ejaculation should be stopped. Obstruction of the ejaculatory duct can be made with an endoscopic incision.

5. Drug treatment: only when the bladder neck structure is complete and has an active function, such as diabetes or autonomic neuropathy patients, the drug can enhance its stimulation and promote the closure of the bladder neck. Congenital wide bladder neck or bladder neckotomy is less effective.

Drugs include antihistamine and anticholinergic preparations bromophenamphetamine, imipramine, norimipramine, and ephedrine have certain effects.

6. Surgical treatment: retrograde ejaculation caused by excessive wide bladder neck due to various reasons can be carried out with bladder neck reconstruction to increase bladder neck resistance and make semen discharge from the urethral orifice.

7. Palliative treatment: The treatment purpose of some patients is fertility problems, adding buffer to the bladder to minimize the destructive effect of urine on sperm, taking out urine samples containing semen, centrifugation or direct treatment