#anejaculation

Book Review: J.R. Ward’s The Sinner

Eighteenth in The Black Dagger Brotherhood (BDB) paranormal romance series revolving around the lethal vampire bodyguards of the Blind King and set in Caldwell, New York, in a chilly March. The couple focus is on Jo Early, a reporter, and Syn, one of the Band of Brothers.

My Take

It’s a subtle clue in that first line of the story, as Jo chomps away on a Slim Jim, one of the few foods she can keep…

Penis function is a valuable and important subset of penis health and one which, when in the midst of sexual situations, is of primary importance to a man. After all, when with a partner in bed, the last thing a man wants to be concerned about is whether his penis will operate in the manner that is expected. Often, penis function matters revolve around erectile issues or around premature ejaculation, but there can be other penis function concerns – such as anejaculation.

About anejaculation

Because it is not something that occurs commonly, few men are even aware that anejaculation exists. Simply put, anejaculation refers to a situation in which a man is unable to ejaculate semen. This is not the same thing as impotence, as most men with anejaculation have a penis that still responds to stimulation and can become aroused and erect; many men with anejaculation are even able to experience an orgasm. It is simply not accompanied by the traditional expulsion of semen from the penis.

There are several forms of anejaculation.

- When a man has total anejaculation, it means that a man does not ejaculate at all – no matter what he may do, or a partner may do. Total anejaculation is something that may have been an issue for a man his entire life, or it could be something that develops later in life, even though he at one time was able to ejaculate.

- With situational anejaculation, a man finds that there are times when he ejaculates and times when he doesn’t. In some cases, there seem to be clear-cut boundaries that can define when he does or does not. For example, it may be that a man finds it easy (or relatively so) to ejaculate when he masturbates. But when he is engaged in partner sex, he may find that he is incapable of ejaculation. There also are times when defining exactly when a man will experience ejaculation, and when he will not, can be unclear and imprecise.

- If a man has orgasmic anejaculation, it means (as might be supposed) that he does achieve an orgasm having sex, even without the release of any semen.

- And if he is stricken with anorgasmic anejaculation, it likewise means that an orgasm eludes him along with a release of semen.

A man may have a combination of these forms (such as being both situational and anorgasmic, for example).

Treatment

Treating anejaculation is challenging, not least because the causes are poorly understood. Sometimes there is a psychological component, but there also are several other factors that can come into play. These include spinal cord injuries, pelvic injury, reactions to medications, and nervous system disorders. If a doctor is able to pinpoint with fair certainty the cause, then treatment is easier to recommend.

When the cause is known, a doctor can take steps, such as altering medication or treating an underlying disorder. A doctor may also check to see if there is any physical blockage that can be responsible for the lack of semen release. In other cases, vibrational therapy may be employed as a means of encouraging ejaculation. Electro-stimulation may also be tried.

In many cases, it may take some “trial and error” to determine the best course of treatment for an individual patient.

While exceptional penis health is a laudable goal, sometimes a man needs to focus a little less on the superficial health and more on the practical penis function. Very often a penis may seem to be in good health but the penis function may be impacted nevertheless. For example, a man who suffers from anejaculation may have a strong erection, good urinary flow, well-moisturized penis skin and other earmarks of good health but still be deficient in the area of functionality. 

What is anejaculation? 

It’s not one of the more common conditions, which explains why most men are unlikely to even know what anejaculation means. “Anejaculation” refers to a condition in which a man is unable to ejaculate semen. 

Anejaculation shouldn’t be confused with impotence. A man with anejaculation is still able to obtain an erection and is still able to engage in sexual activity, either with a partner or with himself. In many cases, he is still even able to reach an orgasm – but he does so without releasing semen from his penis. 

Kinds of anejaculation 

Anejaculation has several different “modes”: situational, total, orgasmic and anorgasmic.

Situational anejaculation is a “sometimes yes, sometimes no” condition. It means that sometimes a man cannot ejaculate and other times he can. In most cases, situational anejaculation occurs because a man feels uncomfortable in a particular situation. For example, perhaps a man ejaculates freely when he masturbates at home; however, when with a partner who is masturbating him, he finds himself unable to release his semen. 

It’s different with total anejaculation, which means that a man doesn’t ejaculate at all. This may have been a problem for him his whole life, or it may be of more recent vintage. 

Orgasmic anejaculation means that a man is able to reach the bliss of orgasm even without ejaculating; the anorgasmic variation, sadly, means that there is neither ejaculation nor orgasm. 

There are, of course, combinations of these types, such as an orgasmic situational anejaculator, who can find climactic relief but does not bring forth semen. A total anorgasmic ejaculator, unluckily, gets neither the delights of an orgasm or the satisfaction of seeing his semen shoot forth from the penis. 

What causes anejaculation? 

As mentioned above, some cases of situational anejaculation (and some rare cases of the total variant) are caused by psychological factors – discomfort, anxiety, worry, stress, etc.  There can be physical causes, such as a blockage in the ejaculatory duct, a spinal cord injury, or a reaction to certain surgery (including some prostate surgery). In some cases, a nervous system malfunction may bring the condition about, and in other cases the culprit is a reaction to some antidepressants or antipsychotics. And often it can be the result of diseases like diabetes or Parkinson’s. 

Is it treated? 

Effective treatment depends upon identifying the correct cause. Relieving stress or other psychological factors, removing duct blockages and treating nervous system problems can be effective. Changing medication may be effective, as can be treating underlying diseases that bring anejaculation about. Penile vibratory stimulation is effective in some men who have suffered spinal cord injuries.