What Is Anejaculation
Anejaculation is defined as the inability to ejaculate semen; the word itself means “no ejaculation.” With this condition, a man can produce sperm but cannot expel them during normal ejaculation even though anejaculation often is accompanied with normal orgasmic sensation.
Anejaculation can be divided into several categories:
- Situational anejaculation: Situational anejaculation is when a man can ejaculate in some situations but not in others. Frequently, this type of anejaculation is caused by stress in situations such as being in the fertility clinic where some men become tense when they know they have to give a semen sample “on demand.” Additionally, if a man can ejaculate during intercourse but cannot ejaculate through masturbation (or vice versa) then this is considered situational.
- Total anejaculation: Total anejaculation is when a man is never able to ejaculate semen either during intercourse or by masturbation, at home or in the clinic. Total anejaculation also can be divided into:
- Anorgasmic anejaculation – a man who can never achieve an orgasm while awake, but can reach orgasm, and ejaculation, while asleep at night. In these cases, psychological factors rather than physical ones are likely causing the condition
- Orgasmic anejaculation – a man can reach and achieve orgasm, but cannot ejaculate semen. This failure to release semen can be due to a block in the tubes or damage to the nerves, or possibly due to retrograde ejaculation where semen is going into the bladder rather than leaving the penis through its tip
Anejaculation can also be classified as primary or secondary. Primary anejaculation is when ejaculation has never been experienced in a man’s entire lifetime and secondary anejaculation is when a man is unable to ejaculate after he has been experiencing normal sexual functioning.
Anejaculation occurs when the prostate and seminal ducts fail to release semen into the urethra. This problem can be due to several causes:
- Spinal cord injuries
- Conditions that affect the nervous system (such as Parkinson’s disease, multiple sclerosis, diabetes, spina bifida, etc.)
- Traumatic injury or infection to the pelvis/groin area
- Surgical treatment for testicular cancer or other cancers requiring the removal of lymph nodes located in the groin
- Surgeries that may cause damage to the pelvic area (such as prostate, bladder or abdominal surgery that can damage or traumatize nerves)
Sometimes hormonal and psychological factors can play a role (e.g. anxiety, marital problems, fear of causing pregnancy). It has been found that situational anejaculation can be due to psychological factors such as stress.
Can men who have anejaculation still have children?
Yes, men with anejaculation can still have children. Since men with anejaculation still produce sperm even though they cannot ejaculate semen, medical procedures can induce ejaculation or retrieve sperm in other ways, following which artificial insemination can help the couple conceive.
There are several treatment options for men with anejaculation; the main goal of which is to retrieve sperm for artificial insemination.
When the cause of anejaculation is due to a physical problem then you will have to consult with your doctor to find out exactly what is happening and what action can be taken. Treatment can be as easy as changing to a different type of medication after consultation with your doctor. You may want to reduce or stop drinking or taking other non-prescription drugs.
For other physical causes of anejaculation, treatment is the use of a vibrator (called penile vibratory stimulation). With this treatment, vibrations travel along the sensory nerves to the spinal cord to cause ejaculation. A specially designed vibrator applies vibrations to the tip of the penis and the immediate surrounding area. Vibrator stimulation results in ejaculation in about 60% of men. In men with spinal cord injuries, depending on the level of injury, this technique may not work.
If vibrator therapy fails, electroejaculation can be performed. This involves the direct electrical stimulation of the nerves and is carried out under general anesthesia.
Treatment options are available
At DOSH, We are here for you when you’re ready for us.
Department of Sexual Health