Ejaculation Issues: A Guide for Couples Planning Parenthood

We are currently planning to have a baby?

I have been married to my wife for three months, and we are currently planning to have children.
However, I am very enduring; I can last for an hour without any problem, but I am unable to ejaculate.
Is being unable to ejaculate considered a medical condition? My wife always encourages me to see a doctor, but I am very afraid.
I hope the physicians can provide me with some answers.
Thank you very much.

Chung, 30~39 year old female. Ask Date: 2004/03/13

Dr. Liu Jianting reply Urology

It's truly a troubling issue, but first, take it easy and don't stress.
After all, you are performing very "well," which is commendable; you're just a step away from achieving your goal.
Perhaps focusing on doing things right will lead to a natural resolution.
Is being a 35-year-old dad a source of pressure? However, if things really aren't working out, consider consulting a urologist or a psychiatrist!

Reply Date: 2004/03/13

More Info

Ejaculation issues can be a sensitive topic for many couples, especially when planning for parenthood. It's important to understand that the inability to ejaculate, known as anejaculation, can indeed be classified as a medical condition. This issue can stem from various physical, psychological, or relational factors, and addressing it is crucial for both your health and your relationship with your wife.

Firstly, it's essential to recognize that sexual health is a vital aspect of overall well-being. Anejaculation can be caused by several factors, including hormonal imbalances, nerve damage, certain medications, or psychological issues such as anxiety or stress. In some cases, it may also be related to the dynamics of your relationship or performance anxiety, especially if you feel pressure to conceive.

Given that you and your wife are planning to start a family, it’s understandable that this issue is causing concern. The inability to ejaculate can hinder conception, as sperm needs to be released during intercourse for fertilization to occur. Therefore, addressing this issue is not only important for your sexual health but also for your family planning goals.

Here are some steps you can take to address this issue:
1. Open Communication: Start by having an open and honest conversation with your wife about your feelings regarding this issue. It’s important for both of you to express your concerns and support each other. This can help reduce any anxiety you may be feeling about the situation.

2. Consult a Healthcare Professional: While it may be intimidating, consulting a healthcare professional is a crucial step. A urologist or a sexual health specialist can provide a thorough evaluation to determine the underlying cause of your anejaculation. They may conduct physical examinations, review your medical history, and possibly recommend tests to assess hormone levels or nerve function.

3. Therapy and Counseling: If psychological factors are contributing to your condition, speaking with a therapist or counselor who specializes in sexual health can be beneficial. They can help you work through any anxiety, stress, or relationship issues that may be affecting your sexual performance.

4. Explore Treatment Options: Depending on the diagnosis, treatment options may vary. If the issue is related to physical health, medications or hormone therapy may be recommended. If psychological factors are at play, therapy or counseling may be the best course of action. In some cases, techniques such as pelvic floor exercises or sexual therapy may also be beneficial.

5. Patience and Understanding: It’s important to approach this issue with patience. Sexual health can be complex, and finding the right solution may take time. Support from your wife and a healthcare professional can make a significant difference in navigating this journey together.

6. Educate Yourself: Understanding more about sexual health and ejaculation can help alleviate some fears. There are many resources available, including books, articles, and reputable websites that provide information on sexual health issues.

In conclusion, while the inability to ejaculate can be concerning, it is a medical issue that can often be addressed with the right support and treatment. Open communication with your wife, consulting a healthcare professional, and exploring both physical and psychological avenues for treatment are essential steps in resolving this issue. Remember, you are not alone in this, and seeking help is a sign of strength and commitment to your relationship and future family.

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