Feeling weak during sexual intercourse and occasional difficulty ejaculating despite a normal semen analysis can be related to several factors including psychological stress, hormonal imbalances, or medication effects.

🩺 Possible Causes

• Psychological factors such as anxiety, stress, or depression can reduce sexual performance and delay ejaculation.
• Hormonal issues, including elevated prolactin levels, can affect sexual function even if semen quality is normal.
• Medications like dopamine agonists (e.g., Cabgolin) or others may influence sexual response and energy levels.

🏥 What You Should Do

• Consult a urologist or an endocrinologist to evaluate hormonal levels and review any medications you are taking.
• Consider a psychological assessment if stress or anxiety is suspected.
• Lifestyle changes such as regular exercise, balanced diet, and stress management can help improve overall sexual health.

⚠️ When to Seek Urgent Care

• If you experience severe weakness, chest pain, or sudden vision changes during intercourse, seek immediate medical attention.

If you want, I can explain how specific supplements or treatments might support sexual health. Consulting a specialist doctor is important for personalized diagnosis and treatment.To narrow down potential causes, we will need some more information.I understand you're feeling weak during sex and sometimes can't ejaculate, even though your semen analysis is normal. To help me understand better, could you please share your age and gender?