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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes difficulty in ejaculation?

i am a 44 year old male, 5'8" tall, 170 pounds, go to the gym 6 times a week, very fit and eat well.
My issue is I do not feel the full sensation of ejaculation anymore and it is also harder to reach ejaculation. My libido is still very strong. I visited my doctor last year because I had problems urinating and when I ejaculated, it came out in a watery substance with very little feeling. i thought I had prostate problems but i had that checked by my family doctor, a urologist and proctologist. I have had a colonoscopy also and I am found to be normal and healthy. i have always been a rather nervous individual and tense. To be honest, and this is extremely important, i feel that my sphizter has slowly tightened up over the last 20 years, and it is relevant to this issue because I do not feel through my sphizter anymore, either when i orgasm or even if i push in general without having to go the washroom. All 3 doctors do not notice that my sphizter is tight at all. i not know what is wrong with me. I have lost sensation.
Sat, 24 Aug 2019
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Psychologist 's  Response
Hello. I have reviewed your query and here is my advice.
Delayed ejaculation (DE) occurs when a man needs more than 30 minutes of sexual stimulation to reach orgasm and ejaculate. DE has multiple causes, including anxiety, depression, neuropathy, and reactions to medications. Please let us know whether you have any of these conditions. No drug has been specifically approved for DE, but medications used for conditions such as Parkinson’s disease have been shown to help. Counseling, psychotherapy, sex therapy etc can also help you.
Hope I have answered your query. You can contact me for treatment options. Let me know if I can assist you further.
Regards,
Dr. K. V. Anand
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