Daily Ejaculation Concerns: When to See a Urologist? - Urology

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I have the urge to ejaculate every day?


I have been masturbating since I was in sixth grade, and I do it at least once a day.
Recently, I noticed that I have difficulty maintaining an erection when I'm with my girlfriend.
I often have spontaneous erections, and I experience pre-ejaculation when I get excited.
Sometimes, I also have dribbling when I urinate.
My ejaculation is not as forceful as it used to be; now it just flows out.
Should I see a doctor about this? Are there any specialists I can consult if I want to quit masturbating?

Gai, 20~29 year old female. Ask Date: 2017/08/31

Dr. Liu Mingyue reply Urology


Please consult a urologist for diagnosis and treatment.

Reply Date: 2017/08/31

More Info


It's understandable to have concerns about sexual health, especially when experiencing changes in sexual function or ejaculation. Based on your description, it seems you are facing several issues, including erectile difficulties, changes in ejaculation, and potential urinary incontinence. Here’s a comprehensive overview of your situation and when you should consider seeing a urologist.


When to See a Urologist
1. Erectile Dysfunction (ED): If you are experiencing difficulty maintaining an erection during sexual activity, it is essential to consult a urologist. ED can be caused by various factors, including psychological issues, hormonal imbalances, or physical conditions such as diabetes or cardiovascular disease. A urologist can help identify the underlying cause and recommend appropriate treatments.

2. Changes in Ejaculation: You mentioned that your ejaculation has changed, becoming less forceful and more of a dribble rather than a stream. This could be related to several factors, including the frequency of ejaculation, potential side effects from medications, or underlying health issues. A urologist can evaluate your symptoms and determine if they are related to a medical condition or if they are simply a result of frequent ejaculation.

3. Urinary Issues: If you are experiencing urinary incontinence, such as dripping after urination, this is another reason to seek medical advice. Urinary incontinence can result from various causes, including pelvic floor dysfunction, prostate issues, or neurological conditions. A urologist can perform tests to diagnose the cause and suggest treatment options.

4. Psychological Concerns: If you feel that your masturbation habits are affecting your sexual performance or causing distress, it might be beneficial to speak with a mental health professional or a urologist who specializes in sexual health. They can provide guidance on managing compulsive behaviors and improving your sexual health.


Additional Considerations
- Frequency of Ejaculation: While masturbation is a normal activity, excessive frequency can sometimes lead to temporary changes in sexual function. If you are concerned about your habits, consider moderating your frequency and observing any changes in your sexual health.

- Lifestyle Factors: Factors such as stress, anxiety, and lifestyle choices (diet, exercise, substance use) can significantly impact sexual health. Addressing these areas can often lead to improvements in sexual function.

- Communication with Partner: Open communication with your partner about your concerns can also alleviate some anxiety and improve your sexual experiences. It’s important to create a supportive environment where both partners feel comfortable discussing their needs and concerns.


Conclusion
In summary, it is advisable to see a urologist if you are experiencing persistent issues with erectile function, changes in ejaculation, or urinary problems. They can provide a thorough evaluation and recommend appropriate treatments tailored to your specific needs. Additionally, if you feel that your masturbation habits are problematic, seeking guidance from a healthcare professional can help you navigate these concerns effectively. Remember, sexual health is an important aspect of overall well-being, and addressing these issues early can lead to better outcomes.

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