Problems with Ejaculation
Some men may ejaculate prematurely, sometimes before penetration even occurs. Premature ejaculation is characterized by the ejection of semen in the early stages of intercourse before both partners would normally have concluded sexual intercourse. Inability to ejaculate can be another manifestation of ED and patients may find that they are unable to orgasm even after prolonged stimulation. This condition is referred to as anejaculation, and it can occur with or without attaining an orgasm. It can be caused by an obstruction, and though it can appear to be indistinguishable from retrograde ejaculation, your doctor can determine the difference by administering tests.
Retrograde ejaculation occurs when semen goes backward into the bladder instead of exiting via the penis, a condition which has been known to cause infertility. The patient will normally be able to achieve and sustain an erection, but when ejaculating, little to no semen will be ejected, also known as a dry orgasm. Retrograde ejaculation can cause urine to appear cloudy after sex, as the semen will have been excreted while urinating.
Libido and erectile dysfunction often go hand in hand. ED can be tied to anxiety, which only tends to increase once sexual performance becomes difficult. When the underlying cause is psychological, the prognosis is quite good, as successful treatment through counseling has shown consistent positive results.
Trouble Achieving an Erection
Men with erectile dysfunction may be able to become erect, only to find that the erection is not sufficient to engage in sexual intercourse. Others may find that they are unable to achieve an erection at all, and for others, they will be able become erect but unable to maintain it long enough to complete intercourse. These symptoms become a marker for erectile dysfunction when they happen consistently over a period of time, as it is not unusual for a man to experience problems with his erection from time to time.
Pain is almost always a warning signal that something is wrong and if you experience pain when becoming erect, it’s a sign that you need to see your doctor. Peyronie’s disease can cause curvature of the penis, and it is a connective tissue disorder that can create lesions on the penis and can make sexual intercourse impossible due to pain. The disorder is rare but is a possible symptom of ED.