Does premature ejaculation affect fertility?

The article is expertly consulted by MSc Vo Thien Ngon - Urologist, Vinmec Danang International General Hospital.

Premature ejaculation is a condition that occurs in men when the body loses control when the penis is inserted into the vagina. Whether premature ejaculation affects fertility is a question that is asked quite a lot in practice. If this case is mild, it is still possible to get pregnant, but there are also cases of premature ejaculation that reduces fertility.

Ejaculation process consists of 2 stages: loading and ejaculating:
Loading phase: The stage where semen is released. At this time, due to the pressure from the urine in the swollen prostate cavity of the man is too great, the secretions from the ducts, seminal vesicles, vesicles and sperm accumulated in the epididymis go up the vas deferens. Due to this cause, the vas deferens, seminal vesicles, seminal vesicles and prostate gland constrict; Ejaculation phase: The ejaculate phase is when the muscles of the perineum, prostate, seminal vesicles, and seminal vesicles contract at the same time, causing the fluid in the prostate cavity to be ejected. These disorders in the process of ejaculation include: ejaculation disorder, failure to ejaculate, insufficient sperm and semen to ejaculate, no semen or so-called dry pleasure, ejaculation disorder. premature ejaculation, delayed ejaculation disorder, no ejaculation, retrograde ejaculation and painful ejaculation. In which ejaculation disorder affects fertility including dry pleasure, delayed ejaculation, no ejaculation and retrograde ejaculation. As for premature ejaculation, it does not affect childbirth because sperm is still produced and the quality is still normal, so it can fertilize.
Premature ejaculation is a common sexual physiological disease for men, especially teenagers or men who have sex for the first time and often masturbate. The causes of premature ejaculation include:
Pathology: Diseases such as cardiovascular disease, osteoarthritis, diabetes, obesity... in middle-aged men will reduce sex drive leading to premature ejaculation. Other pathological causes include foreskin stenosis, strangulation, or elongation; Psychological: Stress, fatigue, anxiety for a long time have a negative effect on a man's physiology, causing premature ejaculation; Masturbation a lot: Masturbation is a habit in men, if it takes place for a long time, it will cause harm to sexual health such as premature ejaculation, spermatogenesis, spermatogenesis, decreased sex drive; Use of stimulants: Using beer, alcohol, tobacco and other stimulants will cause premature ejaculation.

Since premature ejaculation is a fairly common phenomenon in men, the question that often causes concern is whether premature ejaculation affects childbirth? As mentioned above, premature ejaculation does not affect fertility much and it is still possible to conceive, but there are still cases where premature ejaculation also reduces fertility.
More specifically, the effects of premature ejaculation in sex life are as follows:
Premature ejaculation reduces libido - is agitation between sexual movements. At the same time, premature ejaculation indirectly affects the ability to get pregnant; Premature ejaculation for a long time will affect a man's ejaculatory reflex. As a result, the quality as well as the quantity of sperm will be reduced, also affecting the ability to have children; Most seriously, premature ejaculation can still cause infertility by preventing sperm and egg from meeting, especially during the vaginal period.

Because premature ejaculation is not a dangerous disease, it can be treated. Therefore, when there are pathological signs of premature ejaculation, men need to seek medical attention for proper diagnosis and treatment. Ways to limit premature ejaculation include:
Psychotherapy: Performed by a psychologist with the cooperation of a partner, often applied to male patients with premature ejaculation due to inexperience during sex, often tense or masturbating; Use of drugs: Medicines used to treat premature ejaculation must be prescribed by a doctor, not allowed to be used arbitrarily because they can leave dangerous complications; Surgery: As a last resort, when the above measures do not work. Surgery is performed to remove the peripheral sensory nerve at the tip of the penis to reduce sensitivity. However, this method also has many limitations such as decreased excitement, loss of pleasure. To prevent premature ejaculation affecting fertility, men should actively consult a specialist for treatment advice. Do not hide the disease because of low self-esteem and shyness, it will negatively affect the quality of sex life and the ability to have children.