Ejaculation: How It Works, Complications and Disorders 

Ejaculation is the process by which semen is expelled from the male reproductive organ. It involves sexual arousal and culminating in the release of semen or cum.

What is Ejaculation? 


Ejaculation: How It Works

Ejaculation is the process by which semen is expelled from the male reproductive organ. It involves a series of coordinated physiological events, beginning with sexual arousal and culminating in the release of semen. The primary components of semen are spermatozoa and seminal fluid, each with a unique role in the fertilization process. 

During sexual arousal, the brain sends signals to the reproductive organs, triggering the release of hormones. These hormones prompt the testes to produce sperm and the accessory glands to produce seminal fluid.

When sexual stimulation reaches a certain threshold, the muscles surrounding the reproductive tract contract, propelling semen out of the body through the urethra. 

What Causes Ejaculation?

It is controlled by your brain (your central nervous system). When you are sexually stimulated, signals are sent up your spinal cord to your brain. When you reach a certain level of excitement, your brain tells your reproductive organs to “go!” This causes semen to be ejected through the penis.

What Happens When You Ejaculate? 

Ejaculating serves two primary purposes: reproduction and pleasure. From a reproductive perspective, it allows sperm to be delivered into the female reproductive tract, increasing the chances of fertilization during sexual intercourse. 

Simultaneously, ejaculation is closely tied to pleasure and orgasm. The release of neurotransmitters like dopamine and endorphins contributes to the intense feelings of pleasure and relaxation that many men experience. 

How Often Should a Man Ejaculate? 

The frequency of ejaculation varies from person to person and can depend on factors such as age, sexual activity, and individual preferences. There is no universally prescribed answer on question “How often should a man ejaculate?“, but regular ejaculating is generally considered healthy. 

For some men, ejaculating multiple times a week is natural and comfortable, while others may have less frequent. It’s important to listen to your body and engage in sexual activity at a frequency that feels right for you. 

What Happens If You Hold Ejaculate In? 

While it is generally safe to delay ejaculating during sexual activity, deliberately holding it in for extended periods can lead to discomfort and potential complications. When you hold back this phase, the sexual tension and arousal continue to build, which can cause discomfort or frustration. 

Moreover, prolonged abstinence from orgasm and ejaculating may affect sperm quality. Frequent release helps the body remove older sperm and replace them with newer, healthier sperm, improving fertility. 

What Happens If a Man Stop Ejaculating?

The body breaks down unused sperm, which does not build up to trigger further problems. Over time, not ejaculating can trigger psychological problems. For example, people with sexual dysfunctions that affect their ability to ejaculate may experience distress or embarrassment. It can also lead to relationship problems.

At What Age Does Ejaculating Start? 

It is a developmental milestone in the male reproductive system. Typically, it begins during puberty, which varies from person to person but usually occurs between the ages of 9 and 16. During this period, hormonal changes trigger sexual development, including the ability to ejaculate. 

This means a person may ejaculate for the first time within this age range. A person usually ejaculates for the first time during a “wet dream” or after masturbating. Again, the exact timing varies, but you can expect a person to be able to ejaculate within several months to a year of puberty beginning. You can still masturbate without release of sperm. Many young people experience pleasure and masturbate before they can ejaculate.

It’s essential to educate young individuals about this natural process and provide them with accurate information to navigate this phase of life confidently. 

What Are the Most Common Ejaculation Problems? 

Premature Ejaculation 

Premature ejaculation is a common issue characterized by the inability to control ejaculating. It often occurs within a minute of sexual penetration, causing distress and frustration. Various psychological and physiological factors contribute to this condition. 

Delayed Ejaculation 

Conversely, delayed ejaculation refers to the difficulty in achieving ejaculating, even with prolonged sexual stimulation. This condition can result from medical issues, medications, or psychological factors. 

Retrograde Ejaculation 

Retrograde ejaculating occurs when semen travels backward into the bladder instead of being expelled through the urethra. This condition may be associated with certain medical conditions or medications and can affect fertility.

Low Semen Volume 

Some men may experience low semen volume during ejaculating. This can be due to various factors, including age, hormonal imbalances, or underlying medical conditions. 

Painful Ejaculation 

Painful ejaculating can result from infections, inflammation, or structural abnormalities in the reproductive tract. It’s crucial to seek medical attention if you experience discomfort. 

Painful orgasm should not be ignored, as it can be a sign of an underlying medical issue, such as infection or inflammation. It is essential to consult a healthcare professional for a proper diagnosis and treatment. 

Erectile Dysfunction 

While not directly related to ejaculating, erectile dysfunction (ED) can impact a man’s ability to maintain an erection and engage in sexual activity, potentially leading to orgasm problems. ED can have psychological or physical causes and should be addressed with a healthcare provider. 

Read also: How Often Should a Man Ejaculate


Ejaculation is a natural and essential function of the male reproductive system. Understanding how it works, its frequency, and potential complications is vital for maintaining overall health and well-being. By addressing common questions and concerns related to ejaculating, we hope to provide clarity and valuable information to our readers. 

Originally published by Gainswave.
Medically reviewed by David Cunningham, MD, GAINSWave’s Clinical Advisor.


What Is Ejaculation?

Ejaculation is the process by which semen is expelled from the male reproductive organ. It involves sexual arousal and culminating in the release of semen or cum.

Is It Normal for Ejaculation Frequency to Change With Age?

Yes, it is normal for ejaculation frequency to change as men age. Typically, younger men may ejaculate more frequently, while older men may ejaculate less often. However, individual variations exist, and there is no one-size-fits-all answer. 

Can Abstaining From Ejaculation Improve Fertility?

Frequent ejaculation is generally associated with better sperm quality and improved fertility. Abstaining for too long may lead to older, less viable sperm. Couples trying to conceive should strike a balance between ejaculation frequency and fertility goals. 

Are There Any Natural Ways to Address Premature Ejaculation?

Yes, there are natural techniques and exercises, such as the stop-start and squeeze methods, that can help manage premature ejaculation. Additionally, counseling and therapy may address psychological factors contributing to the issue. 

Can Medications Cause Delayed Ejaculation?

Certain medications, particularly antidepressants and antipsychotics, can cause delayed ejaculation as a side effect. If you suspect your medication is affecting your sexual function, consult your healthcare provider for alternatives or solutions. 

Is Painful Ejaculation a Cause for Concern?

Painful ejaculation should not be ignored, as it can be a sign of an underlying medical issue, such as infection or inflammation. It is essential to consult a healthcare professional for a proper diagnosis and treatment. 

Can Ejaculation Problems Be a Sign of a Serious Health Condition?

In some cases, ejaculation problems may be indicative of underlying health conditions. For example, retrograde ejaculation can be associated with diabetes. If you consistently experience ejaculation issues, consult a healthcare provider to rule out any serious concerns. 

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