What is the matter with traditional sexual intercourse not working?

Patient's question:

Detailed medical condition and consultation purpose: I have been married to my husband for 10 years. Over these years, he has always preferred varied sexual positions, but when I try different positions, I cannot reach orgasm. However, he can stay erect for a long time. When he uses traditional methods, he becomes soft within a minute but can continue without ejaculation. If he withdraws, he becomes hard again and can have sex, but he becomes soft after just a few thrusts. Is this a physiological or psychological issue? How can this problem be solved?
Medical history: 10 years
Previous diagnoses and treatment history and effectiveness: None

Doctor's answer:

??????Hello, this situation is mainly caused by psychological factors. It is recommended that you communicate more to find the root cause, or go to the hospital for a check-up. Do not approach your boyfriend with dissatisfaction, as this will lead to excessive mental pressure on him and may result in worse consequences.

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