What causes difficulty in getting ejaculation?
Patient: As a73+ year old I use Cialis. I get strong erections but have difficulty in achieving ejaculation, I seem to have forgotten 'how to'. My wife and I have had very good sex in our 48 years of marriage but I am disappointed that most times I fail to 'come'. Please advise. Doctor: The cause of not having ejaculation may be due to some problems in nerves around the penis or may be due to some disease called "Retrograde ejaculation"- where sperms are flowing back towards bladder. Please get an USG done and check urine immediately after masturbation.