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    Anejaculation, (Absence of Ejaculate) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Anejaculation, (Absence of Ejaculate) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Anejaculation, (Absence of Ejaculate) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Ebook86 pages50 minutes

    Anejaculation, (Absence of Ejaculate) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

    By Kenneth Kee

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    About this ebook

    Recently I have an elderly patient who is unable to ejaculate even though he is able to manage an erection.
    His wife felt that is unusual and wonder whether there is a blockage in the seminal ducts.
    He is also depressed because he felt that he should be able to ejaculate.
    What is Anejaculation?
    Anejaculation is a disorder typically featured by the absence of ejaculation.
    Anejaculation is described as the inability to ejaculate semen; the word means “no ejaculation.”
    With this disorder, a man can produce sperm but cannot ejaculate or expel them during normal ejaculation even though anejaculation often is accompanied with normal orgasmic sensation.
    Anejaculation can be placed into several categories:
    1. Situational anejaculation is when a man can ejaculate in some circumstances but not in others.
    Often, this type of anejaculation is caused by stress in situations such as being in the fertility clinic
    Also, if a man can ejaculate during intercourse but cannot ejaculate through masturbation
    2. Total anejaculation:
    Total anejaculation is when a man is not able to ejaculate semen either during intercourse or by masturbation, at home or in the clinic.
    Total anejaculation also can be divided into:
    a. Anorgasmic anejaculation - A man who can not reach an orgasm while awake, but can reach orgasm, and ejaculation, while asleep at night.
    In these patients, psychological factors rather than physical ones tend likely to cause the disorder
    b. Orgasmic anejaculation - A man can reach and achieve orgasm, but cannot ejaculate semen.
    This failure to release semen can be because of a blockage in the tubes or damage to the nerves
    Anejaculation can also be categorized as primary or secondary.
    1. Primary anejaculation is when ejaculation has never been experienced in a man's entire lifetime
    2. Secondary anejaculation is when a man is unable to ejaculate after he has the experience of normal sexual functioning
    The causes can be psychological and physical.
    1. Psychological anejaculation is normally anorgasmic i.e. not accompanied by orgasm.
    2. Physical or organic anejaculation can happen due to neurogenic and obstructive causes
    Spinal cord injuries
    a. Disorders that involve the nervous system
    2. Traumatic injury or infection to the pelvis area
    3. Surgical treatment needing the removal of lymph nodes located in the groin
    4. Surgeries that may produce damage to the pelvic area
    Psychological factors can play a part (e.g. anxiety, fear of causing pregnancy)
    Diagnosis is by absence of sperm ejaculate.
    Post-ejaculation urine analysis is done to see if there is sperm in the urine sample.
    When the urine sample contains sperm, the patient will be treated for RE (retrograde ejaculation).
    When the post-ejaculation urine does not contain sperm the patient will be given treatment for AE.
    There are several methods of treatment for men with anejaculation; the main focus of which is to retrieve sperm for artificial insemination.
    If situational anejaculation is because of psychological causes it can often be treated by simple methods such as psychological or sexual counseling.
    When the cause of anejaculation is because of a physical disorder then the patient will have to discuss with the doctor to find out exactly what is happening and what action can be taken.
    The treatment is dependent on the cause and includes psychosexual counseling, drugs such as ephedrine and imipramine, vibrator therapy and electroejaculation
    The last is a method in which an electrical current is applied to the ejaculatory organs to stimulate ejaculation.
    Success rates are nearly 100 %.
    Vibrator stimulation leads to ejaculation in about 60% of men.
    A block due to infection can occasionally be cleared by surgery.

    TABLE OF CONTENT
    Introduction
    Chapter 1 Anejaculation
    Chapter 2 Causes
    Chapter 3 Symptoms
    Chap

    LanguageEnglish
    PublisherKenneth Kee
    Release dateAug 1, 2017
    ISBN9781370093748
    Anejaculation, (Absence of Ejaculate) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Author

    Kenneth Kee

    Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

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      Book preview

      Anejaculation, (Absence of Ejaculate) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee

      Anejaculation,

      (Absence of Ejaculate)

      A

      Simple

      Guide

      To

      The Condition,

      Diagnosis,

      Treatment

      And

      Related Conditions

      By

      Dr Kenneth Kee

      M.B.,B.S. (Singapore)

      Ph.D (Healthcare Administration)

      Copyright Kenneth Kee 2017 Smashwords Edition

      Published by Kenneth Kee at Smashwords.com

      Dedication

      This book is dedicated

      To my wife Dorothy

      And my children

      Carolyn, Grace

      And Kelvin

      This book describes Anejaculation, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.

      (What The patient Need to Treat Anejaculation)

      This eBook is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If the patient would like to share this book with another person, please purchase an additional copy for each reader.

      If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

      Thank the patient for respecting the hard work of this author.

      Introduction

      I have been writing medical articles for my blog http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.

      My purpose in writing these simple guides was for the health education of my patients.

      Health Education was also my dissertation for my Ph.D (Healthcare Administration).

      I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com.

      This autobiolographical account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Disorders into a new Wordpress Blog A Family Doctor’s Tale on http://kenkee481.wordpress.com.

      From which many free articles from the blog was taken and put together into 800 amazon kindle books and 200 into Smashwords.com eBooks.

      Some people have complained that the simple guides are too simple.

      For their information they are made simple in order to educate the patients.

      The later books go into more details of medical disorders.

      The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

      Since 2013, I have tried to improve my spelling and writing.

      As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

      Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

      I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

      I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

      I apologize if these repetitions are irritating to some readers.

      Chapter 1

      Anejaculation

      Recently I have an elderly patient who is unable to ejaculate even though he is able to manage an erection.

      His wife felt that is unusual and wonder whether there is a blockage in the seminal ducts.

      He is also depressed because he felt that he should be able to ejaculate.

      What is Anejaculation?

      Anejaculation is a disorder typically featured by the absence of ejaculation.

      Anejaculation is described as the inability to ejaculate semen; the word means no ejaculation.

      With this disorder, a man can produce sperm but cannot ejaculate or expel them during normal ejaculation even though anejaculation often is accompanied with normal orgasmic sensation.

      Anejaculation can be placed into several categories:

      1. Situational anejaculation:

      Situational anejaculation is when a man can ejaculate in some circumstances but not in others.

      Often, this type of anejaculation is caused by stress in situations such as being in the fertility clinic where some men become tense when they know they have to give a semen

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