Why can't I cum from intercourse?

Experiencing difficulty achieving orgasm during intercourse can be caused by a variety of factors, both physical and psychological. Here are some common reasons: 1. **Physiological Factors**: - **Medical Conditions**: Conditions such as diabetes, neurological disorders, hormonal imbalances, or certain medications (especially antidepressants) can impact sexual function. - **Age**: As people age, sexual function can change, affecting the ability to achieve orgasm. 2. **Psychological Factors**: - **Anxiety and Stress**: Anxiety during intercourse, whether about performance or other life stressors, can inhibit orgasm. - **Past Trauma or Negative Experiences**: Emotional or psychological trauma related to sex can impact sexual response. - **Relationship Issues**: Conflicts or lack of emotional connection with a partner can affect sexual satisfaction. 3. **Lack of Stimulation**: - Some individuals may require specific types of stimulation to reach orgasm, which may not always occur during intercourse. 4. **Substance Use**: - Alcohol or drug use can affect sexual performance and the ability to orgasm. 5. **Unrealistic Expectations**: - Societal pressures or personal expectations about sex and orgasms can create anxiety that interferes with the physical experience. If you're experiencing ongoing difficulty, it might be helpful to talk to a healthcare professional or therapist who specializes in sexual health. They can provide guidance and help identify any underlying issues. Communication with your partner can also be beneficial in understanding each other's needs and enhancing sexual experiences together.