Overcoming Ejaculation Issues: Can Unusual Masturbation Techniques Affect Climax? - Urology

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Inability to achieve orgasm through normal masturbation techniques?


Hello, doctor.
I would like to ask what to do if long-term abnormal masturbation has led to an inability to achieve orgasm through manual stimulation.
The abnormal method refers to squeezing the penis between the thighs for masturbation.
While this method usually allows for orgasm, manual stimulation does not seem to work.
Is there a way to correct this? Would circumcision help in achieving orgasm? (I have phimosis and plan to get circumcised during the summer.) Is this considered a type of sexual dysfunction? I am worried about being ridiculed in the future.

Jun, 10~19 year old female. Ask Date: 2017/05/05

Dr. Xu Wencang reply Urology


Outpatient consultation with a detailed assessment by the physician.

Reply Date: 2017/05/05

More Info


When it comes to ejaculation issues and the impact of unusual masturbation techniques on climax, it's important to understand the physiological and psychological aspects involved. The practice of masturbation is common, and individuals often develop personal techniques that may or may not align with conventional methods. In your case, using a method that involves squeezing the penis between your legs may create a unique sensory experience that differs significantly from manual stimulation. This can lead to a situation where your body becomes conditioned to respond only to that specific form of stimulation, making it challenging to achieve climax through other methods, such as hand stimulation.

This phenomenon is not uncommon and can be categorized under a form of sexual dysfunction known as "orgasmic disorder," where an individual has difficulty reaching orgasm despite adequate sexual stimulation. The brain plays a crucial role in sexual arousal and climax, and if a specific technique becomes the primary source of pleasure, it can create a dependency that makes it harder to achieve orgasm through other means.
To address this issue, consider the following strategies:
1. Gradual Reconditioning: Start by incorporating hand stimulation into your routine more frequently. Begin with a gentle touch and gradually increase the intensity as you become more comfortable. This can help retrain your body to respond to different forms of stimulation.

2. Mindfulness and Relaxation Techniques: Anxiety and stress can significantly impact sexual performance and pleasure. Practicing mindfulness or relaxation techniques can help reduce performance anxiety and allow you to focus on the sensations rather than the outcome.

3. Variety in Stimulation: Experiment with different techniques and sensations. This could include varying the speed, pressure, or even using lubrication to enhance the experience. The goal is to explore what feels pleasurable without relying solely on the technique that has conditioned your response.

4. Consult a Professional: If these strategies do not yield results, consider speaking with a healthcare provider or a sex therapist. They can provide tailored advice and support, helping you navigate any underlying issues that may be contributing to your difficulties.

Regarding your question about circumcision, while some individuals report enhanced sensitivity and improved sexual experiences post-circumcision, the evidence is mixed. Circumcision may help with certain physical issues related to the foreskin, such as phimosis (tight foreskin), but it is not a guaranteed solution for orgasmic difficulties. It’s essential to discuss this with a urologist or a healthcare provider who specializes in sexual health to understand the potential benefits and risks.

Lastly, it’s important to remember that sexual function varies greatly among individuals, and experiencing difficulties does not define your worth or masculinity. Open communication with partners and seeking professional advice can help alleviate concerns about being judged or ridiculed. Emphasizing a healthy attitude towards sexuality and understanding that many people face similar challenges can foster a more positive outlook on your sexual health journey.

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