Trigger Warning: This handbook will discuss sensitive content related to sexual violence/assault and child abuse. Certain topics discussed in this lesson might be difficult to read or talk about. If you feel like you have concerns that you would like to address with regard to similar contexts, please do feel free to consult with our doctors (psychologists, physicians, psychiatrists) at Allo health.

Welcome to the first lesson of this handbook on Anejaculation, a sexual health condition affecting many men. In this lesson, we will explore what anejaculation is, how can one get affected by this condition, who it affects and the different types of anejaculation. By understanding the basics of anejaculation, you will be better equipped to take the necessary steps to seek appropriate treatment and make informed decisions about your sexual health. So let’s dive in and learn more about this complex condition.

Anejaculation: What Is It?

Anejaculation refers to a condition where a person is unable to ejaculate during sexual activity or masturbation. This can be distressing and frustrating for those experiencing it, and it can significantly impact their sexual relationships and overall quality of life. It can also lead them to feel anxious, and depressed or even contribute to decreased self-esteem.


Anejaculation has also been the cause of the breakdown of intimate relationships. It can be challenging for the partner of someone experiencing anejaculation as they may feel frustrated or rejected when their partner is unable to ejaculate, leading to decreased sexual satisfaction and even feelings of inadequacy. The partner may also feel like they are not meeting their partner’s sexual needs, leading to decreased intimacy and other relationship concerns.

Who Is Most Likely To Be Affected By Anejaculation?

Anejaculation is a medical condition that predominantly affects individuals with a penis. It can affect anyone, regardless of age. However, some factors may increase the likelihood of an individual experiencing anejaculation.

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Anejaculation is more common in older men, as the risk of medical conditions such as diabetes, spinal cord injury, or prostate surgery increases with age. Physical factors such as nerve damage, hormonal imbalances, prostate surgery, and medication side effects can increase the risk of anejaculation. Men who have undergone prostate surgery, for example, are more likely to experience anejaculation due to damage to the nerves and muscles responsible for ejaculation. Similarly, certain medications such as antidepressants or antihistamines can interfere with ejaculation and increase the likelihood of anejaculation.


Psychological factors that affect anejaculation can often look like performance anxiety, stress, depression, relationship issues, or past traumatic experiences. Men who experience performance anxiety or high levels of stress may find it challenging to achieve or maintain an erection, leading to difficulties with ejaculation. Additionally, individuals who have experienced trauma, such as sexual abuse or assault, may experience sexual dysfunction, including anejaculation. 

Anejaculation In Women: Can Women Ejaculate?

couple on bed thinking whether women can anejaculate

Yes! women can ejaculate. However, female ejaculation is not the same as male ejaculation. Unlike men, women do not ejaculate semen during sexual activity. Instead, some women experience a release of fluid from the urethra during sexual arousal or orgasm. It is important to note that not every woman experiences this female ejaculation. This fluid is not urine, but a clear or milky liquid. This can be a sign of urinary incontinence as well, hence more research is required to confirm whether women get affected by anejaculation.


However, women can experience sexual dysfunctions such as anorgasmia, which is the inability to achieve orgasm despite adequate sexual stimulation. Anorgasmia is a condition that can affect both men and women.

What Does Having Anejaculation look like?

Having anejaculation can look different for each individual. Some people with anejaculation may experience a complete inability to ejaculate, while others may experience partial or delayed ejaculation. Anejaculation may look like

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  • Difficulty achieving or maintaining an erection during sexual activity or masturbation

  • Inability to ejaculate during sexual activity or masturbation

  • Decreased or absent sensation during sexual activity or masturbation

  • Reduced or absent force of ejaculation during sexual activity or masturbation

  • Decreased sexual desire or avoidance of sexual activity altogether

  • Frustration, anxiety, or depression related to sexual function 

What Are The Different Types Of Anejaculation?

There are two main types of anejaculation:

Primary Anejaculation

Primary anejaculation is when an individual has never been able to ejaculate, despite experiencing sexual arousal and orgasm. This type of anejaculation is often the result of a physical or neurological condition that impairs the ability to ejaculate, such as spinal cord injury, multiple sclerosis, or damage to the nerves or muscles responsible for ejaculation. Primary anejaculation is relatively rare, and individuals with this condition may require specialized medical treatment to achieve ejaculation.

Secondary Anejaculation

Secondary anejaculation is when an individual who previously had no difficulty ejaculating experiences a sudden or gradual loss of the ability to ejaculate. This type of anejaculation is often the result of a physical or psychological cause, such as medication side effects, prostate surgery, hormonal imbalances, stress, or anxiety. Secondary anejaculation is more common than primary anejaculation, and it may be reversible with appropriate treatment.

Anejaculation can also be a one-off occurrence. Situational anejaculation is a type of anejaculation in which a man is able to ejaculate under certain circumstances but not others. For example, a man may be able to ejaculate during masturbation but not during sexual intercourse with a partner.

Subtypes Of Anejaculation

There are also subtypes of anejaculation, such as retrograde ejaculation and dry orgasm.


  • Retrograde ejaculation occurs when semen is ejaculated into the bladder instead of out of the penis, often due to damage to the nerves or muscles that control the bladder neck.
  • Dry orgasm, also known as orgasmic anhedonia, is when an individual experiences orgasm without the release of semen. This can be a result of medication side effects or psychological factors.

Is Anejaculation Treatable?

doctor finding the issue in the patient which caused anejaculatiion

Yes, anejaculation is a treatable condition depending on the underlying cause. Treatment options may include medication changes, treatment of an underlying medical condition, or the use of assisted reproductive technologies such as sperm retrieval and intrauterine insemination. In some cases, psychosexual therapy may also be recommended to address any psychological factors that may be contributing to the condition. With the right treatment, many men with anejaculation are able to achieve ejaculation and enjoy a satisfying sex life.

Early diagnosis and appropriate treatment can often lead to successful outcomes, and there are various treatment options available depending on the underlying cause of anejaculation. Remember, seeking help is the first step towards addressing anejaculation and regaining control over your sexual health. You can also book a call with our sexual health experts at Allo Health to guide you through your queries and treatment.

Sexual health is as important as physical and mental health. In most cases, one consultation can go a long way. Personalised, discreet, and judgement-free treatment at your fingertips – book an online consultation with one of Allo’s leading experts.