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Question:
My 30-year-old husband hasn’t been much interested in sex for the past two weeks. We had intercourse three days ago and everything was fine, but he has not been able to ejaculate since then either with me or when he is alone. Is this about stress or what? Does he need to see a doctor?
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Answer: by Michael Werner: (05/26/2004)
There are really two parts to this question. One is “Do men ever go through transient decreases in interest in sexual intercourse;” the second “Do they sometimes have temporary difficulty ejaculating?”
In the answer to the first question, men will sometimes go through periods of having decreased interest in sex. Often this does not have a physical cause especially if it only for a short period of time. Men who are anxious about issues other than sex or are depressed may lose their interest levels. They may also have concerns about their performance and this can translate into decreased interest in sexual relations. It is important that you discuss with your husband what is going on with the rest of his life as well as explore how he is feeling about sexual relations with you. Many women are afraid to talk about this with their partners because they are afraid that it may make matters worse. But, if you’ve noticed a change, he’ s noticed it, and it is usually a great relief for him to have it out in the open.
If you feel that his is a significant problem lasting more than a few months then he should have an evaluation, preferably by a specialist. There are specific medical etiologies that can cause a decreased interest of sex. Some of these are hormonal and he would need to have a full hormonal profile drawn.
In terms of having difficulty with ejaculation, this may be connected with his decrease in interest in intercourse. There are some men who have never learned how to ejaculate. There are also older men who have trouble ejaculating. As men get older, it does take more stimulation both to get an erection and to reach a climax. However, it almost never happens to men who are 30. The fact that three days ago he was able to ejaculate but then has not since is not particularly worrisome especially when it is correlated with his decreased interest in sex.
I would suggest that you speak to him about it. See if this is useful just to take the pressure off him and make him relax. If it does not reverse itself in the next several weeks, I certainly would suggest the he see a specialist.
To find a specialist and more information on-line you might consider going to Impotence Specialists.
Reviewed by Sexual Health Editorial Team
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