What are some reasons why a guy doesn't orgasm during sex?

What would be some reasons guys don't cum during sex?
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  • Tired, stress, mood, on meds, alcohol, desensitized, just masturbated or already had a round of sex, or sex hurts not wet enough?

  • Tired, stress, lack of sleep, illness etc.

  • Too much sex. Or just too tired. Or Retrograde ejaculation. Or finish him with blowjob.

  • He whacks off too much