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Aspermatism (aspermatismus; Greek and - denial + sperma, spermatos a seed) — lack of an ejaculation at the sexual intercourse. At an aspermatism sexual desire and an erection can be not broken.

Aspermatism reasons:

Depending on the reasons the aspermatism can be temporary and constant. Distinguish three forms of a true aspermatism.

1. Cortical aspermatism. The increased braking influence of a cerebral cortex on an eyakulyatorny reflex is the cornerstone of a disease patholologically. Fear of undesirable pregnancy, negative emotions during sexual intercourse can be the reasons of such braking, constant vigilance at it is long the practiced interrupted sexual intercourse. As during sleep active cortical braking is removed, at these patients the nocturnal emissions which are followed by feeling of an orgasm remain.

2. The spinal aspermatism arises at defeat of the spinal center of an ejaculation located in upper lumbar segments of a spinal cord. The spinal center can be surprised at inborn defects of a backbone and spinal cord (various dysgeneses and agenesias), an injury in the field of the lower chest — upper lumbar segments of a spinal cord, tumors, hemorrhages, organic diseases of a spinal cord in this department. Functional exhaustion of the spinal center can be caused is long the practiced onanism interrupted or the prolonged sexual intercourse. Sharp decrease in excitability of the spinal center develops at strong intoxication, a chronic alcoholic poisoning and other intoxications. The mechanism of a spinal aspermatism is based on lack of short circuit of an eyakulyatorny reflex in the spinal center of an ejaculation and as a result of it lack of an ejaculation and orgasm. Nocturnal emissions and orgasm at a spinal form of an aspermatism. also it is not observed.

3. The neuroreceptor aspermatism develops as a result of sharp decrease or total loss of sensitivity of nerve terminations in a peripheral zone of an eyakulyatorny reflex, that is in a head and a body of a penis, an urethra. It is observed at Cicatricial deformations, polyneurites, various organic diseases and an injury of a spinal cord with the isolated sensitivity disturbance. Nocturnal emissions and an orgasm can be kept.

Aspermatism symptoms:

Distinguish a true and false aspermatism. At a true aspermatism formation of sperm from components, and also its ejection in an urethra gleam is broken. At a false aspermatism semen is thrown out an urethra gleam, but through its outside opening does not stream. It remains in it as it happens at patholologically high viscosity of components of an ejaculate and at urethra strictures, or is thrown in a bladder gleam; the last can be a consequence of cicatricial deviation of an urethra or neurogenic atony of an internal sphincter of a bladder. At a false aspermatism the feeling of an orgasm can be kept. The true aspermatism is always followed by full loss of feeling of an orgasm. A false aspermatism sometimes call mechanical, true — psychological.
At all forms of an aspermatism — the main complaint of patients to lack of an ejaculation and an orgasm. At long disease indifference to the sexual intercourses and as a result of it decrease in sexual desire and weakening of an erection can develop. The aspermatism sometimes is the reason of infertility at men (watch Infertility).

The diagnosis an aspermatism does not raise doubts in the absence of sperm in condom after the sexual intercourse and elements of sperm in the urine received for a research right after the sexual intercourse.

Treatment of an aspermatism:

Treatment of a cortical aspermatism — the suggestion, hypnosis, all-tonic therapy, means increasing excitability of a cerebral cortex. At a spinal aspermatism — a diathermy and faradisation on area of lumbar segments of a spinal cord, rectal or sacrolumbar electrostimulation, polyvitamins, прозерин, drugs of phosphorus and calcium. At a neuroreceptor aspermatism — treatment of the basic diseases which caused disturbances of peripheral reception. Sexual abstinence is useful at all forms of an aspermatism as it considerably lowers a threshold of an eyakulyatorny reflex and increases a possibility of an ejaculation. Mechanical forms of an aspermatism demand treatment of a basic disease and elimination of the reasons detaining semen in an urethra or sending it to a bladder.

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