I can't ejaculate for a long time. What could be the reason?

Patient's question:

What is the reason why you can ejaculate in 30 minutes during your first sexual experience, but it takes over an hour to ejaculate when you try a second time?

Doctor's answer:

There are many reasons for difficulty in ejaculation, including psychological factors, as well as conditions such as seminal vesicle cysts. Therefore, it is recommended that you visit a urology and reproductive medicine department in the hospital for a color Doppler ultrasound examination to confirm the diagnosis. It is not significantly related to masturbation.

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