Anejaculation

Question 1

Define anejaculation

Answer 1

Cannot ejaculate sperm. They still produce sperm, and can feel pleasure with orgasm, but no semen comes forth through the penis when they climax. May be able to orgasm or may not.

Question 2

Define primary anejaculation

Answer 2

Never had the ability to ejaculate sperm

Question 3

Define secondary anejaculation

Answer 3

Losing their ability to ejaculate after being able to do so normally after a period of time

Question 4

Define situational anejaculation

Answer 4

The ability to ejaculate and attain orgasm in some situations but not all can be stress induced and it occurs selectively

Question 5

Causes of anejaculation

Answer 5

• Spinal cord injury
• Pelvic injury
• Infections
• Medications (e.g., antidepressants)
• Pelvic surgery (such as prostate, bladder) that can damage pelvic nerves
• Removal of lymph nodes (such as from testicular cancer treatment)
• Diseases and disorders that affect the nervous system (e.g., Parkinson’s disease or multiple sclerosis)

Question 6

What is an anorgasmic anejaculation caused by

Answer 6

Psychological
Low serum testosterone
HRT for prostate cancer §

Question 7

What is an orgasmic anejaculation caused by

Answer 7

Failure of emission of semen due to a block in the ejaculatory ducts or damage to the ejaculatory nerves e.g. diabetes

Question 8

What ix would you carry out?

Answer 8

MSU in retrograde would find fructose and spermozoa

Sperm analysis

Question 9

Medical Treatment

Answer 9

Treat the underlying cause

Medication - ephedrine, imipramine

Question 10

Sexual Treatment

Answer 10

Vibrator therapy

Electro ejaculation