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Understanding Ejaculation and Erectile Dysfunction: Can a Man With ED Still Come?

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Erectile Dysfunction (ED) can be frustrating and embarrassing for many men. It is because it can interfere with their sexual performance and satisfaction. 

ED may make it difficult to achieve or maintain an erection. But it does not mean that a man cannot experience ejaculation or reach orgasm.

The article will explore the relationship between ED and ejaculation. We will also answer some common questions, such as “Can a man with ED still come?” and “Can you ejaculate if you have ED?”

We will look at some treatment options available for ED and how they may impact a man’s ability to ejaculate.

How does erection happen

Getting an erection may seem like a simple function. Still, it is a complex process involving physical and mental stimulation. 

During sexual arousal, a man’s nervous system signals the muscles around his penis to relax. It allows blood to flow into the spongy erectile tissue called the corpora cavernosa.

As blood flows into the penis, a membrane called the tunica albuginea surrounding the tissue contracts. It traps the blood inside and causes the penis to become erect. This process is essential for sexual intercourse and sexual pleasure.

How does ejaculation happen

Ejaculation, also referred to as cumming or climax, is a natural process that occurs during sexual stimulation in men. 

Ejaculation is often associated with the male orgasm and typically happens simultaneously. However, men can ejaculate without experiencing an orgasm, and vice versa.

During ejaculation, the penis releases semen, a thick white fluid containing sperm. Semen is also commonly known as ejaculate or cum. The amount of semen released during ejaculation varies from person to person.

Can you ejaculate with Erectile Dysfunction

Depressed coupleSource: Africa's_images
Depressed couple

Yes. A man does not need an erection to reach orgasm and ejaculate. The ejaculatory mechanism can occur whether the penis is erect or flaccid.

When a guy feels sexually stimulated, his body sends messages to the brain telling him it’s time to ejaculate. The brain then triggers some muscles to push semen out of the penis. 

Ejaculation is a separate process controlled by the central nervous system. It is a reflex action when a man feels aroused through intercourse or masturbation.

The process happens in two phases. During the first phase of ejaculation, the semen is moved from the testicles to the prostate gland.

Then the muscles contract to force it out through the penis. Following ejaculation, the penis gradually returns to its flaccid state as the erection subsides. 

During this time, the body enters a refractory period, which is a temporary period where the penis is unable to become erect again. 

During the refractory period, the body needs time to rest and recover before it can become sexually aroused again.

Therefore, individuals with ED can still ejaculate without getting an erection. 

Ejaculatory Ducts: A pair of small tubes that carry semen from the seminal vesicles and the vas deferens to the urethra during ejaculation. Dysfunction of the ejaculatory ducts may cause infertility or problems with ejaculation.

If you have Erectile Dysfunction, can you still get hard

The answer is yes. It is possible for men with ED to still experience some degree of sexual arousal and get an erection. But, the quality and consistency of the erection may be impaired. 

ED can range from mild to severe. Its symptoms can vary depending on the individual. 

Some men with ED may experience a complete inability to achieve an erection. While others may be able to get an erection but find it difficult to keep it long enough for sexual activity.

If left untreated, Erectile Dysfunction (ED) may lead to long-term health complications. They may have high blood pressure, cardiovascular disease, Diabetes, Obesity, Depression, and Anxiety. ED can also cause psychological distress and relationship problems. See your doctor if you are experiencing symptoms of ED.

Medical treatments for ED

There are medical treatments available for Erectile Dysfunction (ED). Some of them are oral medications, vacuum pumps, and penile implants. Let’s understand them in detail.

Oral medications

Taking ED medicationSource: YurolaitsAlbert_from_Getty_Images
Taking ED medication

The prescribed medications are Oral Phosphodiesterase type 5 (PDE5) inhibitors. The medications are Sildenafil (Viagra), Tadalafil (Cialis), and Vardenafil (Levitra). 

The medications increase blood flow to the penis. It helps a man achieve and maintain an erection.

Vacuum pumps

Vacuum Pumps are another treatment option. A vacuum pump is a device that uses suction to draw blood into the penis, which can help a man achieve an erection. 

This method can be effective for some men. Still, it can also be uncomfortable and may take longer to achieve an erection than other methods.

Penile implants

Penile implants are a more invasive treatment option for ED. It involves surgically placing a device inside the penis. 

The device can be inflated and deflated to achieve an erection. Penile implants can be effective. They are generally recommended if other treatments have failed.


Erectile Dysfunction (ED) can be a challenging condition for many men. Still, it does not mean that they cannot experience sexual pleasure. 

While ED may affect a man’s ability to achieve or maintain an erection, it does not necessarily impact his ability to ejaculate. 

The ejaculatory mechanism is a reflex action that can occur whether the penis is erect or flaccid. Medical treatments, such as oral medications, vacuum pumps, and penile implants, are available for ED. 

However, it is important to address ED promptly to prevent long-term health complications and psychological distress. 

By making lifestyle changes and seeking appropriate medical treatment, men can still experience the intimacy they deserve.

Frequently Asked Questions

If you have Erectile Dysfunction, can you still get hard? 

Yes, it is possible to get some degree of erection with ED. Still, the hardness and duration may not be enough for satisfactory sexual activity.

What lifestyle changes can improve Erectile Dysfunction? 

Some lifestyle changes that can improve ED  are regular exercise, maintaining a healthy weight, and avoiding smoking. Also, limiting alcohol consumption can help.

What medical treatments enhance sexual function in men with ED? 

Several medical treatments are available for ED, including oral medications, penile injections, vacuum pumps, penile implants, and surgery. You must speak with a doctor to determine the most appropriate treatment for every individual.

Are there any long-term complications associated with untreated ED? 

Untreated ED can have several long-term complications, including Depression, Anxiety, relationship problems, and decreased self-esteem. Additionally, ED can be a sign of an underlying health condition, such as heart problems or Diabetes, leading to further health complications if left untreated.

What can men do to maintain healthy sexual function as they get older?

To maintain healthy sexual function as they age, men should stay physically active, eat a healthy diet, manage stress, stay sexually active, quit smoking, and seek treatment for medical conditions. A healthy lifestyle and effective management of underlying medical conditions can help improve erectile function and prevent other sexual problems.

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Photo of author Janet Fudge
Jim Carson is a highly skilled and dedicated medical writer passionate about advancing medical practice. With years of experience in the field of medical sciences, Jim has made significant contributions to various studies aimed at improving healthcare outcomes. He currently writes for, providing expert insights and knowledge on various topics. Jim's expertise extends to various areas, including drug interactions, dosages, side effects, and best practices for medication use. In Los Angeles, Jim lives with his loving wife, children, and beloved pets. He deeply values spending time with his family and cherishes their presence. When he's not writing, Jim enjoys watching football games and staying updated with the latest sports news. Jim's writing shines through his commitment to advancing medical practice and improving healthcare outcomes. Readers can trust Jim's articles to be informative, accurate, and reliable, making him a trusted pharmaceutical information source for the website's audience.
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