Introduction: Anejaculation is the absence of ejaculation through the urethral meatus despite appropriate and prolonged sexual stimulation and a normal erection. It is an uncommon disorder that often results from several causes: organic, psychological, environmental, or even medication. The diagnostic approach to anejaculation requires an approach that focuses on the patient's clinical history, the existence of psychosocial triggers, and analysis of the disorder. The objective of this study was to describe the clinical and etiological aspects of anejaculation. Patients and methods: Retrospective and descriptive study collecting all cases of anejaculation between January 2016 and December 2023 at the Urology-Andrology Department of the Ouakam Military Hospital. Results: 19 files were collected concerning 11 patients with primary anejaculation and 8 patients with secondary anejaculation. Anejaculation was permanent in 17 cases and sporadic in 2 cases. Four patients reported touching and sexual intercourse at a young age. Sixteen patients were aware of their anejaculation and had mentioned it at the consultation, and for the remaining three patients, the reason for consultation was primary infertility. The causes were psychological (n=10), neurological (n=5), drug-related (n=3), and endocrine (n=1). Conclusion: Anejaculation is the least understood, least common, and least studied sexual disorder. The interview is a crucial time to define the characteristics of anejaculation and the guidelines for determining the cause.
| Published in | International Journal of Clinical Urology (Volume 9, Issue 2) |
| DOI | 10.11648/j.ijcu.20250902.26 |
| Page(s) | 200-203 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2025. Published by Science Publishing Group |
Anejaculation, Psychological Causes, Neurological Causes
| [1] | Lemaire A. Diagnostic d’une anéjaculation [Diagnosis of anejaculation]. Andrologie 2004, 14(2): 160-163. |
| [2] | Perelman M. Retarded Ejaculation. Curr Sex Hlth Rep 2004; 1: 95-101. |
| [3] | Simons JS, Carey MP. Prevalence of sexual dysfunctions: Results from a decade of research. Arch Sex Behav 2001; 30: 177–219. |
| [4] | Bejin A. L’orgasme de l’homme adulte. Quelques résultats des études quantitatives récentes sur le comportement sexuel notamment en France [The orgasm of the adult male. Some results from recent quantitative studies on sexual behavior, particularly in France]. Andrologie, 1997, 7: 336-342. |
| [5] | Laumann E. O, Park A., Rosen R. C. Sexual dysfonction in the United States: prevalence and predictors. J. Am. Med. Ass., 1999, 281: 537-544. |
| [6] | Fugl-Meyer A. R, Sjogren Fugl-Meyer K. Sexual disabilities, problem and satisfaction in 18-74-year-old Swedes. Scand. J. Sexol. 1999; 2: 79-105. |
| [7] | Butcher MJ, Welliver RC Jr, Sadowski D, Botchway A, Köhler TS. How is delayed ejaculation defined and treated in North America? Andrology 2015; 3: 626-31. |
| [8] | Delavière D, Hapi ME, Nsabimbona B. Diagnostic d’une anéjaculation: à propos de 72 patients [Diagnosis of anejaculation: a study of 72 patients]. Andrology 2004; 14(2): 164-170. |
| [9] | Ibrahim A. Abdel-Hamid, Omar I. Delayed Ejaculation: Pathophysiology, Diagnosis, and Treatment. World J Mens Health 2017; 12: 1-19. |
| [10] | Sylla A, Ndiaye-Ndongo N D, Fall L, Guèye S M, Guèye M. Problématique des anéjaculations psychogènes au Sénégal: à propos de quatre cas [The problem of psychogenic anejaculation in Senegal: a report of four cases]. Andrologie 2012; 22: 112-115. |
| [11] | Althof SE. Psychological interventions for delayed ejaculation/orgasm. Int J Impot Res 2012; 24: 131-6. |
| [12] | Anderson KD, Borisoff JF, Johnson RD, Stiens SA, Elliott SL. Long-term effects of spinal cord injury on sexual function in men: implications for neuroplasticity. Spinal Cord 2007; 45: 338-48. |
| [13] | Rigot JM, Marcelli F, Giuliano F. Troubles de l’éjaculation à l’exception de l’éjaculation prématurée, troubles de l’orgasme. [Ejaculation disorders, with the exception of premature ejaculation, orgasmic disorders]. Prog Urol. 2013; 23: 657-663. |
| [14] | Lindau ST, Tang H, Gomero A, Vable A et al. Sexuality among middle-aged and older adults with diagnosed and undiagnosed diabetes: a national, population-based study. Diabetes Care 2010; 33: 2202-10. |
| [15] | Martin-Du Pan R, Baumann P. Dysfonctions sexuelles induites par les antidépresseurs et les antipsychotiques et leurs traitements [Sexual dysfunctions induced by antidepressants and antipsychotics and their treatments]. Rev Med Suisse, 2008, 4, 758-762. |
| [16] | Montejo-Gonzalez AL, Liorca G, Isquierdo JA, et al. SSRI-induced sexual-dysfunction: fluoxetine, paroxetine, sertraline, and fluvoxamine in a prospec?tive, multicenter, and descriptive clinical study of 344 patients. J Sex Marital Ther, 1997; 23: 176-194. |
| [17] | Bonierbale M. Lancon C, Tignol J, et al. The ELIXIR study: Evaluation of sexual dysfunction in 4557 depressed patients in France. Curr Med Res Opin 2003; 19: 114-24. |
APA Style
Amath, T., Ousmane, S., Aissatou, B. N., Oumar, C., Babacar, S., et al. (2025). Anejaculation: Clinical and Etiological Aspects. International Journal of Clinical Urology, 9(2), 200-203. https://doi.org/10.11648/j.ijcu.20250902.26
ACS Style
Amath, T.; Ousmane, S.; Aissatou, B. N.; Oumar, C.; Babacar, S., et al. Anejaculation: Clinical and Etiological Aspects. Int. J. Clin. Urol. 2025, 9(2), 200-203. doi: 10.11648/j.ijcu.20250902.26
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Download@article{10.11648/j.ijcu.20250902.26,
author = {Thiam Amath and Sow Ousmane and Bagayogo Ndeye Aissatou and Cissokho Oumar and Sine Babacar and Diao Babacar},
title = {Anejaculation: Clinical and Etiological Aspects},
journal = {International Journal of Clinical Urology},
volume = {9},
number = {2},
pages = {200-203},
doi = {10.11648/j.ijcu.20250902.26},
url = {https://doi.org/10.11648/j.ijcu.20250902.26},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcu.20250902.26},
abstract = {Introduction: Anejaculation is the absence of ejaculation through the urethral meatus despite appropriate and prolonged sexual stimulation and a normal erection. It is an uncommon disorder that often results from several causes: organic, psychological, environmental, or even medication. The diagnostic approach to anejaculation requires an approach that focuses on the patient's clinical history, the existence of psychosocial triggers, and analysis of the disorder. The objective of this study was to describe the clinical and etiological aspects of anejaculation. Patients and methods: Retrospective and descriptive study collecting all cases of anejaculation between January 2016 and December 2023 at the Urology-Andrology Department of the Ouakam Military Hospital. Results: 19 files were collected concerning 11 patients with primary anejaculation and 8 patients with secondary anejaculation. Anejaculation was permanent in 17 cases and sporadic in 2 cases. Four patients reported touching and sexual intercourse at a young age. Sixteen patients were aware of their anejaculation and had mentioned it at the consultation, and for the remaining three patients, the reason for consultation was primary infertility. The causes were psychological (n=10), neurological (n=5), drug-related (n=3), and endocrine (n=1). Conclusion: Anejaculation is the least understood, least common, and least studied sexual disorder. The interview is a crucial time to define the characteristics of anejaculation and the guidelines for determining the cause.},
year = {2025}
}
TY - JOUR T1 - Anejaculation: Clinical and Etiological Aspects AU - Thiam Amath AU - Sow Ousmane AU - Bagayogo Ndeye Aissatou AU - Cissokho Oumar AU - Sine Babacar AU - Diao Babacar Y1 - 2025/12/11 PY - 2025 N1 - https://doi.org/10.11648/j.ijcu.20250902.26 DO - 10.11648/j.ijcu.20250902.26 T2 - International Journal of Clinical Urology JF - International Journal of Clinical Urology JO - International Journal of Clinical Urology SP - 200 EP - 203 PB - Science Publishing Group SN - 2640-1355 UR - https://doi.org/10.11648/j.ijcu.20250902.26 AB - Introduction: Anejaculation is the absence of ejaculation through the urethral meatus despite appropriate and prolonged sexual stimulation and a normal erection. It is an uncommon disorder that often results from several causes: organic, psychological, environmental, or even medication. The diagnostic approach to anejaculation requires an approach that focuses on the patient's clinical history, the existence of psychosocial triggers, and analysis of the disorder. The objective of this study was to describe the clinical and etiological aspects of anejaculation. Patients and methods: Retrospective and descriptive study collecting all cases of anejaculation between January 2016 and December 2023 at the Urology-Andrology Department of the Ouakam Military Hospital. Results: 19 files were collected concerning 11 patients with primary anejaculation and 8 patients with secondary anejaculation. Anejaculation was permanent in 17 cases and sporadic in 2 cases. Four patients reported touching and sexual intercourse at a young age. Sixteen patients were aware of their anejaculation and had mentioned it at the consultation, and for the remaining three patients, the reason for consultation was primary infertility. The causes were psychological (n=10), neurological (n=5), drug-related (n=3), and endocrine (n=1). Conclusion: Anejaculation is the least understood, least common, and least studied sexual disorder. The interview is a crucial time to define the characteristics of anejaculation and the guidelines for determining the cause. VL - 9 IS - 2 ER -
Urology-Andrology Department, Ouakam Military Hospital, Dakar, Senegal
Urology-Andrology Department, Aristide Le Dantec Hospital, Dakar, Senegal
Urology-Andrology Department, Ouakam Military Hospital, Dakar, Senegal
Urology-Andrology Department, Ouakam Military Hospital, Dakar, Senegal
Urology-Andrology Department, Ouakam Military Hospital, Dakar, Senegal
Urology-Andrology Department, Ouakam Military Hospital, Dakar, Senegal
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