- Anejaculation & Retrograde ejaculation: Some conditions such as diabetes, neurological disease, spinal cord injury, certain medication, abdominal and pelvic surgery makes patients unable to ejaculate or ejaculate into the bladder. Some of these cases may be treated by giving medicine which helps ejaculation. If this doesn’t work a vibrator can be tried; which is an oscillating disc that is applied to the frenulum and may lead to antegrade ejaculation which may be followed by home intravaginal insemination. If this fails patients may have surgical sperm retrieval or electroejaculation.
Electroejaculation is a probe which is inserted tranrectally under a general anaesthetic and stimulates pelvic contractions which lead to antegrade ejaculation.
- Premature ejaculation: Premature ejaculation is a common condition that may affect 40% of males. Sometimes premature ejaculation can be so severe that the patient would ejaculate before penetration “Ante portal premature ejaculation”. Premature ejaculation can be treated medically by giving medicine which delays ejaculation.
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