Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Causes Inability To Ejaculate?
Question: I get erect and perform well but do not ejaculate, some soreness in groin not testes. Same when masturbating. Do cum sometimes, 3 times sex in last few days came once. Masturbate six
times came twice.
times came twice.
Brief Answer:
Please follow the steps given below
Detailed Answer:
Hello
Thanks for choosing wwwhealthcaremagic
inability to ejaculate may be due to many reasons-
1- Your mind wanders away from sensations of pleasure to issues provoking anxiety, This results in loss of hardness, spectatoring the performance rather than enjoying it( you keep on monitoring what is going on down there, further causing loss of erection and lowering level of arousal.) For ejaculation, there has to be linear rise in level of excitement till you reach a tipping point. If you stumble along the pathway, you miss the mark.
so the remedy would be to focus on pleasure ,rather than performance.
2- in this young age of 49, there are some changes in the way sexual organs function with time. There is delayed erection, you need prolonged sexual stimulation and the tendency to go down becomes more likely than 20 years earlier. so sometimes you may have great sex, very enjoyable but no ejaculation.
3- if you have diabetes , hypertension, low testosterone, obesity, same thing may happen.
4- sometimes enlarged prostate also causes delayed or no ejaculation.
5- many medicines like SSRI may also have the same effect.
You have to assess which factor is most likely in your case.
Dr Saatiish Jhuntrraa
Please follow the steps given below
Detailed Answer:
Hello
Thanks for choosing wwwhealthcaremagic
inability to ejaculate may be due to many reasons-
1- Your mind wanders away from sensations of pleasure to issues provoking anxiety, This results in loss of hardness, spectatoring the performance rather than enjoying it( you keep on monitoring what is going on down there, further causing loss of erection and lowering level of arousal.) For ejaculation, there has to be linear rise in level of excitement till you reach a tipping point. If you stumble along the pathway, you miss the mark.
so the remedy would be to focus on pleasure ,rather than performance.
2- in this young age of 49, there are some changes in the way sexual organs function with time. There is delayed erection, you need prolonged sexual stimulation and the tendency to go down becomes more likely than 20 years earlier. so sometimes you may have great sex, very enjoyable but no ejaculation.
3- if you have diabetes , hypertension, low testosterone, obesity, same thing may happen.
4- sometimes enlarged prostate also causes delayed or no ejaculation.
5- many medicines like SSRI may also have the same effect.
You have to assess which factor is most likely in your case.
Dr Saatiish Jhuntrraa
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
