Impaired ejaculation occurs when you can’t ejaculate at all. Some men, particularly those who have diabetic neuropathy, experience retrograde ejaculation. During orgasm, ejaculation enters the bladder instead of exiting out of the penis. Although this doesn’t cause major medical issues, it can impair fertility. You should see your doctor about it if you have it. Many things can cause pain during sexual activity. Inadequate lubrication and tense vaginal muscles make penetration painful. Involuntary vaginal muscle spasms, or vaginismus, can make intercourse hurt. These may be symptoms of neurological, urinary tract, or bowel disorders.

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