Other forms of sex, like anal and oral sex, can also cause stimulation, and therefore orgasm and ejaculation. In masturbation, a male can stimulate the penis and other sensitive areas of the body, such as the scrotum, by rubbing the genital area. Ejaculation may also happen during sleep (called a 'wet dream'). A male must have started puberty before he can ejaculate. During orgasm, muscles push semen from the penis. Semen moves through the urethra and comes out of the hole at the tip of the penis.