Difficulty ejaculating despite a good erection may be due to stress/anxiety, antidepressant medications, diabetes, nerve-related disorders, hormonal imbalance, or prostate conditions. Connect for proper discussion and treatment

Hello, Thank you for sharing your concern. Based on your description, you are able to achieve and maintain an erection during intercourse, but you are experiencing difficulty reaching orgasm and ejaculation. This condition is commonly referred to as Delayed Ejaculation (DE) or Anorgasmia, depending on the specific symptoms and underlying cause. There can be several reasons for this issue, including: • Psychological factors such as stress, performance anxiety, relationship concerns, or excessive focus on performance during intercourse. • Certain medications, especially antidepressants and some blood pressure medications. • Hormonal imbalances, including low testosterone levels. • Neurological conditions affecting the nerves involved in sexual response. • Diabetes or other medical conditions that can affect nerve function. • Excessive masturbation or a specific pattern of stimulation that differs significantly from intercourse. • Lifestyle factors such as poor sleep, alcohol consumption, or chronic stress. Since this problem has been persistent and is affecting your quality of life, a detailed evaluation is recommended. This may include a thorough medical and sexual history, physical examination, and if necessary, investigations such as blood sugar levels, hormone profile, and other relevant tests to identify the root cause. The good news is that in most cases, delayed ejaculation can be effectively managed once the underlying cause is identified. Treatment may involve counseling, behavioral techniques, lifestyle modifications, medication adjustments (if applicable), or specific medical treatment depending on the diagnosis. I would recommend scheduling a detailed consultation so that your condition can be properly assessed and a personalized treatment plan can be developed. Wishing you good health and a speedy recovery. Dr. Fayyaz

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Thank you for sharing your concern. Difficulty achieving ejaculation or orgasm despite being able to maintain a satisfactory erection is a condition that can occur in some men and may be influenced by a variety of physical, psychological, relationship-related, or lifestyle factors. Stress, anxiety, performance pressure, emotional concerns, certain habits, and other underlying factors can sometimes affect the body's ability to reach climax during intercourse. Since this issue has been occurring consistently and is affecting your sexual life, it deserves a detailed and professional evaluation. A comprehensive discussion of your symptoms, medical history, sexual history, and overall well-being can help identify potential contributing factors and guide further management.

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