Ejaculation Issues: Causes and Solutions

Ejaculation issues?

Hello, Dr.
Hsu: I would like to ask you about some recent concerns regarding ejaculation.
Whether during masturbation or nocturnal emissions, I have noticed that the volume of semen is not as much as it used to be.
When I reach ejaculation during masturbation, I feel the sensation of ejaculation, but only a drop of semen is released.
At that moment, I feel like there is something inside my penis, and even if I try to forcefully expel the semen, I cannot do so.
Afterward, because I feel something inside, my penis becomes erect involuntarily, but the hardness of the erection is not very firm.
It takes several urinations before I feel normal again.
I would appreciate your insights on this matter.
Thank you.

Lie, 20~29 year old female. Ask Date: 2010/01/31

Dr. Xu Weikai reply Urology

Hello, you may need further examination to check for any blockage in the ejaculatory duct or autonomic nervous system disorders.
Additionally, prolonged erection may also lead to ejaculation difficulties.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Taitung Hospital, Department of Urology, Executive Yuan Health Department, Director Hsu Wei-Kai.

Reply Date: 2010/01/31

More Info

Ejaculation issues can be a source of concern for many men, and understanding the potential causes and solutions is essential for addressing these problems effectively. Based on your description, it seems you are experiencing a decrease in the volume of ejaculate, difficulty in ejaculation, and changes in erectile firmness. Let's break down these symptoms and explore possible causes and solutions.

Possible Causes
1. Hormonal Changes: Testosterone plays a crucial role in sexual function, including libido, erectile function, and ejaculation. A decrease in testosterone levels can lead to reduced semen volume and erectile difficulties. This can occur due to aging, medical conditions, or lifestyle factors.

2. Dehydration: Semen is primarily composed of water. If you are not adequately hydrated, it can lead to a decrease in semen volume. Ensure you are drinking enough fluids throughout the day.

3. Medication Side Effects: Certain medications, particularly those for high blood pressure, depression, or anxiety, can affect sexual function and ejaculation. If you are on any medications, consult your doctor to see if they could be contributing to your symptoms.

4. Psychological Factors: Stress, anxiety, and depression can significantly impact sexual performance and ejaculation. If you are experiencing emotional or psychological stress, it may be beneficial to speak with a mental health professional.

5. Prostate Health: Conditions affecting the prostate, such as prostatitis or benign prostatic hyperplasia (BPH), can influence ejaculation. These conditions can lead to discomfort, changes in urinary function, and alterations in ejaculation.

6. Pelvic Floor Dysfunction: The pelvic floor muscles play a vital role in ejaculation. If these muscles are tense or not functioning correctly, it can lead to difficulties in ejaculation and changes in sensation.

Solutions and Recommendations
1. Consult a Healthcare Provider: Given the complexity of sexual health issues, it is crucial to consult a healthcare provider, preferably a urologist. They can perform a thorough evaluation, including hormone testing, prostate examination, and possibly imaging studies to rule out any underlying conditions.

2. Lifestyle Modifications:
- Hydration: Ensure you are drinking enough water daily.

- Diet: A balanced diet rich in fruits, vegetables, whole grains, and lean proteins can support overall health, including sexual health.

- Exercise: Regular physical activity can improve circulation, hormone levels, and overall well-being, which can positively impact sexual function.

3. Stress Management: Incorporate stress-reducing techniques such as mindfulness, meditation, or yoga into your routine. These practices can help alleviate anxiety and improve sexual performance.

4. Review Medications: If you suspect that your medications may be affecting your sexual function, discuss this with your doctor. They may be able to adjust your dosage or switch you to an alternative medication.

5. Pelvic Floor Exercises: Strengthening the pelvic floor muscles through exercises like Kegels can improve control over ejaculation and enhance sexual function. A physical therapist specializing in pelvic health can provide guidance on proper techniques.

6. Therapy: If psychological factors are contributing to your symptoms, consider seeking therapy or counseling. A mental health professional can help you address any underlying issues and develop coping strategies.

Conclusion
Ejaculation issues can stem from various physical and psychological factors. It is essential to approach this matter holistically, considering both medical and lifestyle aspects. By consulting with a healthcare provider and making appropriate lifestyle changes, you can work towards resolving these concerns. Remember, open communication with your healthcare provider is key to finding the right solutions tailored to your specific situation.

Similar Q&A

Understanding and Managing Sexual Desire Issues in Urology

It is common to notice that during daily activities, there may be instances where there is a lack of erection before ejaculation. This can be attributed to various factors, including psychological stress, fatigue, or hormonal imbalances. To address issues related to sexual desire...

Dr. Du Shixi reply Urology
Hello: Your situation is likely not ejaculation, but rather the release of some prostatic fluid. If you do not have a regular partner, then DIY solutions are your only option. Wishing you good health.

Understanding Ejaculation Issues: Causes and Solutions for Young Men

Since high school to college, I have been masturbating daily for three years and have noticed the following conditions: decreased stamina, reduced ejaculation frequency, foot cramps, weakness in my legs, and my semen has become a pure white, frothy liquid. Are there any ways to i...

Dr. Sun Hongshun reply Urology
Hello: Because you are still very young, based on your description, it seems that you not only masturbate daily but possibly multiple times a day (as indicated by the decrease in ejaculation frequency). I recommend that you maintain a balanced diet (reduce oily foods, include app...

Understanding Ejaculation Issues: Causes and Concerns for Men

Hello, I have two questions: First, every time I am about to ejaculate during masturbation, my sperm seems to get stuck and I feel very uncomfortable. I have to stop moving before I can slowly ejaculate. Why does this happen? Could it be due to insufficient thyroid function lea...

Dr. Xu Weikai reply Urology
Hello, erection and ejaculation are regulated and controlled by the sympathetic and parasympathetic nervous systems. Ejaculation disorders require further examination. Additionally, penile curvature, unless the angle is too severe, typically does not hinder fertilization. If you ...

Understanding Ejaculation Issues During Intercourse: Causes and Solutions

Experiencing an erection during sexual intercourse but being unable to ejaculate, while being able to do so during masturbation, can be attributed to several factors. These may include psychological factors such as anxiety or performance pressure, physical factors such as differe...

Dr. Xu Weikai reply Urology
Hello, it may be due to a lack of experience on both sides or possibly due to anxiety. If ejaculation is still not achieved, it is advisable to seek medical attention as soon as possible. If there are any concerns, you can visit a nearby medical facility for relevant tests. If th...