What is the reason why men do not ejaculate during coitus?

Patient's question:

I have been married to my husband for more than two years, and our sex life has always been harmonious. In July, he went to work in a different place, and he just came back these days. However, when we had sex recently, I felt that he was struggling a lot. It almost took him over an hour to finally ejaculate.
What kind of help do I need: What could cause a man to fail to ejaculate during intercourse?

Doctor's answer:

Ejaculatory dysfunction usually refers to a condition where the penis can normally become erect and engage in sexual intercourse, but fails to reach sexual climax or achieve sexual pleasure, and cannot eject semen; or in other situations, it can eject semen but not inside the vagina. Both are collectively referred to as ejaculatory dysfunction.

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