Premature Ejaculation and Foreskin Issues: Solutions Without Medication

Q: Premature Ejaculation and Foreskin Issues: Solutions Without Medication

Hello： This is about habit formation, similar to training; it gets faster over time, but it may take a while, and personal factors may play a significant role. <br>The doctor may not be able to help you much. <br>I suggest you exercise to divert your attention. <br>When engaging

Premature ejaculation and foreskin issues?

I started masturbating in sixth grade, and by high school, I noticed that the duration of my masturbation sessions became shorter, now lasting less than a minute before ejaculation.
I want to control it, but I can't.
Since I didn't have my own room growing up, I was always afraid of being discovered, which led to this quick release.
Now, I'm afraid of dating girls.
Are there any treatment methods or exercises that don't involve medication or topical treatments? I live in Taoyuan; do you have any recommendations for doctors I can consult or get checked by? I really hope to avoid medication.
Also, my foreskin is quite long, and it doesn't retract much when erect.
Pushing it down during an erection is painful.
Do I need a circumcision?

Kou Kou, 20~29 year old female. Ask Date: 2017/01/28

Dr. Du Shixi reply Urology

Hello: This is about habit formation, similar to training; it gets faster over time, but it may take a while, and personal factors may play a significant role.
The doctor may not be able to help you much.
I suggest you exercise to divert your attention.
When engaging in DIY activities, ensure you are in a private and safe environment, and take your time.
Building confidence is more important initially (remember not to take over-the-counter medications indiscriminately).
Regarding the foreskin, I recommend that you consult a urologist at the hospital during a longer holiday to see if surgery is necessary, as the recovery period is typically 3-7 days.
Having time off will make it easier to arrange.
(Before the surgery, be sure to discuss the issue of premature ejaculation with the doctor.) Thank you for your inquiry.

Reply Date: 2017/01/28

More Info

Premature ejaculation (PE) is a common concern among men, and it can significantly affect self-esteem and relationships. Your experience of experiencing rapid ejaculation, especially since it has been a concern since your early teenage years, is not uncommon. Many men face similar issues, and it's important to understand that there are various strategies to manage this condition without necessarily resorting to medication.

Firstly, it’s essential to recognize that anxiety and stress can exacerbate premature ejaculation. The fear of being discovered while masturbating, as you mentioned, could contribute to performance anxiety, which may lead to quicker ejaculation. One of the most effective non-medication strategies is to practice relaxation techniques. Mindfulness and deep breathing exercises can help reduce anxiety and improve your control over ejaculation.

Another approach is behavioral techniques, such as the "stop-start" method or the "squeeze" technique. The stop-start method involves stimulating the penis until you feel close to ejaculation, then stopping until the urge decreases. This can help you learn to control your arousal levels better. The squeeze technique involves squeezing the base of the penis when you feel close to ejaculation, which can help delay it. Regular practice of these techniques can lead to improved control over time.

Kegel exercises, which strengthen the pelvic floor muscles, can also be beneficial. These exercises involve repeatedly contracting and relaxing the muscles that you would use to stop urination. Strengthening these muscles can enhance control over ejaculation and improve sexual performance.

Regarding your concern about the length of your foreskin, it is important to consult a healthcare professional. If the foreskin is too long and causes pain during an erection or interferes with sexual activity, a procedure called circumcision may be recommended. However, this is a decision that should be made in consultation with a urologist or a healthcare provider who specializes in male sexual health. They can assess your situation and provide personalized recommendations based on your specific needs.

In terms of finding a doctor in Taoyuan, you may want to look for a urologist or a sexual health specialist. They can provide a thorough examination and discuss your concerns in a confidential and supportive environment. It’s important to choose a healthcare provider you feel comfortable with, as discussing sexual health can be sensitive.

In summary, while medication can be an option for managing premature ejaculation, there are several effective non-medication strategies you can explore. Behavioral techniques, relaxation exercises, and pelvic floor strengthening can all contribute to improved control. Additionally, addressing any concerns about your foreskin with a qualified healthcare professional is crucial for your overall sexual health. Remember, you are not alone in this, and seeking help is a positive step towards finding a solution.

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