Based on your description, it appears that you may be experiencing premature ejaculation (PE) rather than a problem with fertility. Since you and your wife have already conceived naturally and have a child, this is reassuring and indicates that your reproductive function is intact.
The fact that:
Sometimes you ejaculate very quickly with touching or at the beginning of intercourse.
Sometimes ejaculation occurs during intercourse, but you are still able to continue intercourse afterward.
At other times, if ejaculation occurs before penetration, you are unable to continue.
This pattern can occur due to increased penile sensitivity, excitement, variable ejaculation control, or psychological factors. The symptoms may fluctuate from one sexual encounter to another, and this is quite common. Masturbation in the past is not the cause of your current problem.
Next Steps
Since this issue has been affecting your sexual satisfaction, it would be beneficial to consult us for a detailed evaluation. Premature ejaculation is a treatable condition, and treatment is tailored according to the severity of symptoms and whether it occurs consistently or only in certain situations. Avoid self-medicating with over-the-counter sexual performance products or herbal remedies without proper medical advice. For a comprehensive assessment and personalized treatment plan, you may connect with us at 9 3 1 5 6 6 1 5 6 5. We will evaluate your concerns in detail and guide you with an individualized approach to improve your ejaculation control and overall sexual confidence.
Health Tips
Maintain a healthy lifestyle by exercising regularly, getting adequate sleep, managing stress, and eating a balanced diet. Spend sufficient time in foreplay and avoid rushing intercourse, as this can reduce excessive stimulation. Open communication with your wife and reducing performance pressure can also improve sexual confidence. Most importantly, remember that premature ejaculation is one of the most common sexual concerns in men and, with appropriate treatment and guidance, the majority of men experience significant improvement and enjoy a satisfying sexual life. Thank you