Conversation: The conversation between human and AI assistant.
[|Human|] Hello, I m a male and can t ejaculate when having sex. We want a family, and I heard that mastabation doesn t effect it. Since I was 16 I felt turned on wearing pantyhose during mastabation, which is a rough surface, but I reached climax all the time. How do I ejaculate in sex with my wife? Is there a cream I can get to make me cum? Or something? Very personal question, so hard to tell a doctor face to face if you can understand? Hope you can help Kind Regards Annonamous.
[|AI|]  Degree understand your concerns went through your details. I can understand. But you must understand, there is nothing you cannot tell your doctor. You must tell everything to your doctor. Regarding your present problems, premature ejaculation is mainly due to psychological reasons. Performance anxiety is the base of these problems. You did not mention your age. Masturbation has very little effect directly on sexual performance if your masturbation practice is medium. You may consult a sexologist for further counseling and advise. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail. Hope this answers your query. Available for further clarifications. Good luck.