Struggling with Intimacy: Ejaculation Issues in Marriage

Q: Struggling with Intimacy: Ejaculation Issues in Marriage

Hello Mr. <br>Luo： I would like to know if you have experienced orgasm or ejaculation since you became aware of these concepts. <br>Have you ever engaged in masturbation? Are you able to ejaculate? If it takes you continuously half an hour to over an hour to ejaculate, this is re

Love is hard to achieve?

I have been married to my wife for almost five years, and every time we have intercourse, it is a painful experience.
The reason is that I can last a long time, typically 2 to 4 hours, but I am unable to ejaculate.
Is the inability to ejaculate considered a medical condition? My wife always encourages me to see a doctor, but I am very afraid.
I hope medical professionals can provide me with answers.
Thank you very much.

Luo, 30~39 year old female. Ask Date: 2002/02/18

Dr. Chen Zhihong reply Urology

Hello Mr.
Luo: I would like to know if you have experienced orgasm or ejaculation since you became aware of these concepts.
Have you ever engaged in masturbation? Are you able to ejaculate? If it takes you continuously half an hour to over an hour to ejaculate, this is referred to as delayed ejaculation; if you are unable to ejaculate regardless of the duration, it is termed anorgasmia.
If possible, please visit the outpatient clinic for a detailed consultation.
Attending Physician, Dr.
Chen Chih-Hong.

Reply Date: 2002/02/18

More Info

Struggling with intimacy due to ejaculation issues can be a challenging experience for both partners in a marriage. Your situation, where you can engage in sexual activity for an extended period but find it difficult to ejaculate, is known as "delayed ejaculation." This condition can be frustrating and may lead to feelings of inadequacy or anxiety, impacting your relationship with your wife.

Delayed ejaculation is indeed recognized as a medical condition. It can stem from various factors, including psychological issues, physical health problems, or a combination of both. Psychological factors may include anxiety, stress, or relationship issues, while physical factors can include hormonal imbalances, nerve damage, or certain medications. In your case, the prolonged duration of sexual activity without ejaculation could contribute to both physical discomfort and emotional distress.

It's important to understand that you are not alone in this experience. Many men face similar challenges, and seeking help is a positive step toward improving your sexual health and relationship. Your wife's encouragement to see a doctor is a sign of her support and concern for your well-being. Consulting a healthcare professional, such as a urologist or a sexual health specialist, can provide you with a comprehensive evaluation to identify any underlying causes of your delayed ejaculation.

During your appointment, the doctor may ask about your medical history, any medications you are taking, and your sexual experiences. They may also conduct a physical examination and possibly recommend tests to rule out any physical conditions that could be contributing to the issue. Based on the findings, treatment options may include therapy, medication adjustments, or techniques to enhance sexual arousal and ejaculation.

In addition to medical intervention, open communication with your wife is crucial. Discussing your feelings, fears, and desires can help both of you understand each other's perspectives and work together to find solutions. Intimacy is not solely defined by penetration or ejaculation; emotional connection, foreplay, and mutual satisfaction are equally important aspects of a fulfilling sexual relationship.

Moreover, exploring alternative forms of intimacy and sexual expression can help alleviate pressure and enhance your connection. Focusing on what feels good for both of you, rather than solely on the goal of ejaculation, can create a more enjoyable experience. Techniques such as mindfulness, relaxation exercises, and exploring different sexual activities may also help reduce anxiety and improve your overall sexual experience.

In summary, delayed ejaculation is a recognized condition that can affect intimacy in a marriage. Seeking medical advice is a proactive step toward understanding and addressing the issue. Open communication with your partner and exploring various forms of intimacy can also enhance your relationship. Remember, you are not alone, and there are resources available to help you navigate this challenge.

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