Hi, While doing intercourse about one hour passes but I do not ejaculate. We are planning for a baby but ejaculation is not occurring. Please suggest What may be the reason? Please what to do to get pregnancy. Sperm count is 75 millions/ml.Please suggest.

Dr. Richika Sahay ShuklaIVF Specialist17yrs exp

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Hello Lybrate user, Delayed ejaculation is a relatively rare sexual dysfunction which can have both medical and psychological causes. It can be a potential source of psychological stress for both the individual and their partners. Physical causes of delayed ejaculation include: Medication side effects - delayed ejaculation may be an adverse effect of antidepressants (especially SSRIs - selective serotonin reuptake inhibitors), anti-anxiety drugs, blood pressure drugs (antihypertensive agents), painkillers, and other medications Alcohol or the use of certain recreational drugs (whether legal or illegal) Nerve damage (neurological causes) - stroke, spinal cord injury, surgery, multiple sclerosis, and severe diabetes can all lead to abnormal ejaculatory function Increasing age can decrease the sensitivity of the penis to sexual stimulation. Some of the psychological factors thought to be behind cases of delayed ejaculation include: Early life history including abuse, difficulties bonding, neglect by parents, negative sexual upbringing Unexpressed anger Unwillingness to enjoy pleasure Religious belief, perhaps that sexual activity is a sin Fear of, for instance, semen or female genitalia, or of somehow hurting or defiling a partner through ejaculation Fear of pregnancy Issues of lost confidence or performance anxiety - for example, anxiety about body image that interrupts the process of sexual stimulation. Treatment for delayed ejaculation depends on the cause. For instance, if SSRIs are the issue, an alternative drug may be prescribed. You should visit to doctor personally and consult accordingly.  

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