Our expert says:
Difficulties involving ejaculation are common and take many different forms. When ejaculation is problematic, not happening, or only occurring after much effort and time has taken place, it is called delayed ejaculation. Lack of or difficult ejaculation/orgasm may be a medical or psychological issue. Medical causes may include diabetes, nerve damage, vascular disease, hormonal factors, alcohol and/or other drug use, and side effects of certain medications (e.g., antidepressants) or surgical procedures (e.g., prostate or bladder surgery). Psychological causes may include mood disorders, stress, anxiety, guilt, anger, relationship difficulties, and past traumatic events.
A health care provider or urologist can evaluate you for medical causes and suggest appropriate treatment, if necessary. If there is no medical cause, then seeing a sex therapist is your next step. To find a sex therapist, call SASHA 0860 100 262.
To address your last concern, difficulty with ejaculation will not prevent you from fathering children as long as your sperm are healthy and viable. If ejaculation is problematic or impossible during sexual intercourse, as a last resort, sperm can be retrieved and inserted medically for conception to occur.
The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal
advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.