I can orgasm in about ten minutes when I masturbate, but why do I have difficulty during sexual intercourse?

Patient's question:

I can last for about ten minutes during masturbation, but why do I finish much faster during intercourse? The first time it's about 1-2 minutes, and then it's relatively longer afterward. I have a habit of masturbating about every 2-3 days, and I want to quit.
Medical History: First issue
Additional Information: I want to ask why my masturbation time is longer, but intercourse time is shorter.

Doctor's answer:

In the case of masturbation, the intensity of stimulation is relatively high. He needs strong stimulation to reach orgasm. In normal sexual intercourse or oral sex, the stimulation to his penis from the vagina and mouth is far less intense than that from masturbation. Therefore, his ejaculation threshold is raised. Generally, vaginal intercourse or oral sex does not reach this ejaculation threshold, so he cannot orgasm. However, with manual stimulation, the intensity is higher, and strong manual stimulation can reach the ejaculation threshold. That's why he can orgasm during masturbation.
In such cases, because his erection duration is longer, there is prolonged congestion and engorgement in the blood of the corpus cavernosum. Over time, even after orgasm, the duration of congestion increases, and the blood takes longer to subside. If the duration exceeds six hours, it is called abnormal erection. If he cannot achieve flaccidity after orgasm, it is also called abnormal erection. I suggest this friend reduce the frequency of masturbation, try changing some positions, and increase the intensity of stimulation through vaginal intercourse to help him reach orgasm and avoid severe cases of anejaculation or orgasmic dysfunction.

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