Does Frequent Masturbation Cause Premature Ejaculation? - Urology

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The issue of premature ejaculation?


Hello, doctor.
I usually have a habit of masturbating almost once a day.
Could this excessive masturbation be the reason why I can't last long during intercourse with my girlfriend? Often, I can't last more than three minutes.
Sometimes I can hold on, but other times I ejaculate quickly.
Does masturbation affect premature ejaculation?

Zhu Li Ya, 20~29 year old female. Ask Date: 2016/05/09

Dr. Fu Shizhang reply Urology


It is indeed possible that there may be an impact.
It is recommended to reduce the frequency and observe.
If premature ejaculation persists, it is advisable to consult a clinic.

Reply Date: 2016/05/09

More Info


Frequent masturbation is a common concern among many individuals, particularly when it comes to its potential effects on sexual performance, including premature ejaculation (PE). While there is no definitive scientific consensus that directly links frequent masturbation to premature ejaculation, several factors can contribute to the experience of PE, and understanding these can help clarify the situation.

Firstly, it is essential to differentiate between normal sexual function and what is considered premature ejaculation. PE is typically defined as ejaculation that occurs with minimal sexual stimulation, often within one minute of penetration, and is perceived as a problem by the individual or their partner. It can be influenced by a variety of factors, including psychological, physiological, and relational aspects.

1. Psychological Factors: Anxiety and stress are significant contributors to premature ejaculation. If you find yourself anxious about sexual performance, this can create a cycle where the fear of not lasting long enough leads to increased anxiety, which in turn can cause premature ejaculation. Frequent masturbation might lead to a conditioning effect where the body becomes accustomed to a quicker release, especially if the act is done in a rushed or secretive manner.

2. Physiological Factors: Frequent masturbation can lead to a heightened sensitivity during sexual activity. If you are used to the quick release associated with masturbation, this might translate into a similar response during intercourse, making it difficult to control ejaculation. Additionally, the physical sensations experienced during masturbation can differ from those during penetrative sex, potentially leading to a mismatch in arousal levels and control.

3. Desensitization: On the flip side, some individuals may experience a form of desensitization due to frequent masturbation, which could lead to difficulties in achieving orgasm during partnered sex. However, this is less common and varies significantly from person to person.

4. Relationship Dynamics: The dynamics of your relationship with your partner can also play a role. If there is pressure to perform or if you feel that your partner has certain expectations, this can exacerbate anxiety and lead to premature ejaculation. Open communication with your partner about sexual preferences and concerns can help alleviate some of this pressure.

5. Physical Health: It's also important to consider overall physical health, including hormonal levels, prostate health, and any underlying medical conditions that could affect sexual function. If you have concerns about your sexual health, consulting with a healthcare provider can provide personalized insights and recommendations.

In conclusion, while frequent masturbation may not directly cause premature ejaculation, it can contribute to the psychological and physiological factors that influence sexual performance. If you find that this is a persistent issue, consider discussing it with a healthcare professional who can provide guidance tailored to your specific situation. They may suggest behavioral techniques, such as the "stop-start" method or pelvic floor exercises, which can help improve control over ejaculation. Additionally, addressing any underlying anxiety or stress through counseling or therapy can also be beneficial. Remember, sexual health is an important aspect of overall well-being, and seeking help is a positive step towards improvement.

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