Inability to Ejaculate
May 11, · Delayed ejaculation (DE) is a common medical condition. Also called “impaired ejaculation,” this condition occurs when it takes a prolonged Estimated Reading Time: 5 mins. Inability to ejaculate (anejaculation) is usually caused by inability to reach orgasm (anorgasmia). It usually occurs as part of erectile dysfunction. (See also Overview of Sexual Dysfunction in Men.) The cause is usually prostate surgery because.
Medically reviewed by Drugs. Last updated on May 4, Impotence means that a man's penis doesn't get hard enough to have sexual intercourse. The man cannot get or maintain an erection. The medical term is erectile dysfunction ED.
A man with impotence has either a problem getting an erection or difficulty maintaining one. This usually interferes with sexual activity. Impotence can happen suddenly or gradually. Some men slowly lose the firmness of their erections or how long the erections last. In other men, especially those whose impotence is largely caused by psychological factors, the problem may occur unpredictably. It can improve at any time. Men with impotence may continue to have normal orgasm and ejaculation without a full erection.
Your doctor will ask you about your medical history. He or she will want to learn if any medical conditions might be causing the impotence.
These may include vascular, neurological and hormonal disorders. Vascular disorders affect the entire body. Many men who have impotence because of vascular disease also have a history of heart disease, stroke or poor circulation in their legs. Neurological problems can contribute to impotence in men with a history of diabetes and spinal cord injury. They also can cause symptoms in other parts of the body.
In men with abnormal hormone levels, a reduced sex drive often accompanies impotence. Your doctor will review the medications you take. These include over-the-counter products and herbal remedies. Your doctor will ask about your sex life. He or she will ask about the quality of your sexual relationships. Your doctor will examine you to look for evidence of medical problems.
This will include an examination of your penis and testes. Your blood may be tested for blood sugar, cholesterol and levels of certain hormones. Occasionally, a doctor may order additional tests. One such test is a nocturnal penile tumescence study. This is a way to determine how often you get erections while you sleep. Another test that may be done is a Doppler ultrasound of the blood vessels in the penis. This test measures how well the blood is flowing in your penis.
Your doctor may not be able to give you a specific reason why you have impotence. But many of the treatments work well no matter what caused the problem. So extensive testing may not be necessary. How long your impotence lasts depends upon what causes it and how quickly your treatment starts to work. Impotence is treatable in all age groups.
You can decrease your risk of developing erectile dysfunction by making lifestyle choices that help keep your blood vessels healthy and help prevent type 2 diabetes. Because certain medications have been associated with impotence, ask your doctor about possible side before you start a new prescription.
There are many effective treatments for impotence. The most popular is a class of drugs called phosphodiesterase type 5 PDE5 inhibitors. These drugs are taken in pill form. They work in most men. But they are less effective in men with neurological causes of impotence. The PDE5 drugs are generally safe. But always review the risks with your doctor. PDE5 drugs can interact with other medications and cause dangerously low blood pressure. For example, you should not take PDE5 drugs if you use nitroglycerin or other nitrate medications.
The most worrisome side effects are sudden onset of vision or hearing loss. This occurs very rarely but requires immediate medical attention. PDE5 drugs can cause other side effects, such as flushing and headache. If PDE5 drugs don't work or cannot be used because of potential side effects, your doctor can recommend other therapies. The drug alprostadil Caverject, Edex, Muse allows blood to flow more freely in the penis, leading to how to keep your body fit at home erection.
The drug can be injected with a tiny needle into your penis. Or, a small pellet suppository can be inserted into the opening of the penis. Suppositories and injections are effective in the majority of men. Taking extra testosterone will not improve ED.
For men who have abnormally low levels of the hormone, testosterone replacement may enhance sexual desire. Psychological therapy can be effective in men whose impotence is caused primarily by psychological factors. This might include counseling, behavioral therapy or couples' therapy. Men who do not benefit from medical or psychological treatment often have success with mechanical or prosthetic devices.
External products, known as vacuum erection devices, are safe and highly effective. But many men and their partners find them unappealing. Another option is a surgically placed penile implant. Only a small number of men with impotence choose this option. Vascular blood vessel surgery sometimes is recommended for young, healthy men who develop impotence after trauma to the groin.
Speak to your doctor if you have trouble getting or keeping an erection over three months or more. Impotence caused by psychological factors may get better on its own. But treatment is needed if the problem is caused by a physical factor.
What does it mean when a man cant ejaculate cases of impotence what size generator for my travel trailer medical causes that cannot be cured.
Still, many treatment options will help restore sexual function. Several causes of impotence can be cured. These include impotence caused by psychological problems, what to do on valintines day disorders and traumatic injury to the penile arteries.
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Impotence Erectile Dysfunction Medically reviewed by Drugs. ED is not the same as premature ejaculation. The major causes of ED include: Vascular blood vessel disease — Erections happen when blood collects in the shaft of the penis.
Vascular disease can limit the amount of blood flowing to or staying in the penis. Both what does it mean when a man cant ejaculate result in problems with erections. Vascular disease is the most common medical cause of impotence. Nerve damage — Nerves must be working normally for a man to get and keep an erection. Nerves can be damaged by diabetes, multiple sclerosis, prostate surgery or damage to the spinal cord. Psychological factors — Psychological issues such as depression, anxiety, guilt or fear can sometimes cause sexual problems.
At one time, these factors were thought to be the major cause of impotence. Doctors now know that physical factors cause impotence in most men with the problem. However, embarrassment or "performance anxiety" can make a physical problem worse. Medications — Many medications cause problems with sexual function. These include drugs for high blood pressure, depression, heart disease and prostate cancer. Hormonal problems — Abnormal levels of certain hormones can interfere with erections and sex drive.
Hormonal problems, such as a low testosterone level, are an uncommon cause what is the brightest h11 bulb impotence.
Symptoms A man with impotence has either a problem getting an erection or difficulty maintaining one. Diagnosis Your doctor will ask you about your medical history. Expected Duration How long your impotence lasts depends upon what causes it and how quickly your treatment starts to work. Prevention You can decrease your risk of developing erectile dysfunction by making lifestyle choices that help keep your blood vessels healthy and help prevent type 2 diabetes.
The following steps may help: Eat a healthy diet and exercise daily Avoid cigarette smoking Maintain normal blood pressure Maintain normal cholesterol levels Because certain medications have been associated with impotence, ask your doctor about possible side before you start a new prescription Treatment There are many effective treatments for impotence.
When To What is the meaning of montessori schools A Professional Speak to your doctor if you have trouble getting or keeping an erection over three months or more. Prognosis In general, the outlook for men with impotence is excellent. Care Notes 1 related article. Mayo Clinic 1 related article.
Appointments at Mayo Clinic
May 01, · If you don’t ejaculate with as much force as you used to, it’s likely because you’re growing older. Just as age weakens your muscles and changes your Estimated Reading Time: 6 mins. Feb 02, · The psychological definition of delayed ejaculation refers to the inability to have an ejaculation during sexual intercourse. Interestingly enough, ejaculatory issues are rarely defined as a dysfunction if they occur only during masturbation. Sep 23, · When a man can’t have an orgasm or doesn’t ejaculate, all too often his partner thinks that something is wrong. Maybe they’re not sexy enough or Estimated Reading Time: 4 mins.
Inability to ejaculate anejaculation is usually caused by inability to reach orgasm anorgasmia. It usually occurs as part of erectile dysfunction. See also Overview of Sexual Dysfunction in Men.
Removal of the prostate and seminal vesicles during surgery for prostate cancer eliminates the ability to produce semen these glands are involved in semen production. Other conditions that damage the nerves of the penis, as well as some mental disorders and some drugs that are used to treat mental disorders, may also affect the ability to ejaculate. Retrograde ejaculation can sometimes result in absence of visible semen. Depending on the cause, anejaculation may occur with or without orgasm.
A doctor bases the diagnosis of anejaculation on the man's symptoms, results of an examination, and, if orgasm is possible, a urine test. Absence of sperm in a urine sample obtained after an orgasm indicates anejaculation, whereas presence of many sperm indicates retrograde ejaculation. If the goal of therapy is to obtain semen for insemination, the man can use a penile vibrator or his doctor can apply an electric signal to the rectum to activate the nerves responsible for ejaculation electroejaculation therapy.
There is no treatment when anejaculation is due to removal of the prostate and seminal vesicles. Merck and Co. From developing new therapies that treat and prevent disease to helping people in need, we are committed to improving health and well-being around the world.
The Manual was first published as the Merck Manual in as a service to the community. Learn more about our commitment to Global Medical Knowledge. This site complies with the HONcode standard for trustworthy health information: verify here. Common Health Topics. Sexual Dysfunction in Men. Test your knowledge. Prostate abscesses are collections of pus that develop as a result of acute bacterial prostatitis, a bacterial infection of the prostate gland.
Which of the following is NOT a correct statement about prostate abscess? More Content. Inability to Ejaculate By Irvin H. Click here for the Professional Version. The nerves between the spinal cord and the penis may be damaged during pelvic surgery. Was This Page Helpful?
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