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HomeAnswersAndrologyanejaculationI have low libido and poor erection. Why?

How to treat low libido and ejaculation issues?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. K. Shobana

Published At January 26, 2018
Reviewed AtMay 27, 2024

Patient's Query

Hello doctor,

I want to discuss a sexual problem. I do not feel the desire to have sex. Although I try to have sex and also get an erection, I am unable to ejaculate. After some time, the erection just goes away without any ejaculation. I like to do foreplay but never really interested in sex as long as I can remember. I have never masturbated even. I got my testosterone tested and it was 241 ng/dL. I also have psychiatric issues for some time. Could the sexual and psychiatric problem be linked? What is the problem that I am exactly having? Is it treatable?

Hello,

Welcome to icliniq.com.

Your problem is treatable. It is called anejaculation. If you are taking any psychiatric medicine then your problem may be due to that. Psychiatric and sexual problems are mostly related. If you ejaculate in sleep then your problem is likely a psychological one. Your testosterone is low but you also need to do blood tests such as sugar postprandial, TSH (thyroid-stimulating hormone) and Prolactin. I hope this helps. Thank you.

Patient's Query

Hello doctor,

What is the treatment for anejaculation? How long does it take?

Hello,

Welcome back to icliniq.com.

It depends on the reports and the psychological make-up. If the reports are normal then drugs like Imipramine, Bupropion, Cyproheptadine, Ephedrine, etc., are used. The duration varies from a month to several months. You can use a vibrator. If you are taking antidepressant then you will need to change it.

I hope this helps.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Purushottam Sah
Dr. Purushottam Sah

Obstetrics and Gynecology

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