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Difficulty ejaculating during sex
I have difficulty ejaculating during intercourse. Although I can achieve and maintain a normal erection and engage in sex for an extended period, I am unable to reach orgasm or ejaculate. However, I can ejaculate normally during masturbation. This problem is affecting my sex life and causing frustration. What could be the possible causes?
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Possible causes include performance anxiety, psychological factors, reduced penile stimulation during intercourse, medications, hormonal issues, or certain neurological conditions. A urologic evaluation can help identify the cause.
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