and Treating Ejaculatory Dysfunction for Improved Fertility

How to treat ejaculation disorders?

Hello Doctor: I am the one who previously asked about the difficulty of getting pregnant due to ejaculation being more of a flow rather than a forceful expulsion.
I would like to ask if this is related to my frequent masturbation.
What kind of treatment is necessary? My wife and I both really want to have a child, and we have both undergone infertility tests, which showed that we are both normal.
We have also followed the doctor's advice and tried ovulation medication to increase our chances of conception, but it has also failed.
Therefore, I have been wondering if the fact that my semen flows out during ejaculation is causing the sperm to have difficulty reaching the egg, making it hard to conceive.
I really want to resolve this issue of semen flowing out during ejaculation, but I don't know what to do!

Xiao Wei, 30~39 year old female. Ask Date: 2015/07/15

Dr. Xu Weikai reply Urology

Hello, it is recommended to consult a clinic specializing in sexual function.
Medical centers have special outpatient services for sexual function, which include more advanced diagnostic equipment.
If there are any unclear points, feel free to ask again for further discussion and research.
Online responses should only be used as a reference; it is essential to seek medical care at a healthcare facility if necessary.
The Ministry of Health and Welfare Taitung Hospital cares about you.

Reply Date: 2015/07/15

More Info

Ejaculatory dysfunction can significantly impact fertility, and understanding its causes and potential treatments is crucial for couples trying to conceive. In your case, where you experience a flow of semen rather than a forceful ejaculation, this could be related to several factors, including psychological issues, physical conditions, or lifestyle habits such as frequent masturbation.

Firstly, it’s important to clarify that the mechanics of ejaculation involve a complex interplay of the nervous system and muscular contractions. A normal ejaculation is characterized by a strong contraction of the pelvic muscles, which propels semen out of the urethra. If you are experiencing a more passive release of semen, it may indicate a problem with these muscular contractions or a potential issue with the nerves that control them.

Frequent masturbation can sometimes lead to temporary changes in sexual function, including ejaculation. However, it is not typically a direct cause of ejaculatory dysfunction. If you find that your ejaculation is consistently weak or flowing, it may be beneficial to consult a urologist or a specialist in male fertility. They can perform a thorough evaluation, which may include a physical examination, hormone level testing, and possibly imaging studies to assess the reproductive organs.

In terms of treatment, several options may be available depending on the underlying cause of the dysfunction. If the issue is related to muscle control, pelvic floor exercises (often referred to as Kegel exercises) may help strengthen the pelvic muscles and improve the force of ejaculation. Additionally, if there is a psychological component, such as anxiety or stress related to sexual performance, counseling or therapy may be beneficial.

Another potential avenue for treatment is medication. Some medications can enhance sexual function and improve the quality of ejaculation. However, it’s essential to discuss these options with a healthcare provider to ensure they are appropriate for your specific situation.

Regarding your concern about whether the flow of semen is preventing sperm from reaching the egg, it’s worth noting that sperm are quite resilient and can swim against various forces. While a strong ejaculation can help propel sperm into the cervix and uterus more effectively, a flowing release does not necessarily mean that sperm cannot reach the egg. However, if the ejaculatory dysfunction is severe, it could potentially reduce the overall number of sperm that successfully reach the egg, thereby affecting fertility.

Since both you and your wife have undergone fertility evaluations and received normal results, it’s essential to focus on addressing your ejaculatory concerns. Improving your ejaculation may enhance your chances of conception, especially if you are actively trying to conceive.

In summary, ejaculatory dysfunction can indeed affect fertility, and it’s essential to identify the underlying causes. Consulting with a healthcare professional who specializes in male fertility can provide you with tailored advice and treatment options. In the meantime, consider lifestyle changes that promote overall reproductive health, such as maintaining a healthy diet, managing stress, and avoiding substances that could impair sexual function. With the right approach, you and your wife can improve your chances of conceiving and starting your family.

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