Brief Answer:
have you ever reached to orgasm?Provide more inforamtion

Detailed Answer:
Hello ,

Thanks for writing to us.

I need to know some information to guide you in right direction.

- Since when night fall(ejaculation in sleep) is there?

- Did you have any experience of ejaculation anytime apart from sleep? Provide details

- Are you using any medicine for anything currently?

- Do you have any problem in urination?

- Do you have nay backache or spine problem?

- Do you achieve /reach to orgasm(a different unique enjoyable relaxing feeling in mind) while penis is erect?

If your masturbation ends with orgasm but without ejaculation possibility of retrograde ejaculation is there.In this semen expels back in to urinary bladder when ejaculation occurs. However this semen comes out in urine later on.

- So do you have orgasm but no ejaculation? or no ejaculation and no orgasm after masturbation?

- Anytime do you feel haziness in urine or whitish substance in urine after sex?

Waiting for your reply to help you further.

Regards,
Dr.Chintan Solanki.

---

Brief Answer:
You should undergo some investiagtion for anejaculation

Detailed Answer:
Hello,

Thanks for answers and extremaly sorry for delayed reply due to some unavoidable work.

Your answeres do not support any factors responsible for retrograde ejaculation.However what do you mean by 'Involuntary force'?PLEASE SPECIFY IN DETAIL. It may be ejaculation in to bladder.

You need to undergo urine analysis for sperms. You should give urine sample after erection and that invoultary force.

Per rectal ultrasound also needed to check anatomical structures.

You are active means no testosterone problem. Still I suggest to go for serum testosterone level.

If everything come normal local neurophysiological tests (bulbocavernosus evoked response and dorsal nerve somatosensory evoked potentials) should be done.

In my opinion consultation of urologist needed. If urologist finds everything normal, opinion of psychiatrist with detail history and examination is to be taken to check for psychogenic cause.

Feel free to discuss further.

---

Brief Answer:
semen poducing organs likely fine, but expulsion mechanism defect

Detailed Answer:
Hi,

Thanks for information and clarification about involuntary force.

Semen is coming out so semen producing organs are normal(prostate, testis). But expulsion of semen is at fault. As it is coming out in sleep there is likely possibility of some nerve conduction problem while erection/masturbation.
With erection no orgasm and no ejaculation required evaluation and investigations as I mentioned before. History of missing urethral opening, abdomen swelling and surgery in childhood may suggest some damage at that time.

Chances are also there that everything come normal and your problem is psychological.

Please consult doctor soon.

All the best and take care.

---

Brief Answer:
kegel exercise will not be beneficial

Detailed Answer:
Hi,

Kegel exercise is helpful in premature ejaculation. While your problem is totally opposite. So it is not useful in your case.

Very few males do not wish to masturbate at all.It is not like that man cannot masturbate. However they are able to do sex without any problem it is true. Masturbation and sex are almost same process only difference is in sex penis is stimulated in vagina while in masturbation with hand.

Your penis gets erected and precum is there by watching porn means your libido and penis are fine.Precum is secreted from couper's glands of penis.
Problem is inability to ejaculate that is called anejaculation. That needs to be evaluated in your case as I metioned earlier.

As during sleep semen is coming out, your problem seems to be treatable.

You are welcome if more queries are there.

---

Brief Answer:
detail examination and history are needed to reach to some conclusion

Detailed Answer:
Hi,

Thanks for question.

In anorgasmic anejaculation(no orgasm no ejaculation) the man is never able to reach an orgasm in the waking state (either by masturbation or by intercourse) and does not ejaculate. Such men however, usually have normal nocturnal (night) sleep emissions of semen. This failure to reach an orgasm is sometimes attributed to psychological inhibitions. Some may need a high amount of stimulation before they reach orgasm and do not get this stimulation during intercourse or masturbation. Low serum testosterone levels or psychotropic medications may also prevent men from reaching orgasm and ejaculation. Hormonal therapy for the treatment of prostate cancer can also render men anorgasmic.

Anxieties,Stress,Relationship distress,Religious guilt,Education/attitudes about sex, improper technique of masturbation and misconception about masturbation/sex can lead to such problem.

If situational anejaculation is due to psychological causes it can often be treated by simple measures such as psychological or sexual counseling.

For your reference I want to mention one study. You can get some idea from it.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC0000/

You should first consult urologist. Physical causes must be ruled out by urologist. If everything come normal consultation of psychiatrist should be needed.

I am not knowing anyone personally in XXXXXXX or XXXXXXX You can ask your family doctor to refer you to someone.For your reference I am sending links from our database.You can search also from it.
Sorry for limitation for finding a doctor from my side.

http://doctor.healthcaremagic.com/doctors/Psychiatrists-in-Kolkata/L19851S35

http://doctor.healthcaremagic.com/doctors/Urologists-in-Delhi/L18864S44

http://doctor.healthcaremagic.com/doctors/Sexologists-in-Delhi/L18864S40

http://doctor.healthcaremagic.com/doctors/Psychiatrists-in-Delhi/L18864S35

I hope you have got satisfactory response.

Take care.

---

Brief Answer:
possibility is there of delayed ejaculation, you can try for long

Detailed Answer:
Hi,

Thanks for one more question.

If you are stopping masturbation without much efforts possibility of delayed ejaculation is there.
In delayed ejaculation ejaculation will be there and after ejaculation penis loosens.In anejaculation there is no ejaculation and person becomes fatigued after much efforts and stop masturbation.
There is no fix ejaculation time.
You can try for more time and check your self for ejaculation.If happens it is good,with practice time will be reduced.
If you can not ejaculate and fatigue,it is anejaculation.

All the best and wish you early correction of your problem.

---