Struggling with Ejaculation During Intercourse: Causes and Solutions

Inability to ejaculate during sexual intercourse?

Hello, doctor.
This issue has been troubling me for a long time.
It is mostly similar to other concerns regarding excessive masturbation during my youth.
I find it difficult to achieve ejaculation through normal intercourse with my partner.
There have been instances where we engaged in intimate activities for an hour without me being able to ejaculate, and I ultimately had to rely on manual stimulation.
Previously, in an effort to conceive, I consulted both an obstetrician and a traditional Chinese medicine practitioner.
They believed that while I have difficulty achieving ejaculation through normal intercourse, it does not necessarily lead to infertility, as evidenced by the fact that we have successfully had a child.
However, I still feel troubled by this issue.
I have read that excessive masturbation may lead to decreased sensitivity, making the friction during normal intercourse insufficient to stimulate ejaculation.
I tried abstaining from masturbation for two weeks, and while my libido increased, I still could not ejaculate during intimate activities with my partner.
I am unsure of what to do next.
Should I ultimately see a urologist for a detailed examination?

Hǎo xiǎng yào shè...., 30~39 year old female. Ask Date: 2016/03/23

Dr. Liu Jiaju reply Urology

Your condition is characterized by ejaculation disorder (delayed ejaculation), which does not have a clear association with masturbation.
If it persists, it is advisable to seek medical attention and consult a urologist for a thorough examination and treatment.

Reply Date: 2016/03/23

More Info

Struggling with ejaculation during intercourse can be a complex issue that involves both physiological and psychological factors. It’s important to understand that this is a common concern and many individuals experience similar challenges at some point in their lives. Here, I will outline potential causes and suggest possible solutions based on medical knowledge.

Possible Causes
1. Psychological Factors: Anxiety, stress, and performance pressure can significantly impact sexual function. If you are overly concerned about ejaculation or feel pressured to perform, it can lead to difficulties in achieving ejaculation during intercourse. This is often referred to as "performance anxiety."
2. Physical Factors: Conditions such as hormonal imbalances, nerve damage, or issues with blood flow can affect sexual function. Overstimulation from excessive masturbation may also desensitize the penis, making it harder to achieve ejaculation during intercourse.

3. Medication Side Effects: Certain medications, particularly antidepressants and anti-anxiety drugs, can interfere with sexual function, including ejaculation. If you are taking any medications, it might be worth discussing this with your healthcare provider.

4. Relationship Dynamics: The emotional connection and communication with your partner can also play a role. If there are unresolved issues or lack of intimacy, it may affect your sexual performance.

5. Health Conditions: Conditions like diabetes, multiple sclerosis, or prostate issues can impact ejaculation. If you have any underlying health conditions, it’s important to consider how they might be affecting your sexual function.

Solutions
1. Open Communication: Discuss your concerns with your partner. Open communication can alleviate some of the pressure you may feel and help both of you understand each other’s needs and desires better.

2. Relaxation Techniques: Incorporate relaxation techniques such as deep breathing, meditation, or yoga into your routine. These practices can help reduce anxiety and improve your overall sexual experience.

3. Limit Stimulation: If you believe that excessive masturbation has desensitized you, consider reducing the frequency. Allowing some time for your body to reset may help restore sensitivity.

4. Seek Professional Help: Consulting with a urologist or a sexual health specialist can provide you with tailored advice and treatment options. They may conduct tests to rule out any underlying medical conditions that could be contributing to your difficulties.

5. Therapy: Consider speaking with a therapist or counselor who specializes in sexual health. Cognitive-behavioral therapy (CBT) can be particularly effective in addressing performance anxiety and other psychological barriers.

6. Explore Different Techniques: Experiment with different sexual techniques or positions that may enhance stimulation. Sometimes, changing the routine can lead to better outcomes.

7. Medication Review: If you are on medication, discuss with your doctor whether any of your prescriptions could be affecting your sexual function. They may be able to adjust your medication or suggest alternatives.

8. Education: Educate yourself about sexual health and function. Understanding the physiological aspects of ejaculation and sexual arousal can help demystify the process and reduce anxiety.

Conclusion
It’s crucial to approach this issue with patience and understanding. Sexual health is a multifaceted aspect of overall well-being, and addressing it may require a combination of strategies. If your struggles persist, seeking professional help is a proactive step towards finding a solution. Remember, you are not alone in this, and many individuals face similar challenges. With the right support and strategies, it is possible to improve your sexual function and enjoy a fulfilling sexual relationship.

Similar Q&A

Understanding Ejaculation Issues During Intercourse: Causes and Solutions

Experiencing an erection during sexual intercourse but being unable to ejaculate, while being able to do so during masturbation, can be attributed to several factors. These may include psychological factors such as anxiety or performance pressure, physical factors such as differe...

Dr. Xu Weikai reply Urology
Hello, it may be due to a lack of experience on both sides or possibly due to anxiety. If ejaculation is still not achieved, it is advisable to seek medical attention as soon as possible. If there are any concerns, you can visit a nearby medical facility for relevant tests. If th...

Struggling with Ejaculation: Tips for Improving Sexual Performance

It sounds like you have been experiencing difficulties with ejaculation and maintaining an erection during sexual activity with your new girlfriend. This can be a common issue, especially if you have a history of frequent masturbation and are now facing a new sexual experience. H...

Dr. Xu Wencang reply Urology
You can observe it a few more times, and if it persists, you should visit the outpatient clinic for examination and treatment.

Understanding Premature Ejaculation: Causes and Solutions Beyond Medication

It is common for individuals to experience a difference in ejaculation timing between masturbation and sexual intercourse. This can be due to various factors, including anxiety, arousal levels, and the physical sensations involved in each activity. To improve this situation, as...

Dr. Du Shixi reply Urology
Hello: Masturbation and sexual intercourse are not exactly the same. If your sexual intercourse, as you mentioned, involves minimal thrusting before ejaculation, this is considered premature ejaculation, and you should seek medical attention from a urologist. What you can do on y...

Understanding Ejaculation Difficulties: Causes and Solutions

Hello Doctor: I have noticed that I have difficulty achieving ejaculation, whether during masturbation or sexual intercourse. The reason I say it's difficult is that I previously visited a clinic, and the doctor suggested that I try on my own first, but I was able to ejacula...

Dr. Liu Jianting reply Urology
Is it really that serious? Moreover, your own "experiment" is going well. Just let things take their course. I recommend a book published by Tianxia titled "About Sex."