Anejaculation

Definition - What does Anejaculation mean?

Anaejaculation is the inability to ejaculate semen. Men with this condition are still able to produce sperm, however, semen is not expelled when the penis is stimulated by intercourse or masturbation. This can make lead to fertility issues.

FertilitySmarts explains Anejaculation

Men with anejaculation are able to get an erection and often orgasm with stimulation, however, no semen is expelled. Anejaculation may be caused by physical or psychological factors. The following categories describe the causes of anejaculation:

  • Situational ejaculation - able to ejaculate in some situations but not others; often related to stress.
  • Total anejaculation - unable to ejaculate in any situation. This is further divided into:
    • Anorgasmic anejaculation - unable to reach orgasm and ejaculate; often related to psychological factors.
    • Orgasmic anejaculation - able to orgasm but unable to ejaculate; often related to physical factors, including nerve damage, blockage in the tubes, or retrograde ejaculation.

Treatment for anejaculation is dependant on the cause. Psychological issues related to anejaculation can be addressed through counseling. With physical problems, a special electrical stimulator can stimulate ejaculation in some cases. Alternatively, sperm retrieval through methods, such as testicular sperm extraction (TESE) or percutaneous epididymal sperm aspiration (PESA), can be utilized to obtain sperm from higher up in the reproductive tract. Sperm obtained through these methods can then be used for artificial insemination.

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