Patient's question:
All symptoms: Unable to ejaculate during sex but can during masturbation. What should I do?Onset time and cause of illness:
Treatment status:
Help needed: Really want to be able to ejaculate.
Doctor's answer:
Disease Analysis:Hello: From the perspective of sexual medicine, severe SY can develop into a "persistent masturbation addiction" (affecting both women and men, but more common in men). Its main characteristics include: difficulty reaching orgasm during sexual intercourse with a partner (unsatisfactory), severe difficulty in ejaculation, or even inability to ejaculate, decreased libido, impotence, premature ejaculation, while masturbation provides intense pleasure. Its main harms include: central nervous system and systemic symptoms such as depression, memory loss, poor concentration, reduced comprehension, insomnia, frequent dreams, dizziness, palpitations, etc. Urogenital and reproductive system diseases: Chronic prostatitis can cause frequent urination, white discharge at the end of urination, discomfort in the lower abdomen and perineum, lower back pain and weakness, decreased libido, impotence, premature ejaculation, and anejaculation. It not only affects pleasure but also has a significant negative impact on family harmony and procreation. This persistent condition is caused by long-term and repeated (some even masturbate multiple times a day and cannot stop) masturbation. The patient not only forms a physiological habit but also develops psychological dependence. Mild symptoms often improve after sexual activity, but severe cases are challenging to cure.
Suggestions:
However, as long as one recognizes this as a persistent condition and its harms, overcoming it is achievable. In reality, occasional masturbation is normal (statistics show that most men and women have experienced it). In certain situations (e.g., during a wife's pregnancy, when a couple is geographically separated, or when there is no sexual partner but a strong desire for intimacy...), occasional masturbation (just