Erectile Dysfunction

What To Do If I Can Get An Erection But Not Ejaculate ?

There are around eight main types of male sexual disorders. Some are very common, while some are relatively rare. Here is a look at one of the common questions – I can get an erection but not ejaculate. This condition of delayed ejaculation reportedly affects close to 4% of men in the US.

What are the different types of male sexual disorders?

To understand the condition better, it helps to know of the different sexual disorders. This will help to rule out any wrong understanding of the condition. The right identification can help in getting the most suitable treatment in the shortest possible time. The conditions are physical, psychological or a combination.

  1. Erectile Dysfunction (ED) – This is also known as impotence. This refers to the inability to achieve or maintain an erection necessary for penetrative sex.
  2. Premature Ejaculation (PE) – This happens when a man ejaculates too quickly during sex. This climax almost always happens before the partner, reducing satisfaction.
  3. Delayed Ejaculation (DE) – This is the opposite condition of premature ejaculation. This happens when orgasm or ejaculation is either delayed or not achieved.
  4. Low Libido – This refers to a decreased interest in sex.
  5. Peyronie's Disease - This refers to the formation of scar tissue inside the penis, causing a curvature. This makes it difficult and painful to have sex.
  6. Priapism - This refers to an extended erection that lasts for more than 04 hours. This can be painful, and could also be serious in nature.
  7. Hypogonadism- This is a condition where low testosterone affects sexual ability and sperm count.
  8. Performance Anxiety – This happens when males are not confident of ability to have sex.

Why do some people have delayed ejaculation or no ejaculation?

Delayed or no ejaculation can be divided broadly into two types. Each of the two types has its own reasons and treatments. It is necessary to understand the type first, and then seek suitable treatment to resolve the condition.

  • Always delayed ejaculation: This refers to males who end up with delayed ejaculation forever. This could be from the time of becoming sexually mature or it could be a condition that has developed.
  • Delayed in specific conditions: This refers to delayed or no ejaculation in specific conditions. This is also known as situational delayed ejaculation.

Reasons for delayed ejaculation in both conditions

The reasons for delayed ejaculation in both of the conditions mentioned above is as listed below. Suitable remedies may be tried, depending on the reason for the delayed ejaculation. 

  • Medications: Some medicines, like antidepressants, antipsychotics, and blood pressure pills, can affect ejaculation.
  • Psychological reasons: Stress, anxiety, depression, or relationship issues can affect ejaculation.
  • Existing medical conditions: Some conditions, such as diabetes, prostate problems, spinal cord injuries, and hormonal imbalances will affect ejaculation.
  • Trauma (psychological or sexual): Negative experiences about sex can affect ejaculation.
  • Lifestyle: Some intoxicants like alcohol, drug, and smoking, apart from unhealthy lifestyle can affect ejaculation.
  • Age-related changes: Delayed ejaculation occurs with aging.
  • Neurological: Some neurological conditions affect the nerves responsible for ejaculation.

Treatment for delayed ejaculation

To manage delayed ejaculation, there are seven different approaches. Speak to a doctor who will help you understand the actual reason for the condition. After evaluating, the doctor would then recommend the most suitable treatment.  

  1. Therapy: When psychological reasons are the cause for delayed ejaculation, psychological therapy will help. This is required when you have DE due to anxiety, stress, or relationship issues. You could also get counselled as a couple.
  2. Behavioral Techniques: Some techniques, are known to be effective in helping people with DE. For example, the "start-stop" method or the "squeeze" method are all popular. These techniques temporarily stop sexual activity to delay ejaculation.
  3. Medicines: Some medicines have the effect of delaying ejaculation. It is always important to intimate the doctor about other medicines in use.
  4. Lifestyle: Changes in lifestyle, like stopping or reducing alcohol, drugs can help overcome DE or no ejaculation.
  5. Hormone Therapy: When the condition is due to hormonal imbalances, you may try hormone replacement therapy.
  6. Proper Medical assessment: DE is also caused by certain medical conditions, like diabetes or neurological disorders. It is necessary to treat the condition first before trying to resolve delayed ejaculation.
  7. Stimulation: The right sexual stimulation, like vibrators, can improve control over ejaculation.

People at higher risk of having DE

Some people are at higher risk of ending up with delayed ejaculation. Understand the reasons, and take suitable remedial measures in time to reduce the risk factor. Some reasons cannot be avoided, for example, old age can cause DE. Nothing can be done about aging, but a healthy lifestyle is a good choice.

If you either drink, smoke or take any type of drugs, stop or reduce the intake. If you plan to undergo prostate surgery, you may end up with DE. Similarly, if you have diabetes or other conditions that could cause DE, treat the condition quickly. Ensure that the medicines do not cause DE.