What are the reasons for not achieving ejaculation during sexual activity?

Patient's question:

I have a friend, male: currently 42 years old, married for 18 years. Recently, he often cannot achieve ejaculation during sexual intercourse with his wife, which has made their sex life not very pleasant. What could be the cause of this?

Doctor's answer:

Hello, based on your description, it is preliminarily considered that it is not prostatitis. It may be caused by prolonged, frequent, and excessive masturbation, which leads to the aforementioned condition. It could also be triggered by certain reproductive system diseases, such as epididymal cysts, etc. It is recommended to stop masturbation in this case. Engage in regular exercise, practice abstinence for a while, and wait to see if the condition improves. If it does not return to normal, it is necessary to visit a urology department in a hospital for examination and treatment.

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