Patient: Hello doctor! I am 31 years old, usually have sex several times, only once can reach orgasm and finish ejaculation, the interval between two can ejaculate usually takes about 1 week. In the worse case, I can even succeed 1,2 times a month. It feels like you need more intense stimulation to reach orgasm. Other things such as erections are relatively normal. Why is this happening? Reply: You need to check the sex hormone level and take a detailed medical history, and it is best to come to the hospital. Patient: Hello, thank you very much for your answer! The information is filled in randomly, and I am not in Beijing. My wife and I have been living together for almost two years. There has been a history of more frequent masturbation before. I just went to the hospital a few days ago and had a varicocele on the left side, and surgery seems to be necessary, but I’m not sure if this is the cause of my ejaculation difficulties. By the way, I had my semen checked last year and the sperm motility was relatively low (grade a 8%, grade b 22%, grade c 20%, grade d 50%). Because I can’t guarantee the success rate of ejaculation, I often miss my wife’s ovulation period, and this, combined with low sperm motility, has caused my wife to remain unpregnant and made me anxious. Thank you. Patient: Hello, doctor. I had a scoliosis correction surgery when I was 15 years old, and the metal brace used to hold my spine in place was never removed. After the surgery, there was some mild damage to the nerves, and my lower limbs are easily fatigued and sore, and some muscle stiffness affects my walking a little. I wonder if this could be the cause of the difficulty in ejaculating with orgasm? Thank you very much. Reply: It is very likely that it is related to the surgery. Patient: Doctor, thank you so much for your answer! The spinal surgeon said that there is almost no way to treat nerve damage. The spinal surgeon said that there is little treatment for nerve damage, but I have another question for you: I usually stand on the edge of the bed during sex, and my wife lies on the edge of the bed. But when it comes to ejaculation, I feel that my legs are not obedient, and I seem to have lost control. Sometimes I even fall to the ground because I can’t stand up. Is it because of muscle contraction? Or is it related to the residual symptoms of my scoliosis surgery? Thank you. Reply: It is related, try other postures. Patient: Yes, thank you for your answer Patient: Hello, doctor! If I have sex (ejaculation) at longer intervals, for example, about 20 days, will it affect the chance of conception or will it improve the chance of conception? Thank you very much. Answer: No. Patient: Hello, doctor! I sometimes feel a vague pain in the upper right part of my penis about 4 or 5 cm after sex, which subsides within 1 or 2 days. What could this be? Also, when I have trouble ejaculating during sex (I can’t reach orgasm and ejaculate), sometimes a little clear fluid comes out, is this prostate fluid? Is this normal? I would like to thank you very much. Reply: It is related to prostatitis. The actual fact is that you will be able to get a lot more than just a couple of hours to get a lot more than just a couple of hours.