Struggling with Ejaculation During Sex: What Should You Do?

Q: Struggling with Ejaculation During Sex: What Should You Do?

Hello： Please visit the urology department at the hospital. <br>Wishing you good health.

If you are experiencing difficulty ejaculating during sexual intercourse, here are some steps you can consider: 1. Relaxation Techniques: Stress and anxiety can impact sexual performance. Practice relaxation techniques such as deep breathing, meditation, or yoga. 2. Communication

Masturbation has always been done by rubbing the penis against the bed.
Later, when I tried to have sex with my girlfriend, whether through oral sex or manual stimulation, I felt pleasure but it always seemed lacking, and I couldn't ejaculate.
Even when I penetrated, I still couldn't ejaculate.
So, I started trying a piston-like motion for masturbation, but after some time of up-and-down movement, I still couldn't achieve ejaculation.
What should I do? Do I need to make an appointment at a clinic?

A-Zhe, 20~29 year old female. Ask Date: 2023/03/12

Dr. Du Shixi reply Urology

Hello: Please visit the urology department at the hospital.
Wishing you good health.

Reply Date: 2023/03/12

More Info

Struggling with ejaculation during sexual activity can be a frustrating experience, and it's important to understand that you are not alone in this. Many men face similar challenges, and there are various factors that can contribute to difficulties with ejaculation. Here are some insights and recommendations based on your situation.

Firstly, it's essential to recognize that sexual arousal and ejaculation are complex processes influenced by both physical and psychological factors. The sensations you experience during masturbation may differ significantly from those during intercourse. This discrepancy can be due to various reasons, including anxiety, performance pressure, or simply the difference in stimulation between your usual masturbation technique and sexual intercourse.

One common issue that can affect ejaculation is anxiety. If you are feeling nervous or pressured to perform during sex, this can inhibit your ability to reach orgasm. It's crucial to create a relaxed environment where both you and your partner feel comfortable. Open communication with your partner about your feelings and experiences can also help alleviate some of the pressure.

Another factor to consider is the technique you are using during sexual activity. Since you mentioned that you typically masturbate by rubbing against a surface, the sensation may be quite different when using your partner's body. Experimenting with different positions or techniques during intercourse may help you find what feels best for you. Additionally, incorporating foreplay and focusing on the overall experience rather than solely on ejaculation can enhance your sexual experience and reduce performance anxiety.

If you find that these strategies do not help, it may be beneficial to consult a healthcare professional. A doctor or a sex therapist can provide guidance tailored to your specific situation. They can help identify any underlying medical conditions, such as hormonal imbalances or nerve issues, that may be affecting your ability to ejaculate. Furthermore, they can offer advice on behavioral techniques or medications that may assist in addressing your concerns.

In some cases, practicing mindfulness and relaxation techniques can be beneficial. Techniques such as deep breathing, meditation, or progressive muscle relaxation can help reduce anxiety and improve your overall sexual experience. Additionally, focusing on the sensations and emotional connection with your partner rather than fixating on the goal of ejaculation can lead to a more fulfilling sexual experience.

Lastly, it's important to remember that sexual experiences can vary greatly from one encounter to another. If ejaculation does not occur during a particular session, it does not necessarily indicate a problem. Sexual health is about the overall experience, connection, and pleasure shared between partners.

In conclusion, if you are struggling with ejaculation during sex, consider exploring different techniques, communicating openly with your partner, and addressing any anxiety you may have. If these approaches do not yield results, seeking professional advice can provide you with tailored strategies and support. Remember, sexual health is a journey, and it's okay to seek help along the way.

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