Dear service user,
Thank you for writing to us.
I understand your concern about involuntary discharge of semen and inability to have erection with your partner.
Semen discharge occurs in following circumstances: 1. Sexual intercourse climax 2.
Masturbation climax 3. Night emission. Semen cannot discharge without any of the above circumstances. These three are normal events.
If you have discharge of fluid during sexual arousal (watching, thinking erotic content), it is called
pre-ejaculate fluid. It is the secretion of accessory sex organs. It is again normal thing, not a disease.
Any other discharge from urine tube (e.g. pus, blood) should be investigated for
urinary tract infection or
sexually transmitted disease.
Let me know whether you achieve and maintain a good quality of erection in sleep, in the early morning, during masturbation but not at the time of coitus? If you are able to achieve and maintain erection in any one of the above mentioned situations than your problem is more likely psychological rather than physical.
The common causes of erectile dysfunctions are as follows
1. Diabetes (
nerve damage and vessels narrowing)
2. Some medicines like anti depressants and anti psychotics
3. Performance anxiety (the most common reason)
4. Psychiatric disorders (depression, anxiety)
5. Alcohol use (nerve damage and
testicular injury)
6. Smoking (vessels narrowing)
7. after some surgical procedures (nerve damage)
I recommend you to discuss this problem with your
psychiatrist who will assist you to find out reason for this problem in your case.
There are potentially effective medications and behavior therapies for erectile dysfunctions. Psychiatrist will identify the best suited for you after knowing your history.
Wish you good health.