Xiao Liu has been married for 3 years, his wife Xiao Ma has not been able to get pregnant, the family has been anxious for them. See the time a little past, Xiao Liu’s mother a little anxious, to take Xiao Ma to the hospital. Xiao Ma then embarrassed to say, since the marriage, Xiao Liu sex life is always no ejaculation. Such a situation, how can you get pregnant. Under the repeated urging of his parents, Liu came to the men’s clinic to seek medical help. After a history of inquiry, the doctor diagnosed Xiao Liu’s problem as ejaculation disorder. What’s going on here? We know that a long sex life can be fun for both parties, but what goes around comes around. If the sex life has been carried out for a long time, both parties are very tired and still did not ejaculate, this situation is medically known as ejaculation delay, is one of the male sexual dysfunction. There are a few people who can never ejaculate during intercourse or masturbation, and then their penis becomes weak because of exhaustion, and of course there is no feeling of orgasm, which is a serious situation of delayed ejaculation: non-ejaculation. There are various ways to categorize failure to ejaculate: never ejaculating, primary failure to ejaculate, while some people who once experienced normal ejaculation but then developed failure to ejaculate, secondary failure to ejaculate. Some people can not ejaculate no matter vaginal intercourse or masturbation or oral sex and other stimuli, for absolute non-ejaculation; while some people just do not ejaculate in a certain way of sexual life, but can ejaculate in some other sexual behaviors, also have an orgasm, for selective non-ejaculation; and there are some other people who accidentally do not ejaculate in some special circumstances, but usually very normal, for occasional non-ejaculation. It should be noted that those who do not ejaculate do not discharge semen during sex, but conversely, sex without semen discharge is not necessarily non-ejaculation. Examples include retrograde ejaculation, too much intercourse, and defective or obstructed ejaculatory ducts. Not only does a person with non-ejaculation have no semen discharge, but they also do not feel like ejaculating. So, what exactly causes non-ejaculation? Most cases of non-ejaculation are caused by functional factors, and only a few are caused by organic diseases. A common organic disease that leads to ejaculation is damage to the lumbar sympathetic ganglion near the crural medulla or crural column, which affects the function of the ejaculatory center and the nerves that conduct the excitation, and thus ejaculation does not occur. There are also multiple sclerosis, diabetes mellitus, and testicular insufficiency. There are also side effects of medication, such as certain antihypertensives, antidepressants and antipsychotics, which can lead to ejaculatory failure. Causes of functional non-ejaculation include: 1) sexual ignorance; 2) forced interruption of sexual intercourse; 3) poor cooperation between husband and wife; 4) environmental, emotional and mental factors; 5) excessive frequency of sexual intercourse or excessive fatigue; 6) excessive masturbation or incorrect site of masturbation; 7) inflammation or injury to the genitals; and 8) age factors. The appearance of non-ejaculation must be diagnosed and treated by a specialist. First of all, find out the above organic causes or environmental and mental causes and correct them. Couples should encourage and cooperate with each other, learn about sex, and change the position and way of sexual life. For selective non-ejaculation, the penis can be stimulated by masturbation, and then immediately inserted into the vagina to ejaculate when it is about to ejaculate. In this way, most of the normal ejaculation function can be restored through one or more experiences of ejaculation in the vagina. In terms of medication, the results are poor. Previously, commonly used medications include taking ephedrine orally every night or before sexual intercourse to enhance the ejaculation-related reproductive glands such as the vas deferens and ejaculatory ducts, as well as the contraction of the ducts and muscles. Or drugs such as levodopa to increase the excitability of the ejaculatory center. In addition, massage with electricity is also a better option. For patients who are eager to solve their fertility problems, semen can be collected for artificial insemination, or sperm in the epididymis and testes can be surgically aspirated for IVF. After more than 1 month of treatment, Xiao Liu was able to ejaculate in the vagina, and after another 3 months, got Xiao Ma pregnant.