Varicose Veins and Premature Ejaculation: A Urology Perspective

Varicose veins and premature ejaculation?

Hello Doctor,
1.
I have noticed many purple, worm-like veins appearing on the top of my penis.
I suspect it might be varicose veins.
This phenomenon also occurs in the area when I retract the foreskin.
Is this a normal occurrence?
2.
During sexual intercourse, I often ejaculate after just a few thrusts.
I have visited a hospital, but the doctor determined it was due to a lack of sexual experience, suggesting that increasing frequency would gradually improve the situation and that it is not true premature ejaculation, so no specific treatment was provided.
However, after some time, I have not noticed any improvement.
I would like to know if I truly have a problem with premature ejaculation and how it can be treated.

A-Bao, 10~19 year old female. Ask Date: 2016/12/28

Dr. Xu Wencang reply Urology

It is likely that the blood vessels in the foreskin are more prominent; varicose veins are generally found in the spermatic cord, where there are venous plexuses.
If premature ejaculation continues to be a significant concern and affects your ability to satisfy your partner, you may seek medical consultation for pharmacological treatment.

Reply Date: 2016/12/28

More Info

Understanding the concerns regarding varicose veins and premature ejaculation requires a comprehensive approach, as both conditions can significantly impact a person's quality of life and self-esteem.
1. Varicose Veins on the Penis: The appearance of purple, worm-like veins on the penis can indeed be concerning. Varicose veins occur when veins become enlarged, dilated, and overfilled with blood. In the context of the penis, this condition is often referred to as "penile varicosities." While it is not uncommon for some men to notice prominent veins, especially during arousal or after physical activity, it is essential to differentiate between normal anatomical variations and pathological conditions.
If these veins are causing discomfort, pain, or any other symptoms, it would be advisable to consult a urologist. They can perform a physical examination and possibly recommend an ultrasound to assess blood flow and rule out any underlying vascular issues. In many cases, if the veins are not causing any symptoms, they may not require treatment. However, if they are associated with pain or other complications, treatment options may include lifestyle changes, compression therapy, or in some cases, surgical intervention.

2. Premature Ejaculation (PE): Regarding your concerns about premature ejaculation, it is essential to understand that this condition is characterized by ejaculation that occurs with minimal sexual stimulation, often before the individual wishes it to happen. The fact that your doctor attributed your experience to a lack of sexual experience is not uncommon, as many men may experience this during the early stages of sexual activity. However, if you feel that this issue persists and is affecting your sexual satisfaction or relationships, it may be beneficial to explore further options.

Treatment for premature ejaculation can include behavioral techniques, such as the "stop-start" method or the "squeeze" technique, which can help you gain better control over ejaculation. Additionally, certain medications, such as selective serotonin reuptake inhibitors (SSRIs), have been shown to delay ejaculation and may be prescribed by your doctor. Counseling or sex therapy can also be beneficial, especially if anxiety or psychological factors contribute to the condition.

In conclusion, both varicose veins and premature ejaculation are conditions that can be addressed with the right medical guidance. It is crucial to have open discussions with a healthcare provider who specializes in urology to receive a proper diagnosis and tailored treatment plan. Remember, seeking help is a positive step towards improving your sexual health and overall well-being.

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