Is it impotence to have sex without ejaculation?

Patient's question:

After the first time of having sex, not ejaculating is it impotence or what is it? Is there something wrong with me? Do I have an illness?

Doctor's answer:

This situation is not about impotence. Can you achieve ejaculation during regular sexual intercourse? If you can achieve ejaculation during intercourse, then there is no problem. This might be due to psychological factors. Just relax during your next sexual encounter.
For patients, if the condition of urological diseases is severe, immediate symptomatic treatment should be administered, and appropriate medication should be used. Otherwise, it may lead to a recurrence of urological diseases. Additionally, patients need to pay attention to their diet and psychological care.

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