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not able to ejaculate during sex

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i have no problem when i masturbate, but when i have sex it hardly ever ever happens. is there anything i can take to make it happen easier?

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replied June 24th, 2010
Hi there, thank you for posting your question. My answer is not intended as a substitute to visiting your own doctor but I hope I can be of some little help.

I think your problem may be so-called “ejaculatory incompetence” or delayed ejaculation. This is complex. Usually the man does not have the same difficulty when alone and masturbating but for some reason finds that it is very difficult to orgasm when his penis is inside his partner’s vagina. Women have an analogous problem often referred to an Anorgasmia.

One cause of this, though by no means the only cause, is the so-called Traumatic Masturbatory Syndrome or TMS. This in turn can arise from the practise of masturbating in the face down position. Another cause is the use of certain antidepressant medications in the so-called SSRI category. Prozac would be an example.

More often than not however no cause can be identifies. Perhaps you may need to discuss this with a Sex Councillor. It can be resolved through behavioural therapy. Show your partner how you masturbate, hold her hand while she does it with you. She should also verbally encourage you to come. Once you learn how to ejaculate in her company by whatever means, you can then move on to intercourse.

This will be a kind of two steps forwards and one step backwards situation. It may take time and patience and there may be some setbacks. However, with perseverance you will succeed. Post again if you wish.

Dr Andrew Rynne.

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replied November 1st, 2012
Hi Andrew,

I am not able to Ejaculate During Sex. I have been married for 6months. I used to Ejaculate during sex but from past 1week I am not able to Ejaculate During Sex. Even I tried masturbation also but not able to Ejaculate. My pennis gets erect during intercourse but will become small after sometime. Can you please let me know do am I sufferring from any disease.

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replied April 21st, 2012
Causes and Remedy for delayed ejaculation
Does the this problem arises due to over masturbation? bcoz i have a habit of over masturbation. Can you please let me know is their any other remedy apart from what is mentioned above.
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