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What causes lack of ejaculation and erection for reduced duration during intercourse?

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Posted on Thu, 8 Apr 2021
Question: Hi Doctor,

I got married on December 2017. Me and my wife are trying to have sex during the 8th to 12th day of her Periods. The problem is my erection is not lasting long. It lasts maximum for 4 to 5 minutes. Also when i am having erection i am unable to ejaculate when having sex. Not even a single time i have ejaculated during intercourse. But if i masturbate i am able to ejaculate in 5 to 10 minutes. Do let me know if there is something that needs to be checked from my end
doctor
Answered by Dr. Soujanya (1 hour later)
Brief Answer:
My suggestion.

Detailed Answer:

Hi,

I have gone through your query in detail and can certainly understand your concern towards your problem.

I understand that you are having erection and ejaculation problem, so I would like to know about early morning erections in sleep, which is known as nocturnal penile tumescence.

I think that you have some kind of sex related anxiety that would make your performance weaker, as you said that you have normal ejaculation during masturbation.

So, I can advise you to take some antianxiety drugs like clonazepam to improve your performance.

You can also try with phosphodiesterase inhibitors like tadalafil to improve your erections.

I advise you to consult your doctor regarding this and follow accordingly.

Hope this information would help you.
Thank you.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Soujanya (24 minutes later)
Hi Doctor,

Thank you for your reply.

Early morning i do have erections a bit. But not everyday.

Does this have to do anything with stress?
doctor
Answered by Dr. Soujanya (40 hours later)
Brief Answer:
My suggestion.

Detailed Answer:
Hi,
Welcome back,

I have gone through your query and can understand your concern towards your problem.
I can say that it is fine even if sometimes you don't have an erections.

It could be stress related, but it definitely gives an idea whether the main problem is psychological or organic.

So, if early morning erections were fine, there is nothing to worry.
You can be sure that it is some kind of stress that is bothering you.

So, please consult your doctor regarding the choice of antidepressants, and follow accordingly.

Hope this information would help you.
Thank you.
Above answer was peer-reviewed by : Dr. Nagamani Ng
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Answered by
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Dr. Soujanya

Psychiatrist

Practicing since :2008

Answered : 706 Questions

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What causes lack of ejaculation and erection for reduced duration during intercourse?

Brief Answer: My suggestion. Detailed Answer: Hi, I have gone through your query in detail and can certainly understand your concern towards your problem. I understand that you are having erection and ejaculation problem, so I would like to know about early morning erections in sleep, which is known as nocturnal penile tumescence. I think that you have some kind of sex related anxiety that would make your performance weaker, as you said that you have normal ejaculation during masturbation. So, I can advise you to take some antianxiety drugs like clonazepam to improve your performance. You can also try with phosphodiesterase inhibitors like tadalafil to improve your erections. I advise you to consult your doctor regarding this and follow accordingly. Hope this information would help you. Thank you.