Is inejaculation hereditary?

Anejaculation refers to the situation that during sexual intercourse, no semen is ejaculated from the urethra, and the patient is often unable to make the other party reach orgasm, and the sexual life is not harmonious, etc. In fact, there are many reasons for anejaculation, such as ejaculatory duct obstruction, weak ejaculation and other disease factors.

Disease diagnosis

1. Retrograde ejaculation: The similarity with no ejaculation is that no semen is discharged from the urethra during sexual intercourse, but the retrograde ejaculation has orgasm and ejaculation during sexual intercourse, and the first urination after sexual intercourse contains mucus or white flocculent matter in the urine. Microscopic examination shows a large number of sperm and a large amount of fructose in the urine.

2. Ejaculatory duct obstruction: There is sexual climax during sexual intercourse, and there may also be ejaculation, but there is no semen discharge and no history of nocturnal emission.

3. Weak ejaculation: During sexual intercourse, the patient feels that the penis is not twitching easily and the semen seems to be overflowing rather than being ejected. This disease is mainly caused by weak contraction of the muscles in the vas deferens, seminal vesicles, prostate, urethra, etc. during ejaculation.

4. Incomplete ejaculation: that is, each time ejaculation occurs during sexual intercourse, the semen that enters the posterior urethra is not completely discharged, resulting in incomplete ejaculation. The pathology is mostly related to mental and psychological factors, so it is mostly functional.

Inspection method

For patients with anejaculation, in addition to asking about the medical history in detail, the doctor should also conduct relevant examinations, which are very necessary for the diagnosis of anejaculation. The doctor should carefully check the development of the penis, the size and texture of the testicles and the presence or absence of tenderness. In order to rule out ejaculation pain caused by urogenital diseases, endocrine diseases, mental illness, nervous system and surgery, the doctor should conduct corresponding examinations, such as routine prostatic fluid examination, routine urine examination or bacterial culture to rule out prostate and genital tract inflammation. For those with primary anejaculation, the bilateral epididymis, vas deferens and seminal vesicles should also be examined, excretory urography and vas deferens, seminal vesicle angiography, and even CT or spiral CT examinations should be performed to determine whether there are congenital malformations.

complication

This disease can lead to infertility, etc.