Can masturbation cause premature ejaculation, and can quitting it improve the condition?
Long-term masturbation has led to premature ejaculation.
Previously, I could last 20 to 30 minutes, but now I feel the urge to ejaculate in less than 5 minutes during masturbation due to sensitivity in the glans.
Is this due to increased sensitivity of the glans? Do I need surgical intervention to cut the nerves, or can I improve my premature ejaculation by quitting masturbation and exercising more?
Nìngmíng, 20~29 year old female. Ask Date: 2017/01/01
Dr. Sun Hongshun reply Urology
Hello: Masturbation is a habit, and it is not easy to break a long-standing habit.
It is recommended that you discover other interests, focus on a light diet (reducing the intake of fatty meats and organ meats), and engage in more physical activity.
If you still have questions, please consult a urologist.
Wishing you good health.
Reply Date: 2017/01/01
More Info
Premature ejaculation (PE) is a common sexual dysfunction that affects many men. It is characterized by a lack of control over ejaculation, leading to ejaculation occurring sooner than desired during sexual activity. The question of whether quitting masturbation can help improve premature ejaculation is multifaceted and requires a nuanced understanding of both physiological and psychological factors.
Firstly, it is important to recognize that masturbation itself is a normal sexual activity and does not inherently cause premature ejaculation. However, excessive or compulsive masturbation can lead to changes in sexual response, including increased sensitivity of the glans penis (the head of the penis). This heightened sensitivity may contribute to a quicker ejaculation during sexual intercourse, as the body may become conditioned to respond rapidly to stimulation.
In your case, you mentioned that you previously could last 20-30 minutes but now find that you ejaculate within 5 minutes of masturbation. This change could be due to several factors, including increased sensitivity, psychological conditioning, or even anxiety related to performance. It is also possible that the frequency of masturbation has led to a form of desensitization, where the body becomes accustomed to rapid ejaculation during solo sexual activities.
Quitting masturbation may help some individuals regain control over their ejaculatory response. By abstaining, you may reduce the frequency of stimulation to the glans, potentially allowing for a decrease in sensitivity over time. Additionally, this break can help reset your sexual response, allowing you to approach sexual activity with a fresh perspective. However, it is essential to note that the results can vary from person to person, and some may not experience significant improvement.
In addition to quitting masturbation, incorporating other strategies may also be beneficial. Engaging in regular physical exercise can improve overall health, reduce anxiety, and enhance sexual performance. Pelvic floor exercises, such as Kegel exercises, can strengthen the muscles involved in ejaculation control. These exercises can help you gain better control over your pelvic muscles, potentially leading to improved ejaculatory control.
Moreover, psychological factors play a significant role in premature ejaculation. Anxiety, stress, and performance pressure can exacerbate the condition. Therefore, addressing any underlying psychological issues through therapy or counseling may be beneficial. Cognitive-behavioral therapy (CBT) has been shown to be effective in treating PE by helping individuals manage anxiety and develop coping strategies.
If you find that these self-help strategies do not lead to improvement, it may be worthwhile to consult a healthcare professional. They can provide a comprehensive evaluation and discuss potential treatment options, which may include behavioral techniques, topical anesthetics to reduce sensitivity, or medications that can help delay ejaculation.
In summary, quitting masturbation may help some individuals improve premature ejaculation by reducing sensitivity and allowing for a reset of sexual response. However, it is essential to consider a holistic approach that includes physical exercise, pelvic floor training, and addressing psychological factors. If symptoms persist, seeking professional guidance can provide additional support and treatment options tailored to your specific needs.
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