What to do if i have difficulty ejaculating, especially during sex, what can i do?

Practice: If often takes time for a couple to get used to each other. If you are one some medication such as one of the new antidepressants, ask whether you can skip a dose. You and your partner may need to find ways to stimulate you hard and fast enough to make things happen. Ask your physician whether a trial of yohimbine is right for you. It's likely your physician has a bunch more good ideas.