Lack of ejaculation

Aneyakulyatsiya - the absence of ejaculation with a normal course of sexual intercourse or any other form of sexual activity, regardless of the duration of the act. As a pronounced violation of the copulatory function, the absence of ejaculation also determines absolute infertility.

[1], [2], [3], [4], [5], [6], [7], [8], [9], [10]

Causes of the absence of ejaculation

Primary absence of ejaculation occurs in urological practice most often. It is characterized by the preservation of libido, erection and orgasmic sensations. A common cause of this pathology is the defeat of the central nervous system due to injuries and injuries to the lumbosacral structures of the spinal cord, surgical interventions on the spine, which is combined with a violation or lack of patency of the vas deferens. This form of absence of ejaculation can also be a consequence of congenital malformations, which are accompanied by a lack of patency of the vas deferens.

Secondary absence of ejaculation occurs in the stronger sex, which before had no problems with ejaculation. This problem is solved with the help of additional caresses from the partner.

The lack of ejaculation can be the result of excessive consumption of alcoholic beverages or the result of taking certain medications for the treatment of depressive disorders,  hypertension, persistent stress or active sex life.

[11], [12], [13], [14], [15], [16], [17], [18], [19]

Symptoms of the absence of ejaculation

Symptoms of lack of ejaculation depend on its shape. There are three forms of the absence of ejaculation: aspermatism, retrograde ejaculation and violation of sperm emission in the urethra.

• Aspermatism is characterized by the fact that regardless of the duration of the sexual act, ejaculate does not enter the urethra, ejaculation and orgasm are absent.
• Retrograde ejaculation is accompanied by the ejection of ejaculate into the bladder; orgasm is weakened, but preserved.
• Less often there is a violation of the emission of ejaculate in the urethra, while it lingers at the level of the ejaculatory ducts, the intensity of orgasm sharply reduced.

[20], [21], [22], [23], [24], [25], [26]

Treatment of the absence of ejaculation

Excessive absence of ejaculation significantly increases the duration of sexual intercourse, but for those couples who plan to conceive a child, this becomes a huge problem.

Obviously, the range of causative factors, pathogenetic mechanisms is very wide, and the treatment for lack of ejaculation (anejaculation) offered by  urologists is  quite effective.

Primary absence of ejaculation due to anatomical defects of the vas deferens is treated by performing an operation in an outpatient setting, which allows to restore their patency. Secondary absence of ejaculation is treated mainly medically.