Disease Overview：Anejaculation（AEJ）
Anejaculation is a male sexual dysfunction characterized by the complete or partial absence of ejaculate during orgasm, despite normal libido, erection, and orgasmic sensation. It may be classified as primary (lifelong) or secondary (acquired), and etiologies include neurogenic causes—such as spinal cord injury, diabetic autonomic neuropathy, or multiple sclerosis—as well as pharmacologic factors (e.g., alpha-blockers, SSRIs, antipsychotics), anatomical obstructions (e.g., congenital absence of the vas deferens, post-surgical scarring), or idiopathic origins. Diagnosis involves comprehensive evaluation: detailed sexual history, physical examination, semen analysis after vibratory stimulation or electroejaculation (EEJ), hormonal profiling (FSH, testosterone, prolactin), and imaging (pelvic MRI or transrectal ultrasound) when indicated. Management is tailored to underlying cause and fertility goals—options range from medication adjustment and behavioral therapy to assisted reproductive techniques like testicular sperm extraction (TESE) combined with intracytoplasmic sperm injection (ICSI).
China offers distinct advantages for international patients seeking anejaculation management. Leading urology centers in Beijing, Shanghai, and Guangzhou employ board-certified andrologists with subspecialty training in male infertility and sexual medicine. Advanced diagnostics—including high-resolution penile Doppler ultrasound, quantitative sudomotor axon reflex testing (QSART), and robotic-assisted micro-TESE—are widely available. Clinical outcomes are robust: published data from tier-1 hospitals report >85% success rates in sperm retrieval via EEJ or surgical methods, with ICSI live birth rates aligning with global benchmarks. Crucially, treatment costs in China are typically 40–60% lower than in the US or Western Europe—without compromising quality—due to streamlined healthcare infrastructure and favorable currency exchange. As a dedicated medical tourism agency, we facilitate seamless access for international patients: pre-arrival consultation, verified hospital partnerships, transparent all-inclusive pricing (covering diagnostics, procedure, accommodation, and follow-up), visa support, multilingual coordination, and post-treatment telehealth continuity.
Anejaculation: treatment in China helps patients compare specialist hospitals, initial assessment steps and estimated costs that may vary by city, institution and clinical condition.
Medical Treatment Guide
Treatment Options & Itemized Cost Breakdown for Anejaculation (Male Urology)
Non-Surgical / Conservative / Medication Options
*Target criteria:* Psychogenic, mild neurogenic, or medication-induced anejaculation; normal semen analysis on post-ejaculatory urine (to rule out retrograde ejaculation).
- •Comprehensive Urological Evaluation (initial consult + physical exam + uroflowmetry + post-void residual ultrasound): $85–$120
- •Hormonal Panel (FSH, LH, testosterone, prolactin, TSH): $45–$65
- •Neurological Screening (bulbocavernosus reflex, sacral dermatome assessment): $30–$45
- •Psychosexual Counseling (6 sessions): $240–$360
- •Pharmacotherapy (e.g., bromocriptine 2.5 mg BID × 4 weeks or imipramine 25 mg HS × 6 weeks): Drug cost only: $12–$25
- •Electrovibratory Stimulation (EVS) Trial (3 sessions, outpatient): $180–$270
Surgical / Procedural / Interventional Options
*Eligibility criteria:* Confirmed anorgasmic or ejaculatory duct obstruction (via TRUS + seminal vesicle aspiration); failed conservative therapy ≥3 months; normal testosterone and prolactin.
- •Preoperative Workup: Semen culture, transrectal ultrasound (TRUS), cystourethroscopy, serum creatinine: $135–$195
- •Transurethral Resection of Ejaculatory Ducts (TURED): $2,100–$3,400 (includes anesthesia, OR time, pathology, 1-night admission)
- •Testicular Sperm Extraction (TESE) + Cryopreservation (for fertility preservation in irreversible cases): $1,850–$2,600
- •Penile Vibratory Stimulation (PVS) Device Prescription & Training: Device + 2-session training: $420–$580
Special / Complex Condition Options
- •Spinal Cord Injury–Related Anejaculation: Requires multidisciplinary protocol (urology + rehab + neurology); EVS + TESE + IUI/IVF coordination: $3,200–$4,900 (full cycle, excluding IVF lab fees).
- •Post-Radical Prostatectomy Anejaculation: Confirm absence of retrograde flow via bladder washout; if confirmed, PVS or TESE indicated: $2,400–$3,700 (including confirmatory cystoscopy + sperm retrieval).
- •Congenital Absence of Vas Deferens (CAVD): Genetic testing (CFTR sequencing): $220–$330, plus TESE + ICSI coordination: $4,100–$5,800 (TESE + cryo + ICSI prep only).
Quick Selection Guide
- •<40 years, psychogenic, no comorbidities, budget <$500: Start with psychosexual counseling + pharmacotherapy ($252–$410 total).
- •40–65 years, suspected ductal obstruction, moderate budget ($2,000–$3,500): TRUS + TURED ($2,235–$3,595 total).
- •Any age, spinal injury or post-prostatectomy, fertility goal: EVS trial first ($180–$270); if failed, proceed to TESE + cryo ($2,070–$2,870).
- •High comorbidity burden (e.g., severe CVD, uncontrolled diabetes): Avoid TURED; prioritize PVS device + assisted reproduction ($432–$625 initial investment).
- •Genetic suspicion (e.g., CBAVD family history): CFTR testing + TESE + ICSI pathway ($4,320–$6,130).
Pricing & Service Differences: International / VIP Dept vs. Regular Clinic
International Medical Services (IMS / VIP Departments) at Grade-3A public hospitals and private international clinics operate under self-regulated VIP fee schedules. Fees are higher than standard public clinics (which are subsidized solely for domestic citizens and do not accept overseas insurances). In exchange, international patients receive 6 exclusive medical privileges:
Recommended Hospitals
Explore selected Grade 3A public hospitals in China with rich clinical experience for this condition:
🌴 Recommended Anejaculation Medical Vacation Packages
Curated transparent all-inclusive packages combining Anejaculation treatment with China top medical destinations:
