Does premature ejaculation affect fertility?
Aug 22, 2025
Source: Cainiu Health
Dr. Cao Zhiqiang
Introduction
In general, premature ejaculation refers to the phenomenon where a male ejaculates too early during sexual activity. Whether premature ejaculation affects fertility needs to be determined based on its severity. If discomfort occurs, it is recommended to seek timely medical advice from a professional physician. After experiencing symptoms of premature ejaculation, one should maintain a regular sexual life and avoid excessive anxiety, as anxious emotions may worsen the symptoms. Frequent masturbation should also be avoided in daily life.
Generally, premature ejaculation refers to the phenomenon in which a male ejaculates too early during sexual activity. Whether premature ejaculation affects fertility depends on its severity. If discomfort occurs, timely medical consultation with a professional physician is recommended. Detailed analysis is as follows:
If the symptoms of premature ejaculation are mild and the penis can enter the vagina and ejaculation occurs inside the vagina, allowing semen to come into contact with the cervix smoothly, fertility typically remains unaffected. The key factors in fertility are sperm quality and the ability of sperm to meet the egg. As long as the semen is normal and the ejaculation position allows sperm an opportunity to enter the fallopian tubes, the probability of conception will not be significantly reduced.
If the symptoms are severe, such as ejaculation occurring before vaginal penetration or semen being unable to reach the cervix after ejaculation, fertility may be affected. In such cases, sperm cannot reach the fallopian tubes to combine with the egg, directly reducing the chances of conception. This situation is often caused by poor control over ejaculation and timely medical evaluation is necessary to identify underlying causes, such as inflammation of the reproductive system or abnormal nerve sensitivity, to avoid long-term impacts on fertility plans.
After experiencing symptoms of premature ejaculation, it is important to maintain a regular sexual life and avoid excessive anxiety, as anxiety can worsen symptoms. In daily life, frequent masturbation should be avoided, and excessive stimulation of the genital organs should be minimized.
