Causes of erectile dysfunction, priapism, and ejaculatory disorders

19.

What causes erectile dysfunction?

This is a complex issue. Human sexual activity involves many complex psychophysiological processes. Medical scientists have conducted in-depth research on various types of erectile dysfunction, and the mechanisms of each type are different.

In general, erectile dysfunction is often the result of the interaction and mutual influence of psychological, endocrine, neurological, arterial, venous, and iatrogenic factors.

Most of these are caused by psychological factors, while a few are caused by organic lesions.

20.

Symptoms and diagnosis of priapism

As a man, it is extremely distressing when the penis cannot achieve an erection.

However, a persistent erection can be painful and, if left untreated, can lead to serious consequences.

Pay attention to the following symptoms: the penis remains erect and does not fall back when waking up in the morning, or when there is no sexual arousal, or after sexual intercourse, accompanied by pain; some patients may also have a low-grade fever that lasts for more than 6 hours.

During the examination, it was found that the corpora cavernosa of the penis were engorged, under high tension, and excessively extended, while the corpus spongiosum and glans penis were generally in a flaccid state.

In addition to assessing symptoms, doctors may need to conduct a comprehensive physical examination and other tests to confirm the diagnosis, such as Doppler ultrasound, corpus cavernosum blood gas analysis, and pressure measurement, in order to identify the type of disease.

twenty one.

Symptoms of ejaculatory dysfunction

Male sexual dysfunction can generally be categorized into decreased sexual desire, erectile dysfunction, ejaculatory dysorder, and sexual pleasure disorder (or asm failure). These disorders can occur individually or simultaneously.

Among them, ejaculatory dysfunction is the most common.

Premature ejaculation, delayed ejaculation, anejaculation, retrograde ejaculation, and painful ejaculation are collectively referred to as ejaculatory disorders.

twenty two.

What is anejaculation?

Ejaculation is the sign that a man has reached orgasm during sexual intercourse. It is an extremely complex physiological process and is governed and controlled by a complex central and peripheral nervous system, endocrine system, and reproductive organs. If any link in the chain malfunctions, it can lead to anejaculation.

Anejaculation refers to the inability to ejaculate during sexual intercourse, even when the penis can achieve a firm erection, or the inability to ejaculate inside the vagina during orgasm. The penis gradually becomes flaccid and returns to normal after a period of erection.

It is mainly distinguished from retrograde ejaculation.

Anejaculation is divided into two types: primary anejaculation and secondary anejaculation. Primary anejaculation refers to the inability of an erect penis to ejaculate inside the vagina. Secondary anejaculation is defined as the loss of the ability to ejaculate inside the vagina if the penis was previously capable of ejaculation during intercourse.

There are many reasons for not being able to ejaculate, such as sexual ignorance, lack of correct understanding of sexual life, and various reasons on the part of the woman.

Ninety percent of cases of non-ejaculation are due to psychological factors, while organic causes are less common. These can include the following aspects: local factors, neurological factors, and drug-related factors.

In addition, there are cases of complete ejaculatory dysfunction and retrograde ejaculation with unknown causes (idiopathic), which are relatively rare, but conventional treatments can be effective.

twenty three.

I knew I had ejaculatory dysfunction long ago.

The characteristics of anejaculation are normal libido, the penis can achieve an erection for intercourse, but no matter what kind of intercourse is performed or how long the intercourse lasts, no orgasm or pleasure is achieved, ejaculation cannot be performed inside the vagina, no semen flows out of the urethra, infertility, and nocturnal emission may occur.

Based on these clinical characteristics, patients can generally confirm that they have anejaculation, but it should be distinguished from retrograde ejaculation.

twenty four.

Reasons for inability to ejaculate

In my country, patients with non-ejaculation are not uncommon, but many are ashamed to talk about it and often silently endure the troubles caused by sexual problems and infertility.

This type of patient is mainly seen in young people, primarily due to a lack of sexual knowledge and incorrect sexual practices.

Functional anejaculation is the most common type of ejaculatory disorder, accounting for over 90% of cases. It includes:

(1) Central ejaculation disorder is caused by abnormal brain function, which strengthens the inhibition of sexual arousal, especially the inhibition of the ejaculation center; a few cases are caused by sensory organs, emotions, intellectual disorders, etc., resulting in non-ejaculation.

(2) Spinal cord central ejaculation disorder, dysfunction or failure of the ejaculation center and erection center in the lumbosacral spinal cord, can lead to weakened or complete inability to achieve penile erection, delayed ejaculation or even complete inability to ejaculate.

(3) Psychological factors causing ejaculation disorders: There are no organic lesions in the reproductive system, and the cause is purely psychological.

25.

How to detect retrograde ejaculation

Retrograde ejaculation refers to a situation where sexual intercourse occurs normally, sexual climax is achieved, and there is the action and sensation of ejaculation, but no semen flows out of the urethra and instead is ejaculated retrogradely into the bladder. After intercourse, urine tests will show sperm and fructose.

There are two situations that can cause retrograde ejaculation: one is paralysis or weakness of the bladder neck, and the other is increased resistance in the membranous urethra, such as severe traumatic urethral stricture or inflammatory urethral stricture.

Its serious consequences can lead to infertility.