Is it a disease to take a long time to ejaculate every time?

Patient's question:

Patient Gender: I have sex with two girlfriends every time, but it takes a long time each time, about 1 hour. After they reach orgasm, I don't ejaculate, and their vaginas become dry. As a result, I can only have them help me finish with their hands. I don't know if this condition is a medical issue.

Doctor's answer:

Generally, normal sexual activity lasts between 20 to 40 minutes. The duration of sexual activity varies from person to person, with significant individual differences. As long as both partners are satisfied, it is acceptable. For non-ejaculation caused by psychological factors, the main treatment is to eliminate various psychological factors that lead to the inability to ejaculate. Both husband and wife need to cooperate to identify the cause and treat the underlying condition. The wife should be more understanding of her husband's situation and avoid blaming him, which helps alleviate his psychological pressure. If non-ejaculation is caused by organic factors, the primary treatment is to address the underlying disease.

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