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Question:
My boyfriend is unable to ejaculate from having sex. He says that he can ejaculate from masturbation. He suffered a head injury 5 years ago, but he says that for the first year afterward, he had no problems.

Answer:
by Robert Birch:
(05/19/2004)
You have said that your boyfriend is "unable to ejaculate from having sex," and I assume you mean that he is not ejaculating during intercourse. Perhaps he is also having trouble ejaculating with your oral or manual stimulation, but I am unsure. You mentioned Viagra, but this is for men who are not getting erections, not men who are having trouble ejaculating, so that is not a solution. It would also appear that whatever brain injury he suffered is not related, as you reported that this problem did not start until a year after his injury. The problem might actually be easier to fix than to understand. He should stop masturbating and let his sexual "energy" build. Eventually he will become more sensitive to the stimulation of intercourse and should do better. It might also help that his final position is from the rear ("doggie style"). If the front part of your body is down on the bed, the angle of his penetration takes him over your pubic bone (internally) and bends him down. This will feel like a much snugger fit that afforded by the traditional man-on-top "missionary" position. It should be OK if he does not ejaculate every time initially... he still should not masturbate! Even if he becomes more reliable in reaching orgasm during intercourse, it needs to be OK if he does not make it every time. You do not want to make him feel self-conscious about this, for he is likely to develop "performance anxiety" that will further complicate the problem. Just have fun and don't count orgasms... his or yours!

Reviewed by Sexual Health Editorial Team

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