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Uncomfortable Ejaculation

Ejaculation during intercourse is uncomfortable in some way or difficult to achieve, though there is no problem with oral sex or masturbation. Sometimes, this will be the result of psychology (e.g. fear of an unwanted pregnancy) but it will frequently be physiology that is at the root of the problem. There are a few possibilities:

These are the most likely scenarios and we will examine each separately.

1. When this is the case, he will feel that something is 'blocking' the ejaculation, even if he withdraws slightly. A gynaecological examination of his partner is indicated. It is often a Fibroidal Uterus which is uncomfortable and needs investigation and possibly treatment but is not life-threatening.

2. When ejaculation is comfortable if he withdraws slightly, it almost certainly the case that his penis is too long for his partner's vagina and is pressed against the cervix. This is normally uncomfortable for the female, though not always. A gynaecological examination might be indicated but if she is healthy then the only answer is to withdraw slightly for ejaculation.

3. In this situation, there will simply not be enough 'grip'. It is possible that some pelvic floor exercises might help - a search of the internet will turn up several sites that offer advice.

4. There may be a surgical answer here for which a doctor's advice should be sought, or the exercises mentioned at (3) might help.

5. Passivity is probably the biggest 'turn off' for most men, especially where it is important to him (as it is to most males) that his partner is enjoying the sexual experience. If he feels she is not, he is less likely to reach the peak of erotic arousal that stimulates ejaculation.

6. In this case, he is probably suffering from a form of performance anxiety. Communication is necessary here, to help his partner understand that a man can only do what a man can do. In this situation communication between the couple is vital.

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