What is non-ejaculation

There is a type of man who can keep on having sex and not even ejaculate at the end. The lack of ejaculation is often mistaken as a sign of a man’s sexual prowess, but in fact it is a dysfunctional disease – ejaculation!
But during sex, he cannot reach orgasm, no ejaculation and no semen is ejected. This disease is more common in male infertility.
Ejaculation belongs to a kind of ejaculation disorder, which can be classified into two kinds of organic and functional ejaculation according to the etiology, among which functional ejaculation accounts for about 90% of the ejaculation disorders.
A, organic ejaculation: organic ejaculation is relatively rare, the causes include spinal cord injury, spinal cord inflammatory or tumor lesions, etc., can cause ejaculation disorders.
1, spinal cord injury can cause ejaculation inhibition, and is affected by the height of the plane of injury and the degree of injury. Spinal cord injury at sites below T10 to L2 usually leads to complete disappearance of ejaculation, but erection is still possible.
2, long-term application of anti-hypertensive drugs, psychotropic drugs or long-term heavy alcohol consumption predisposes to ejaculation disorders.
3. surgical removal of the prostate and seminal vesicle glands also leads to incomplete nerve reflexes and ejaculation disorders
4. malignant tumors implementing retroperitoneal lymph node dissection, which damages sympathetic and parasympathetic nerve fibers and leads to ejaculatory disorders
5, hypopituitarism, hyperthyroidism, acromegaly, mucinous edema, etc. can also cause ejaculatory disorders.
The former refers to never having ejaculated in the waking state (you can ejaculate when masturbating or dreaming, but not during vaginal intercourse); while the latter refers to having ejaculated and then not being able to do so for various reasons.
Functional non-ejaculation is mostly closely related to psychosomatic factors, lack of sexual knowledge, sexual fatigue, age factors, etc.
1, psychological factors: such as mania, depression, sexual arousal disorder, marital discord, lack of sexual skills, poor sexual life environment, etc., resulting in a restrained attitude toward sexual life, long-term inhibition of the formation of non-ejaculatory conditioned reflex.
2, lack of sexual knowledge: the couple completely lack of sexual knowledge, and even have a fear of sex, such as the female fear of pregnancy or fear of pain, shyness, nervousness, fear and restrict the male side of the substantial, rapid pumping, resulting in the male side can not reach the threshold of ejaculation.
3, sexual fatigue: sexual life is too frequent, easy to cause the spinal ejaculation center dysfunction, triggering non-ejaculation. In addition, long-term masturbation habit, because the ejaculation center is accustomed to the strong stimulation of masturbation, coital stimulation instead of ejaculation threshold.
4. Age factor: As age increases, the axons of peripheral sex-conducting nerve fibers degenerate and are prone to atrophy, myelin collagen infiltration, and pachytene body degeneration, thus causing age-related dullness of penile sensation and ejaculatory difficulties.
Reference.
[1]Liu Guizhong,Bai Wenjun. Ejaculatory dysfunction and male infertility [J]. Chinese Sex Science. 2021,30(5): 49-51
[2] Meng X.H., Fan L.C., et al. Diagnosis and treatment of ejaculation[J]. Chinese Journal of Male Science. 2010,24(12): 56-58
[3] Xu XY, Yu GF, et al. Research progress of Chinese medicine in the treatment of functional ejaculation[J]. Journal of Traditional Chinese Medicine. 2020,48(3): 70-73 
[4] Chen QH. Clinical observation of 42 cases of functional ejaculation disorder treated with Gui Zhi Fu Ling Wan plus reduction [J]. Chinese Traditional Medicine Science and Technology,2014,5: 580-581