What Causes No Ejaculation While Having Vaginal Sex?

Posted on Wed, 18 Jun 2014

Question: If i masturbate in bed by rubbing there i can ejaculate( semens coming) from the first time i started masturbating. But by hand or during sex intercourse (with girlfriend) i cannot ejaculate, even by oral sex. Any treatment i can have or any medicine i can take?. Im from uae

Answered by Dr. Dr.Saatiish Jhuntrraa (43 minutes later)

Brief Answer:
Please get the following tests done

Detailed Answer:
Hello
Thanks for choosing wwwhealthcaremagic.com
I think some people can ejaculate by humping but not by hands or vaginal sex. It is a common complain . You may have shift of focus away from pleasure when trying to have manual OR vaginal sex. You can try to focus on sensations on foreplay, not thinking about performing. I would like to know the status of hardness.
I need to know your general health status like smoking habit, weight, life style and depression or any stress. Also level of fasting blood sugar and blood pressure are important . You can visit a center where complete sexual fitness is checked. One such is coming up in XXXXXXX in 5 weeks time. Still if you wish to try, try sildenafil/verdenafil before sex. and focus on enjoyment, rather than performance.

DR SAATIISH JHUNTRRAA

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr.Saatiish Jhuntrraa (5 hours later)

My height is 5.6, wieght-70, smoking- ocassionaly, drinking-yes, penis is erect, sugar and b.p normal. I have bipolar depression. Two year back i consult psychiartist and he given some medicine to deep sleep. But i cannot continue because taking these medicine morning i cannot asleep or till 12 o clock at work will feel in another world, so i stopped. But not sleep is in order.

Answered by Dr. Dr.Saatiish Jhuntrraa (43 minutes later)

Brief Answer:
Please answer a few more questions

Detailed Answer:
Hello
I would like 3 more things
1- Are you taking any medicines now?
2- Do you get morning erections?
3- How is the hardness of erection ? Does it sustain till the completion of sexual act?

Dr Saatiish Jhuntrraa

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr.Saatiish Jhuntrraa (14 minutes later)

Dear Sir,
1- No medicines
2- Morning erections get only if any sexual comes in mind
3- During sexual 3-5 minutes it is completely erect after it will diminishes. But this time i feel like semen will occur, but it is drying away. Six months back 15-20 min i try sex complete erect was there till I stop but problem is semens not coming out. Now a days the erection time have come down stangeley to 3-5 minute .This Erection time is same too, if i engage in oral sex only (if she takes in mouth )

Answered by Dr. Dr.Saatiish Jhuntrraa (4 hours later)

Brief Answer:
Please follow some of the steps as below

Detailed Answer:
Hello
What I understand from your description is that You can get erection from sexual cues which has decreased from 15-20 minutes to 3-5 minutes. In addition, there is delayed ejaculation or failure to ejaculate,though you feel like ejaculating some times
I think it could be of psychogenic cause because of anxiety to satisfy the partner or depression in past . There could be residual depression at the present moment as well . If you have no other possible physical cause contributing, this can be differentiated by NPT test. Shifting your focus away from performance to receiving and giving pleasure can help you a lot. You may need regular sex counselling sessions, which can be given online as well. To help ejaculate, you have to steadily increase arousal level to reach the tipping point. You can also get your serum testosterone level and prolactin level done.
DR SAATIISH JHUNTRRAA

Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar