Why does using a condom cause no pleasure and lead to non-ejaculation?

Patient's question:

Patient is male, 40 years old. Since his first sexual intercourse ten years ago, he has experienced no pleasure while wearing condoms, has no premature ejaculation, and can engage in normal intercourse without condoms. Physical function tests were normal, and the doctor recommended not wearing condoms during intercourse. The patient has no history of allergies and has recently been diagnosed with gastritis. How can experts solve the issue of the patient experiencing no pleasure while wearing condoms? Does the female play a significant role in this? Or is it due to the patient's psychological resistance to condoms?

Doctor's answer:

Ejaculation failure typically refers to a situation where, although the penis can achieve normal erection and engage in sexual intercourse, it fails to reach sexual climax or experience sexual pleasure, and no semen is expelled. Alternatively, it may involve cases where semen can be expelled under other circumstances, but not within the vagina. Both scenarios are collectively referred to as ejaculation failure. Additionally, due to the lack of sexual climax during intercourse, sexual interest may significantly decrease, often accompanied by reduced libido. This can also lead to emotional strain between partners, potentially causing a certain degree of relationship crisis. Therefore, it is advisable to seek medical attention proactively. The treatment for ejaculation failure must address the underlying causes and adopt a causative approach.

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