### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
hi plz could you help me, my husband is experiencing some difficulty with ejaculation , he had testicular cancer back in 2007 an only has 1 testicle now, but as he comes to climax he says it feels like his sperms hitting a brick wall, this makes him very light headed an sick, its affecting our sex life as is drive is no where near how it used to be which was high, at first i thought it was me and he d been playing away from home and got an sti but now i now its becoming a problem, he s never had this problem before this is a recent problem is there anything he can take to help boost is sex life an help with the ejaculation many thanks michelle

### output:

Hi... Thanks for your query. Can you tell me, whether your husband is able to achieve adequate erection for a successful vaginal penetration? How long does it usually takes before he ejaculates? Is he currently on any medications? Do you both as couple engage in foreplay before actual intercourse & what form? Based on information you provided, I can conclude that, due to some yet untold problem or just by chance, your husband might have had 1-2 instances of erectile failure or premature ejaculation prior to reaching climax/orgasm. These instances are fairly normal, are common & can happen with any couple. But because of his status of a testicular cancer survivor; these instances might have caused stress/pressure on him with subsequent assumption of spectator role where rather than enjoying sex; he is unconsciously more preoccupied with how he is performing etc. & hence getting these symptoms. You (both as couple) should get yourself evaluated by a Urologist followed by a Psychiatrist for management of this issue. Good Luck