Anejaculation

Understanding Anejaculation

Anejaculation refers to the absence of ejaculation despite sexual arousal and stimulation. Some individuals still experience orgasmic sensation without visible release, while others feel a complete interruption in both physical and emotional climax.

This condition can arise from neurological, hormonal, or medication-related causes, but it can also emerge from psychological or relational factors. In therapy, anejaculation is seen as the body’s way of holding tension rather than releasing a sign that something in the system is inhibiting expression or safety.

Rather than focusing solely on the mechanics of ejaculation, therapy explores how the body’s natural pathways for arousal and release may have been disrupted or overregulated by stress, fear, or overcontrol.

A Neuroscience and Sex Therapy Perspective

From a neuromodulatory viewpoint, ejaculation depends on a precise coordination between the sympathetic and parasympathetic nervous systems activation leading to release. When the nervous system remains in a state of guarded vigilance, that release reflex can become blocked.

Therapeutic work focuses on restoring the nervous system’s ability to transition smoothly between arousal and relaxation.

This may involve:

• Understanding how stress, trauma, or perfectionism affect bodily release

• Exploring medication or medical conditions that alter nerve signalling

• Addressing relational pressure, shame, or fear of loss of control

• Using breathwork and mindful awareness to retrain the release reflex

Over time, therapy helps the body regain confidence in its ability to express and let go, transforming effort into ease.

Restoring Safety and Expression

The therapeutic goal is not merely to restore ejaculation but to rebuild trust in the body’s natural rhythm of release.

As emotional and physical safety deepen, the body begins to respond with greater spontaneity.

For many, the return of ejaculation marks not just physiological recovery but the restoration of presence, pleasure, and emotional freedom.

Through this process, the emphasis shifts from performance to participation from “making it happen” to allowing it to unfold.