Difficulty ejaculating during sex

2026-06-02 17:53:00
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?
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Answered2026-06-13 05:45:35

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Need detailed history of your compliants and consult with me for your treatment

Answered2026-06-05 11:41:20

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Nothing to worry about, it’s anxiety, try changing positions , some foreplay required.

Answered2026-06-04 20:33:39

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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 — I can take a confidential history and guide you on the right investigations and approach.

Answered2026-06-04 18:05:53

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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

Answered2026-06-04 17:57:37

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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 .

Answered2026-06-04 05:22:07

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Free online consultations for age 50 years and older. Best wishes WWW.JGSR-HEALTH-EDUCATION.IN

Answered2026-06-04 03:53:04

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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.

Answered2026-06-03 17:55:07

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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

Answered2026-06-03 17:28:07

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Lot of reasons. Consult superspecialist endocrinologist

Answered2026-06-03 16:09:12

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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.

Answered2026-06-03 14:11:46

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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. 

Answered2026-06-03 12:44:55

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Plz consult

Answered2026-06-03 12:07:08

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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."

Answered2026-06-03 08:17:46

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Lots of factors affecting ejacualtion get the consultation of any endocrinologist

Answered2026-06-04 16:57:13

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Answered2026-06-03 12:45:13

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Need a few more details please consult for further evaluation and treatment

Answered2026-06-03 12:01:54

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Can help you, kindly consult and provide detailed history for proper diagnosis and further management

Answered2026-06-03 11:26:42

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Need few more details for further evaluation. Kindly consult

Answered2026-06-03 11:09:24

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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

Answered2026-06-03 09:51:29

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