A man’s worst nightmare: Weak ejaculation
For most males these days, a weak ejaculation can be a traumatic experience, especially having been brainwashed by the excessive online porn that usually has subtle computer graphics (CG) and post-production effects incorporated in them. From expecting some ‘shooting fireworks display’ to instead having just a small trickle, it can make many men experience increased anxiety and depression and make them worried that they might be sick or have some issues or some major sickness coming. It affects their mental issues with feelings of shame and fear of not being able to perform well or being laughed at. Typically, weak ejaculation refers to a reduction in the amount of semen a person ejaculates or a reduction in the force of the ejaculation. Doctors may also call weak ejaculation delayed or inhibited ejaculation.
Recognising the symptoms
Weak ejaculation typically refers to a reduction in the amount or force of semen ejected during orgasm. Men experiencing weak ejaculation might notice a less intense orgasm or a decreased volume of semen. According to the International Society for Sexual Medicine, the average semen volume per ejaculate ranges from 1.25 to 5 millilitres, roughly equivalent to one-quarter to one teaspoon of semen.
It’s essential to understand that semen volume can vary from one instance to another. A man who hasn’t ejaculated for several days might produce more semen than someone who ejaculated recently.
Periodic weak ejaculation is usually not a cause for concern. However, consistent changes in ejaculation warrant a visit to the doctor. In a 2016 review, it was found that ejaculation volumes of less than 2 millilitres on two separate occasions might signal an underlying medical disorder.
Unpacking the causes
The causes of weak ejaculation can be both physical and psychological. Understanding these factors can help in managing and treating the condition effectively.
- Ageing: As men age, the force and volume of ejaculation may naturally decrease. This is often due to lower levels of male sex hormones.
- Alcohol consumption: Drinking alcohol can reduce blood flow to the penis and depress the central nervous system, resulting in decreased sexual excitement.
- Psychological factors: Depression, changes in attraction to a partner, and previous psychological trauma can all affect one’s ability to ejaculate.
- Nerve damage: Damage to the nerves in the spinal cord, bladder, or other areas involved in ejaculation can impact semen flow. Men with diabetes are particularly prone to nerve damage-induced ejaculation issues. Sometimes, this nerve damage leads to retrograde ejaculation, where some or all of the ejaculate goes back into the bladder instead of exiting through the penis.
- Prostate conditions: An enlarged prostate or prostate cancer can affect ejaculation. Additionally, prostate surgery can result in nerve damage, leading to changes in ejaculation.
- Sexual factors: The physical position during sex and the duration of sexual stimulation can affect orgasm intensity and, consequently, ejaculation.
- Medications: Certain medications can cause weak or delayed ejaculation. These include antidepressants, especially selective serotonin reuptake inhibitors (SSRIs), antipsychotics, beta-blockers, muscle relaxants, and strong analgesics like methadone.
Exploring treatment options
The treatment for weak ejaculation depends on the underlying cause. Here are some potential therapies and lifestyle changes that can help improve the condition.
- Pelvic muscle exercises: Doctors may recommend Kegel exercises or other forms of pelvic muscle exercises to strengthen the muscles controlling ejaculation. These exercises involve tightening and releasing the pelvic floor muscles, similar to stopping the flow of urine midstream. Men should aim to perform several sets of these exercises daily.
- Medications: While there are no FDA-approved medications specifically for weak ejaculation, doctors might prescribe drugs that enhance sexual function. The type of medication will depend on the underlying cause. Examples include amantadine, bethanechol, bupropion, buspirone, cyproheptadine, yohimbine, and testosterone.
- Supplements and herbs: Although not scientifically validated, some people claim that supplements like Zinc, Ginseng, Ashwagandha, Maca, Tongkat Ali, Gingko Biloba, and Saffron can help boost ejaculation. However, it’s crucial to consult a doctor before taking any supplements.
- Psychotherapy: Addressing psychological factors through therapy can be beneficial. A doctor might refer the patient to a therapist or psychiatrist specializing in sexual medicine.
- Lifestyle changes: Adopting a healthier lifestyle can significantly impact sexual health. Reducing alcohol consumption, quitting smoking, engaging in regular exercise, and maintaining a healthy diet are all positive steps. Pelvic floor exercises and other forms of physical therapy can also enhance the strength of the muscles involved in ejaculation.
When to seek medical help
While weak ejaculation is rarely a medical emergency, it can be concerning if it occurs regularly. Men experiencing consistent episodes of weak ejaculation for six months should consult a doctor. In some cases, weak ejaculation can reduce fertility or indicate an underlying health condition that requires medical attention.
Final thoughts
Weak ejaculation is a complex condition with numerous potential underlying causes. Although there are no FDA-approved medications specifically for weak ejaculation, men can explore various therapies and lifestyle changes to enhance their sexual function. If you notice continued changes in your ejaculation, it’s essential to talk to a doctor. Early intervention can help identify the cause and address any underlying health issues, leading to a better quality of life and sexual health.
References:
- Alwaal, A., et al. (2016). Normal male sexual function: Emphasis on orgasm and ejaculation.
ncbi.nlm.nih.gov/pmc/articles/PMC4896089/ - Abdel-Hamid, I. A., et al. (2016). The drug treatment of delayed ejaculation.
ncbi.nlm.nih.gov/pmc/articles/PMC5001980/ - Retrograde ejaculation. (2018).
mskcc.org/cancer-care/patient-education/retrograde-ejaculation - Ejaculation problems. (2019).
nhs.uk/conditions/ejaculation-problems/ - Kegel exercises for men. (n.d.).
urology.ucla.edu/workfiles/Prostate_Cancer/Kegel_Exercises_for_Men.pdf - What factors determine semen volume? (n.d.).
issm.info/sexual-health-qa/what-factors-determine-semen-volume/ - Parnham, A., & Serefoglu, E. C. (2016). Retrograde ejaculation, painful ejaculation and hematospermia.
ncbi.nlm.nih.gov/pmc/articles/PMC5002007/
