What is the reason why a man only ejaculates after having sex for 1 hour?

Patient's question:

Detailed medical condition and consultation purpose:
Doctor, hello! I would like to consult you about male ejaculation during sexual intercourse. I started having sex this year, and at first, I would ejaculate within less than 5 minutes. Later, I learned to masturbate, and now during sexual intercourse, it almost takes me 1 hour to ejaculate, and sometimes I don’t ejaculate at all until the penis becomes soft! What could be the reason for this? How can it be resolved?

Doctor's answer:

Hello:
It is considered to be caused by masturbation, so it is recommended to actively abstain.
To abstain from masturbation, the following points should be followed:
  (1)From a mental perspective, you need to have enough perseverance and confidence to make a firm decision to abstain.
  (2)Pay attention to your daily routine and habits. Go to sleep and wake up on time, avoid overthinking. Do not eat a heavy dinner or consume stimulating foods; do not read pornographic or obscene materials. It is best to wash your feet with warm water before bed to help you fall asleep. When sleeping, do not wear tight pants, keep the bedding from being too warm, do not press the blanket too heavily, and avoid sleeping on your stomach. If you experience sexual urges after falling asleep and cannot sleep, you may get up and sit quietly to calm your mind. Once the sexual urges subside, you can go back to sleep.
  (3)During your free time outside of studying, participate more in physical exercise and group activities, such as long-distance running, practicing Tai Chi, swimming, etc. Try to forget about masturbation. If you are tired during the day, it will be easier to fall asleep at night. This not only strengthens your body but also alleviates mental tension, while alsoing willpower and perseverance.
  (4)Cultivate a noble character, care about the collective, and love life. Establish a correct view of love, and take relationships, marriage, and family issues seriously and solemnly.

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