Challenges with Ejaculation During Intercourse: the Issue

Masturbation and ejaculation are not an issue, but I almost cannot ejaculate during vaginal intercourse?

Subject: Difficulty Achieving Ejaculation During Vaginal Intercourse
I have been practicing masturbation since puberty, and I have no issues achieving ejaculation when I do it myself.
However, I find it almost impossible to ejaculate during vaginal intercourse with a partner.
This has been the case since my younger years, and I have successfully ejaculated in the vagina fewer than five times.
I am wondering if frequent masturbation might reduce male sensitivity, or if this issue could be caused by something else.
What should I do? Who should I consult for this issue? Thank you!

Dàdà, 30~39 year old female. Ask Date: 2016/02/02

Dr. Xu Weikai reply Urology

Hello, it is recommended to seek medical treatment.
It may also be due to insufficient vaginal stimulation, which does not provide the intensity needed to trigger ejaculation.
It is suggested to change the patterns of sexual activity to see which methods can achieve better stimulation.
If there are any unclear points, feel free to ask again for further discussion and research.
Answers found online should only be used as a reference; it is still necessary to visit a medical institution for treatment.
This message is from Dr.
Hsu Wei-Kai, Director of the Urology Department at Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2016/02/02

More Info

Ejaculation difficulties during intercourse can be a complex issue, often influenced by a variety of psychological and physiological factors. It’s important to understand that while you may have no issues achieving ejaculation during masturbation, the dynamics of sexual intercourse can introduce different challenges that may affect your ability to ejaculate.

Understanding the Issue
1. Psychological Factors: Anxiety and performance pressure can significantly impact sexual function. If you are worried about not being able to ejaculate during intercourse, this anxiety can create a cycle that makes it even harder to achieve ejaculation. The mind plays a crucial role in sexual arousal and response, and any negative thoughts or stress can impede the process.

2. Physiological Factors: There are also physical aspects to consider. The sensation during masturbation can be different from that during intercourse. For some men, the stimulation received during masturbation may be more intense or tailored to their preferences, which can lead to difficulties when trying to replicate that experience with a partner. Additionally, factors such as hormonal levels, blood flow, and nerve function can all play a role in ejaculation.

3. Sensitivity and Habituation: Frequent masturbation can lead to a decrease in sensitivity over time, particularly if the technique used during masturbation is different from that experienced during intercourse. This can create a situation where the body becomes accustomed to a certain type of stimulation, making it harder to achieve ejaculation in a different context.

What to Do
1. Open Communication: It’s essential to communicate openly with your partner about your experiences and feelings. This can alleviate some of the pressure you may feel and create a more supportive environment for both of you.

2. Relaxation Techniques: Engaging in relaxation techniques before and during intercourse can help reduce anxiety. This might include deep breathing exercises, mindfulness, or even engaging in foreplay for a longer duration to enhance comfort and arousal.

3. Experiment with Techniques: Try different positions or techniques during intercourse that may enhance stimulation. Sometimes, changing the rhythm or angle can make a significant difference.

4. Limit Masturbation Frequency: If you suspect that frequent masturbation is contributing to your difficulties, consider reducing the frequency. This may help restore sensitivity and improve your ability to ejaculate during intercourse.

5. Consult a Professional: If the issue persists, it may be beneficial to consult a healthcare professional, such as a urologist or a sexual health specialist. They can provide a thorough evaluation to rule out any underlying medical conditions and offer tailored advice or treatment options.

6. Consider Therapy: If psychological factors are at play, speaking with a therapist who specializes in sexual health can be beneficial. Cognitive-behavioral therapy (CBT) can help address anxiety and develop coping strategies.

Conclusion
Ejaculation difficulties during intercourse are not uncommon and can stem from a variety of factors. Understanding the interplay between psychological and physiological elements is crucial in addressing the issue. Open communication with your partner, relaxation techniques, and professional guidance can all contribute to improving your sexual experience. Remember, seeking help is a positive step towards understanding and resolving your concerns.

Similar Q&A

Understanding Ejaculation Issues During Intercourse: Causes and Solutions

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 differe...

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 th...

Understanding Ejaculatory Difficulties: Impact on Health and Relationships

Thank you for your response, doctor. However, I still have some questions. Aside from the fact that difficulty in ejaculation makes it less likely to conceive, could the inability to ejaculate during sexual intercourse lead to physiological changes if the male partner reaches org...

Dr. Xu Weikai reply Urology
BIBI: Hello, ejaculation disorders are usually due to issues with neurotransmitters or conduction pathways. It is generally necessary to consult a specialized urologist to identify the problem, such as Professor Hsiang-Jung Hsieh from National Taiwan University or Professor Han-S...

Struggling with Ejaculation: Tips for Improving Sexual Performance

It sounds like you have been experiencing difficulties with ejaculation and maintaining an erection during sexual activity with your new girlfriend. This can be a common issue, especially if you have a history of frequent masturbation and are now facing a new sexual experience. H...

Dr. Xu Wencang reply Urology
You can observe it a few more times, and if it persists, you should visit the outpatient clinic for examination and treatment.

Understanding Ejaculation Issues During Intimacy: A Urology Perspective

I usually achieve orgasm and ejaculation when I masturbate while watching adult films. However, recently, when I had intercourse with my new girlfriend, I found that I was unable to reach orgasm and ejaculate, even though I had an erection and penetrated her vagina. Five years ag...

Dr. Lin Hexing reply Urology
Hello, sir: I would like to respond to your question and provide the following suggestions: 1. Generally speaking, based on your description, your inability to achieve orgasm and the issue of anejaculation during masturbation is only partially related to your ex-girlfriend, but t...