Ejaculation Issues During Intercourse: Causes and Solutions

Ejaculation issues

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 differences in stimulation, or even hormonal influences.

To address this issue and achieve normal ejaculation during intercourse, it may be helpful to focus on relaxation techniques, open communication with your partner, and possibly consulting a healthcare professional for further evaluation and guidance.

Yan, 10~19 year old female. Ask Date: 2015/08/14

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 there are any unclear points, feel free to ask again, and we can discuss and research further.
Answers found online should only serve as a reference; if necessary, it is important to seek care at a medical institution.
The Ministry of Health and Welfare Taitung Hospital cares about you.

Reply Date: 2015/08/14

More Info

Ejaculation issues during intercourse, particularly the inability to ejaculate despite being able to do so during masturbation, can be a frustrating experience for many men. This phenomenon is often referred to as "delayed ejaculation" or "anorgasmia." Understanding the potential causes and exploring possible solutions can help address this concern.

Causes of Delayed Ejaculation
1. Psychological Factors: Anxiety, stress, or performance pressure can significantly impact sexual function. If a man is worried about his performance or feels pressured to satisfy his partner, it can lead to difficulties in ejaculation. This is particularly common in new relationships or when there are unresolved issues in the relationship.

2. Physical Factors: Certain medical conditions, such as diabetes, multiple sclerosis, or hormonal imbalances, can affect nerve function and blood flow, leading to difficulties in ejaculation. Additionally, some medications, particularly antidepressants and blood pressure medications, can have side effects that interfere with sexual function.

3. Relationship Issues: Emotional intimacy and communication with a partner play a crucial role in sexual satisfaction. If there are unresolved conflicts or lack of connection, it may affect a man's ability to ejaculate during intercourse.

4. Differences in Stimulation: The sensations experienced during masturbation can differ significantly from those during intercourse. For some men, the physical stimulation during masturbation may be more intense or easier to control, leading to ejaculation, while the sensations during intercourse may not provide the same level of stimulation.

5. Substance Use: Alcohol and recreational drugs can impact sexual performance. While alcohol may initially lower inhibitions, excessive consumption can lead to difficulties in achieving orgasm.

Solutions and Strategies
1. Open Communication: Discussing the issue with your partner can help alleviate anxiety and create a supportive environment. Understanding that this is a common issue can reduce performance pressure.

2. Relaxation Techniques: Practicing relaxation techniques, such as deep breathing or mindfulness, can help reduce anxiety and improve focus during intercourse. This can create a more enjoyable experience and may facilitate ejaculation.

3. Gradual Approach: Instead of focusing solely on ejaculation, try to enjoy the intimacy and connection with your partner. Engaging in foreplay and exploring different forms of stimulation can help reduce pressure and enhance pleasure.

4. Consult a Healthcare Professional: If the issue persists, it may be beneficial to consult a healthcare provider or a sexual health specialist. They can help identify any underlying medical conditions or medication side effects that may be contributing to the problem. In some cases, therapy or counseling may be recommended to address psychological factors.

5. Experiment with Techniques: Some men find that changing positions or trying different techniques during intercourse can help. For instance, using more manual stimulation or incorporating sex toys can enhance arousal and facilitate ejaculation.

6. Medication Review: If you are taking medications, discuss with your doctor whether they could be affecting your sexual function. In some cases, adjusting the dosage or switching to a different medication may help.

Conclusion
Experiencing difficulty with ejaculation during intercourse can be distressing, but it is essential to remember that you are not alone in this experience. By understanding the potential causes and exploring various solutions, you can work towards improving your sexual health and intimacy with your partner. Open communication, relaxation techniques, and professional guidance can all play a significant role in addressing this issue effectively.

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