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你好，根据您现在所描述的这种情况，多考虑为阴茎海绵体和神经而出现的这种性生活质量的下降。建议您到专您好，有可能是性生活前憋尿性生活时候刺激不够导致的不射精，还有可能是心理问题，但是也不排除有生殖系您好，根据您的描述，您是肾虚导致的，
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