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Summary:

A man’s inability to ejaculate during intercourse is referred to as ejaculatory inhibition [IE], when he is not able to ejaculate despite intense stimulation and prolonged intercourse. This condition is comparable to orgasmic dysfunction in women.
IE is rare, and is usually based on a psychological cause. As a rule these men can ejaculate with masturbation if his partner is not there, or with erotic dreams [which implies that there is no physical cause as the system is working], but they do have the problem with oral and genital contact with their partner. Intercourse may be prolonged and end through fatigue without him ejaculating at all [ejaculatory inhibition], or sometimes he may ejaculate after a considerable length of time [delayed ejaculation] [1]. Men with IE report significantly higher quality erections with masturbation than during intercourse [2].
IE can cause considerable distress to both partners, and it tends to be aggravated by the man’s anxiety about his performance. His partner may become angry or withdrawn because of it. IE may result in lack of fulfilment for both partners, and this problem is compounded when they want to have a child. If intercourse is very prolonged the partner may experience discomfort, especially once the woman has had an orgasm, as the vagina becomes dry once she is no longer aroused.
As a result both partners may avoid making love, and this can affect their relationship, so it is important to seek help from a medical practitioner, psychologist or sex therapist.

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