Why don't people get very excited during sex and take a long time to orgasm?

Patient's question:

Patient Gender: Male
Description of Problem: Does not feel very excited during sexual activity

Doctor's answer:

Hello, according to your description, it is important to pay attention to the functional impotence without ejaculation. The reasons for anejaculation are divided into two categories: primary anejaculation and secondary anejaculation. A condition where a person has never ejaculated in a state of arousal is called primary absolute anejaculation, which is caused by sexual ignorance or sexual inhibition. The causes of primary anejaculation are as follows:
⑴ Sexual ignorance;
⑵ Psychological and emotional factors;
⑶ Factors related to the female partner;
⑷ Objective factors;
⑸ Anatomical factors. Excessive foreskin, phimosis, pain, severe crural inflammation leading to atrophic changes, and the inability to effectively participate in the ejaculation process.
A person who has experienced ejaculation before marriage but has lost the ability to ejaculate under certain influences is called secondary anejaculation. The causes of secondary anejaculation are as follows:
⑴ Abnormally intense sexual impulses, where after reaching the peak, improper methods prevent ejaculation;
⑵ Masturbation, improper sexual activity, psychological factors, and emotional factors;
⑶ Previously able to ejaculate normally, but due to intentionally prolonging the duration using methods like diverting attention, the habit of excessively delaying ejaculation may eventually lead to anejaculation;
⑷ Organic causes, such as: lesions in the lateral lobes of the brain, spinal cord injuries, transmission nerve disorders, and local lesions;
⑸ Other conditions, such as hypopituitarism, hyperthyroidism, acromegaly, and myxedema, can also cause ejaculation disorders.
Medically induced causes can also lead to anejaculation, such as drug effects: drugs for treating hypertension like guanethidine and reserpine; drugs for treating neurosis or insomnia like methdilazine, can also cause this adverse reaction. Excessive consumption of cold-natured traditional Chinese medicine and excessive alcohol consumption can also cause anejaculation.
It is recommended that you pay attention to hygiene, avoid masturbation, do not have overly frequent sexual activity, and alleviate your own psychological and emotional stress. If the symptoms do not improve, it is necessary to seek medical examination and treatment early. Wishing you good health! 21