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How can anejaculation be effectively managed?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I would like to discuss a sexual issue I am experiencing. I lack the desire for sex and, although I can achieve an erection, I am unable to ejaculate. After some time, the erection fades without ejaculation. While I enjoy foreplay, I have never been particularly interested in sex for as long as I can remember and have never masturbated. My testosterone level was tested and found to be 241 ng/dL. I also have been dealing with psychiatric issues for a while.

Could these sexual and psychiatric problems be related? What is the exact nature of the problem I am experiencing, and is it treatable?

Please suggest.

Answered by Dr. Purushottam Sah

Education:

MBBS

Professional Bio:

Dr. Purushottam Sah is an experienced Obstetrician and Gynecologist specializing in women’s reproductive health, pregnancy care, and the management of gynecological disorders. His expertise spans antenatal and postnatal care, high-risk pregnancy management, infertility evaluation, and advanced gynecological surgeries. He is proficient in both preventive and curative aspects of women’s health, ensuring safe deliveries, accurate diagnoses, and effective treatments. With a compassionate and patient-centered approach, he is committed to supporting women at every stage of life, promoting wellness, and improving overall quality of care.

This doctor is not available for online consultations on the platform anymore.

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Hello,

Welcome to icliniq.com.

Your problem is treatable and is known as anejaculation. If you are taking any psychiatric medication, this could be contributing to your issue. Psychiatric and sexual problems are often interconnected. If you are able to ejaculate during sleep, the issue might be psychological. While your testosterone level is low, additional blood tests are also necessary, including those for postprandial glucose, TSH (thyroid-stimulating hormone), and prolactin.

I hope this information is helpful.

Thank you.

Patient's Query

Hello doctor,

Thank you for the reply.

What is the treatment for anejaculation, and how long does it typically take?

Answered by Dr. Purushottam Sah

Education:

MBBS

Professional Bio:

Dr. Purushottam Sah is an experienced Obstetrician and Gynecologist specializing in women’s reproductive health, pregnancy care, and the management of gynecological disorders. His expertise spans antenatal and postnatal care, high-risk pregnancy management, infertility evaluation, and advanced gynecological surgeries. He is proficient in both preventive and curative aspects of women’s health, ensuring safe deliveries, accurate diagnoses, and effective treatments. With a compassionate and patient-centered approach, he is committed to supporting women at every stage of life, promoting wellness, and improving overall quality of care.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hello,

Welcome back to icliniq.com.

The treatment depends on the reports and the psychological factors involved. If the reports are normal, medications may be used. The duration of treatment can vary from one month to several months. Using a vibrator may also be helpful. If you are currently taking antidepressants, you might need to consider changing your medication.

I hope this helps you.

Thank you.

Medically reviewed by Dr. K. Shobana
Published At January 26, 2018
Reviewed At September 3, 2024

Education:

MBBS

Professional Bio:

Dr. Purushottam Sah is an experienced Obstetrician and Gynecologist specializing in women’s reproductive health, pregnancy care, and the management of gynecological disorders. His expertise spans antenatal and postnatal care, high-risk pregnancy management, infertility evaluation, and advanced gynecological surgeries. He is proficient in both preventive and curative aspects of women’s health, ensuring safe deliveries, accurate diagnoses, and effective treatments. With a compassionate and patient-centered approach, he is committed to supporting women at every stage of life, promoting wellness, and improving overall quality of care.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Purushottam Sah
Dr. Purushottam Sah

Obstetrics and Gynecology

Education:

MBBS

Professional Bio:

Dr. Purushottam Sah is an experienced Obstetrician and Gynecologist specializing in women’s reproductive health, pregnancy care, and the management of gynecological disorders. His expertise spans antenatal and postnatal care, high-risk pregnancy management, infertility evaluation, and advanced gynecological surgeries. He is proficient in both preventive and curative aspects of women’s health, ensuring safe deliveries, accurate diagnoses, and effective treatments. With a compassionate and patient-centered approach, he is committed to supporting women at every stage of life, promoting wellness, and improving overall quality of care.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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