Ejaculatory dysfunction?
Hello, I would like to ask the doctor about my ejaculation.
When I ejaculate, it comes out in a somewhat flowing manner; the semen comes out from the urethra but does not spray out.
Is this a symptom of ejaculatory dysfunction? I used to masturbate quite frequently (possibly 1 to 3 times a day), but I have recently started to reduce the frequency.
I have also begun doing Kegel exercises.
I would like to know if I should see a urologist if there is no improvement.
Can ejaculatory dysfunction be treated with medication? Is it covered by health insurance? Will the medication be very expensive?
A-Kuang, 10~19 year old female. Ask Date: 2017/04/17
Dr. Du Shixi reply Urology
Hello: There should be no such medication.
Individuals vary; some may be more resilient while others may experience a different response.
Therefore, the physician may not be able to assist you.
Reply Date: 2017/04/17
More Info
Ejaculation weakness, also known as ejaculatory dysfunction, refers to a condition where a man experiences difficulty in achieving a forceful ejaculation during sexual activity. This can manifest as a weak or dribbling ejaculation rather than the typical forceful expulsion of semen. Your description of semen emerging from the urethra in a less forceful manner could indeed indicate a form of ejaculatory dysfunction, particularly if this is a change from your previous experiences.
There are several potential causes for ejaculation weakness. These can range from psychological factors, such as anxiety or stress, to physiological issues, including hormonal imbalances, nerve damage, or side effects from medications. Frequent masturbation, as you mentioned, can also play a role in how your body responds during ejaculation. Reducing the frequency of masturbation, as you have done, may help your body recalibrate its response, but it can take time to notice improvements.
Kegel exercises, which you are currently practicing, can be beneficial for strengthening the pelvic floor muscles and may help improve ejaculatory control. These exercises involve repeatedly contracting and relaxing the muscles that control urination. Consistency is key, and it may take several weeks to notice any significant changes.
If you find that your symptoms do not improve with lifestyle changes and pelvic floor exercises, it would be advisable to consult a urologist. A urologist specializes in male reproductive health and can provide a thorough evaluation to determine the underlying cause of your ejaculatory dysfunction. They may conduct a physical examination, review your medical history, and possibly run tests to rule out any underlying conditions.
Regarding treatment options, there are various approaches depending on the underlying cause of the dysfunction. If the issue is related to hormonal imbalances, hormone replacement therapy may be considered. If it is due to psychological factors, therapy or counseling may be beneficial. In some cases, medications can be prescribed to help improve sexual function, but this would depend on the specific diagnosis and individual circumstances.
As for insurance coverage, many health insurance plans do cover visits to specialists like urologists and may also cover certain medications for sexual dysfunction. However, coverage can vary widely depending on your specific plan and the medications prescribed. It is advisable to contact your insurance provider to inquire about coverage details for consultations and potential treatments.
In summary, while your symptoms may suggest ejaculation weakness, a thorough evaluation by a urologist is essential to determine the exact cause and appropriate treatment. Lifestyle changes, including Kegel exercises and reducing masturbation frequency, may help, but professional guidance will provide you with the best path forward. Don't hesitate to seek help; sexual health is an important aspect of overall well-being, and there are effective treatments available.
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