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Difficulty ejaculating during sex
I have difficulty ejaculating during sex. I can maintain an erection and continue intercourse for a long time, but I cannot reach ejaculation or orgasm. This has been happening consistently and is affecting my sex life. What could be causing this, and what tests or treatments would you recommend?
Answers (20)
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Need detailed history of your compliants and consult with me for your treatment
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Nothing to worry about, it’s anxiety, try changing positions , some foreplay required.
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Difficulty reaching ejaculation despite maintaining erection is a condition called delayed ejaculation (DE), and it is more common than most people realise. Common causes include psychological factors (performance anxiety, relationship stress), excessive masturbation with a very specific grip or stimulation type, certain medications (especially antidepressants, SSRIs, antihypertensives), or less commonly hormonal issues like low testosterone or thyroid dysfunction. It is important to identify the underlying cause before treatment.
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Please consult me directly on Practo for a detailed evaluation â I can take a confidential history and guide you on the right investigations and approach.
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I understood your concern and noted the problem as well .I need to ask few more details to make a diagnosis and start treatment and advice which suits you. You can discuss via whatsapp on 971*66*33*129
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If u are taking antidepressants drugs then it could be side effect of that !! Or may be while intercoursing u distract your concentration on somewhere. These could be the reason ..so concentrate. And if u are taking antidepressants pill then avoid for some while .
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Free online consultations for age 50 years and older.
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Your ability to maintain a satisfactory erection suggests that erectile dysfunction is unlikely. The problem appears more consistent with delayed ejaculation or difficulty achieving orgasm.
Common causes include psychological factors (performance anxiety, relationship stress)
certain medications (especially antidepressants),
hormonal abnormalities (low testosterone, high prolactin),
diabetes-related nerve dysfunction, and less commonly neurological conditions.
I would recommend evaluation by a psychiatrist specializing in sexual medicine, an andrologist, or a urologist.
Next Steps
Basic tests include
fasting blood sugar/HbA1c, thyroid profile, morning testosterone, and prolactin levels.
Treatment depends on the underlying cause and may involve sex therapy, medication review, or correction of hormonal abnormalities.
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This is a serious issue as it may also affect your partner emotionally and mentally , there may be various reasons which can lead to this … Are you under any drug / alcohol use when you do the intercourse …? We will be needing a detailed history and some investigations to be done to make a proper diagnosis and treatment
You can consult for further assistance
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Lot of reasons.
Consult superspecialist endocrinologist
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Can be due to stress, anxiety, alcohol use.
Try some foreplay before Intercourse.
Get testosterone levels, blood sugar tested and share results.
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Check testosterone
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Hi, difficulty reaching ejaculation while maintaining erection is due to stress, anxiety or habits.
No immediate worry, many see good improvement with relaxation and lifestyle tweaks.
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Plz consult
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Avoid fried and spicy food
Avoid sugar rice potatoes
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
Will help you
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Delayed ejaculation can occasionally be linked to underlying chemical or structural factors. These include a decrease in overall thyroid or testosterone hormone parameters, mild nerve desensitization in the pelvic area, or a condition called retrograde ejaculation, where semen travels backward into the bladder instead of exiting forward.
Next Steps
To structurally review your complete sexual health history, analyze your upcoming hormonal profiles side-by-side, and map out a safe, customized treatment routine to restore your peace of mind and sex life, please book a full consultation session via my Practo profile."
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Dr. Sachin Bhiwaji Sanap
General Practitioner
7 yrs exp
Hingoli
Lots of factors affecting ejacualtion get the consultation of any endocrinologist
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for further evaluation. Kindly consult
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