Could you please provide the content you would like me to translate?
It seems that you are experiencing difficulty achieving ejaculation during sexual intercourse, while you have no issues when masturbating.
This situation can be quite common and may be influenced by various factors, including psychological aspects, anxiety, or differences in stimulation.
It might be helpful to communicate openly with your partner about your experiences and preferences.
Additionally, consider consulting a healthcare professional or a sex therapist who can provide personalized guidance and support.
Jia, 20~29 year old female. Ask Date: 2012/04/27
Dr. Xu Weikai reply Urology
Hello, it's difficult to make a judgment.
It's best to seek medical attention nearby.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Online responses can only serve as a reference; if necessary, you should visit a healthcare facility for proper evaluation.
This message is from Dr.
Hsu Wei-kai, Director of Urology, Taitung Hospital, Department of Health, Executive Yuan, who cares about you.
Reply Date: 2012/04/27
More Info
Experiencing difficulty in ejaculating during sexual intercourse while being able to do so easily during masturbation is a common concern among many men. This phenomenon can be attributed to a combination of physiological, psychological, and situational factors.
Physiological Factors
1. Nerve Sensitivity: During masturbation, individuals often have a better understanding of their own bodies and know exactly what stimulates them. This familiarity can lead to quicker arousal and ejaculation. In contrast, during intercourse, the dynamics change, and the stimulation may not be as effective or direct, leading to difficulty in reaching climax.
2. Physical Condition: Factors such as fatigue, alcohol consumption, or even certain medications can affect sexual performance. If you are tired or have consumed alcohol, your body may not respond as effectively during intercourse compared to when you are alone.
3. Health Issues: Conditions such as diabetes, hormonal imbalances, or neurological disorders can impact sexual function. If you have any underlying health issues, it may be worth consulting a healthcare professional.
Psychological Factors
1. Performance Anxiety: One of the most significant contributors to difficulty in ejaculating during sex is anxiety about performance. Worrying about not being able to perform can create a cycle of stress that makes it even harder to achieve ejaculation. This anxiety is often absent when masturbating, as there is no pressure to perform for a partner.
2. Distraction: During intercourse, you may be more aware of your partner’s reactions, which can lead to distraction. This distraction can take your focus away from your own pleasure and make it harder to reach climax.
3. Expectations and Pressure: The expectation to perform a certain way during sex can create additional pressure. If you feel that you must ejaculate at a certain point or in a certain way, it can lead to stress and hinder your ability to do so.
Situational Factors
1. Different Stimulation: The type of stimulation received during masturbation is often more intense or tailored to your preferences compared to what you might experience during intercourse. This difference can lead to a disparity in your ability to ejaculate.
2. Foreplay and Arousal: The amount and quality of foreplay can significantly impact your ability to ejaculate during sex. If you feel that there is insufficient foreplay or that the sexual experience is not as stimulating as your solo sessions, this could contribute to the difficulty.
Recommendations
1. Communication with Your Partner: Openly discussing your concerns with your partner can help alleviate some of the pressure you feel. Understanding each other’s needs and preferences can enhance the sexual experience.
2. Focus on Relaxation: Try to relax and focus on the sensations rather than the outcome. Mindfulness techniques can help you stay present and reduce anxiety.
3. Experiment with Techniques: Explore different positions, techniques, and forms of stimulation during intercourse. This experimentation can help you find what works best for you and your partner.
4. Limit Distractions: Create an environment that minimizes distractions. This could involve reducing noise, ensuring privacy, or even setting the mood with lighting and music.
5. Consult a Professional: If the issue persists, consider speaking with a healthcare provider or a sex therapist. They can provide tailored advice and support based on your specific situation.
In conclusion, the difficulty in ejaculating during intercourse while being able to do so during masturbation is a multifaceted issue. By understanding the underlying factors and addressing them, you can improve your sexual experiences and reduce anxiety related to performance.
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