#ejaculation /delayed ejaculation Some men can only achieve {ejaculation} by {masturbation} or during foreplay. Common causes include: $1 habitual effect of practising {withdrawal technique} as a method of {contraception} medications (particularly anti-depressants & anti-anxiety drugs) inability to 'let go' emotionally {anxiety} about sex & ability to satisfy natural causes (if aged 50+) lack of sexual desire {stress} $1 As with all sexual problems, a frank discussion is essential. The 'Sensate Focus Technique' may be used successfully (see 'Sexual Anxiety' section). It's important to ensure the female partner doesn't feel rejection. If you can {masturbate} successfully, ask your partner to stimulate you by hand, before entering the {vagina}.