Anejaculation: Symptoms, Causes and Treatment

The problem of anejaculation is not the same in all people. Following are the types of anejaculation –

• Situational Anejaculation – It is the type of anejaculation when specific situations affect your ejaculation. For instance, you can ejaculate during masturbation, but not during sexual intercourse (or) you can ejaculate at home but not at a hotel.
• Total Anejaculation – This is the type of anejaculation when you are not able to ejaculate in any situation or at any location.

Organic Anejaculation – This type of anejaculation is common in people who have physical medical conditions such as nerve damage or who have undergone prostate surgery

• One of the main symptoms of anejaculation, through which any person can identify it, is the lack of fluid during the orgasm. It is also possible that you get fully aroused during sexual activity or masturbation but fail to ejaculate.
• The other symptom includes completely no orgasm, even after consistent foreplay and penile erection.
• Not getting any positive results from conceiving a child even after multiple attempts at unprotected sex.

In most cases, the people suffering from anejaculation do not face erection problems. However, anejaculation can also result from the inability to erect in some cases. As per the medical reports, most of the cases of anejaculation are seen after the surgeries of prostrate or bladder removal. It is also important to rule out retrograde ejaculation by asking about history of passing  cloudy urine after orgasm.

The other main causes of anejaculation are discussed below:

• Neurogenic Causes
• Surgical Causes:
• Hormonal Causes
• Congenital Causes:
• Psychological Causes

Some people don’t bother to take any specific treatment for anejaculation. However, if the couple faces problems conceiving a child due to male anejaculation, then they consider it a cause for concern. The treatment of anejaculation depends on the condition of the person. It includes giving counselling to the patient or sexual therapy. If diagnosed timely, it can be treated completely and give positive results.

The treatment options for anejaculation include:

• If the dry orgasm condition arises due to hormonal balance, it can be treated with medications to reverse the side effects of other medications and treat such hormonal issues.
• The psychological issues that contribute to the said condition can be managed with sexual counselling and anti-anxiety medications.
• Patients who suffer anejaculation due to a spinal cord injury are given a specific device known as penile vibratory stimulation, which helps the male ejaculate.
• If the process of penile vibratory stimulation doesn’t work, the patient is given electroejaculation therapy. It is the process of giving an artificial ejaculation to the patient.
• The patient who is in the preparation stage of conceiving a child can also go for the treatment of retrieval of viable sperm which can be used for Assisted reproduction.

Every year, around 12000 people seek medical treatment for anejaculation. However, the actual number of people who suffer from anejaculation may be greater than this since most people ignore such conditions.