What Does It Mean When a Man Can''t Finish During Sex?

When a man has persistent difficulty reaching orgasm or ejaculating during sex, clinicians may describe it as delayed ejaculation, delayed orgasm, or anejaculation, depending on what is happening. These problems are uncommon, but estimates vary because they are defined and studied in different ways. Anejaculation means no semen is released and can sometimes occur even when orgasm is still felt. Common causes include psychological factors like stress, anxiety, or relationship issues, along with physical factors such as certain medications (particularly antidepressants), diabetes, nerve damage, or hormonal imbalances. Age-related changes, excessive alcohol use, and some medical treatments can also contribute. The condition can be lifelong or acquired later in life, and may occur in all situations or only with specific partners or circumstances. Treatment depends on the cause and may include counseling or stress management. A clinician can review medicines and check for medical or hormonal problems; medicines should not be stopped or changed without guidance, and hormone treatment is appropriate only when a relevant deficiency has been confirmed.