Hi XXXXXXX,
It could actually be frustrating at times, that I totally agree with you. Ejaculation characterizes the peak of sexual excitement or organism. The quality and frequency of ejaculations depends on the quality of sexual activity. It could be a bit difficult to ascribe all these to the medications considering the clinical evolution and setting of the symptoms. This means the intensity of the excitement, Sexually activity has much to do with psychological state. It is important to try to recall whether you have gone through any psychological trauma these days, or are suffering from any thing that is depressing you. Secondly, pre sexual excitement are very important in the quality of the sexual excitement, it is also worth knowing whether the amount of time maybe caressing your selves or kissing or engaging in any other usual pre penetration act has reduced, this could be a second factor. The more the frequency of sex you have, the lesser the quantity of sperm or ejaculate you might notice. This might not necessarily mean you never had an ejaculation. If the frequency of sex had increased lately, its all but normal to have such a feeling.
Considering that all the above possibilities are excluded, there are rare causes of failure to ejaculate, such as a blockage in the tube that permits passage of sperm to the urethra and out, this could be at any level, up in the epididymis, urethra or other. In your case, this could really be very unlikely.
I would advise to reconsider the quality of sex, build up a good psychological state before having sex, evaluate and decide whether the love you got for your partner hasn t changed, do enough pre penetration activity or excitement acts before penetration and you might decide to send a few days without having sex, then have sex later and evaluate the quantity of sperm.
If after this nothing changes, it could worth meeting a urologist or an XXXXXXX
Thanks as I hope this helps. Will be honored answering further questions if any,
Best Regards,
Luchuo, MD,

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