Delayed Ejaculation: Solutions for a Healthier Relationship - Urology

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Prolonged abstinence from ejaculation..?


Hello, Doctor Xu.
Every time my girlfriend and I have intercourse, she has already climaxed several times, but because I take a long time to ejaculate and remain very hard, it seems like I have excessive engorgement.
Each time, it takes over an hour, and eventually, my girlfriend says she is really exhausted, so I end up watching adult films and taking care of myself.
Therefore, I don't quite understand the issue of premature ejaculation, but after asking my colleagues recently, I realized that my situation is not normal.
There have been a few times when I thought about seeing a doctor for consultation, but my girlfriend stopped me.
We have been together for almost six years, and I just feel that every time we have sex, it is very tiring.
However, when the desire arises, I feel compelled to release it quickly.
So, I tend to avoid my girlfriend's desires.
Doctor, how can I resolve this? I currently dislike that aspect of our relationship and feel that it is not as enjoyable.
Especially in the summer, it becomes even more exhausting.

Wukong, 20~29 year old female. Ask Date: 2015/10/18

Dr. Xu Weikai reply Urology


Wukong: Hello, prolonged erection time can lead to difficulties in ejaculation.
This may be due to issues with the coordination of the sympathetic and parasympathetic nervous systems, or it could be related to some endocrine problems.
I recommend seeking medical evaluation.
If there are any unclear aspects, feel free to ask again, and we can discuss and research further.
Online responses should only be used as a reference; if necessary, it is important to visit a medical institution for proper care.
The Ministry of Health and Welfare Taitung Hospital is concerned about you.

Reply Date: 2015/10/18

More Info


Delayed ejaculation (DE) is a condition where a man has difficulty achieving ejaculation during sexual activity, even though he may have a strong desire to do so. This can lead to frustration for both partners, as it seems to be affecting the quality of the sexual experience. In your case, it appears that while your girlfriend is able to achieve multiple orgasms, you are struggling to reach ejaculation, which can create a disconnect in your sexual relationship.

First, it's important to understand that DE can have various causes, including psychological factors (such as anxiety or stress), physical factors (like hormonal imbalances or nerve damage), and even certain medications. In your situation, it seems that the prolonged duration of sexual activity is leading to fatigue for both you and your girlfriend, which can further complicate the issue.

Here are some potential solutions and considerations that may help improve your situation:
1. Communication: Open and honest communication with your girlfriend is crucial. Discuss your feelings, concerns, and experiences regarding sexual activity. This can help both of you understand each other's needs and expectations better.

2. Consult a Healthcare Professional: While you mentioned that your girlfriend has discouraged you from seeking medical advice, it may be beneficial to consult a healthcare professional. A doctor can help identify any underlying medical conditions or psychological factors contributing to your DE. They may also provide guidance on treatment options, which could include therapy, medication, or lifestyle changes.

3. Explore Different Techniques: Sometimes, changing the approach to sexual activity can help. Experimenting with different positions, techniques, or even taking breaks during intercourse can reduce pressure and allow for a more relaxed experience. This might help you achieve ejaculation more naturally.

4. Focus on Foreplay: Engaging in extended foreplay can enhance intimacy and pleasure for both partners without the immediate pressure of ejaculation. This can also help you feel more relaxed and connected with your girlfriend.

5. Mindfulness and Relaxation Techniques: Practicing mindfulness or relaxation techniques can help reduce anxiety and improve your overall sexual experience. Techniques such as deep breathing, meditation, or yoga can help you feel more in control and less pressured during sexual activity.

6. Limit Stimulation: If you find that you are overly stimulated during intercourse, consider taking breaks or changing the pace. Slowing down can help you regain control and may lead to a more satisfying experience for both you and your girlfriend.

7. Consider Professional Therapy: If psychological factors are contributing to your DE, therapy can be beneficial. A therapist can help you work through any anxiety, stress, or relationship issues that may be affecting your sexual performance.

8. Evaluate Lifestyle Factors: Factors such as diet, exercise, and sleep can all impact sexual health. Ensuring you maintain a healthy lifestyle can improve your overall well-being and may help with sexual function.

In conclusion, delayed ejaculation can be a complex issue that affects both partners in a relationship. By addressing the problem through communication, seeking professional help, and exploring different techniques, you can work towards a healthier and more satisfying sexual relationship. Remember, it’s important to approach this issue with patience and understanding, both for yourself and your girlfriend.

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