the Effects of Delayed Ejaculation in Men - Urology

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Refraining from ejaculation?


If I hold back during ejaculation while masturbating and some semen still comes out, what happens when I try to hold it in? I don't do this often.

Xiao Hei, 10~19 year old female. Ask Date: 2018/10/10

Dr. Du Shixi reply Urology


Hello: Holding back during ejaculation may lead to issues; I personally do not recommend it.
Some individuals may experience long-term difficulties with ejaculation.
Wishing you good health.

Reply Date: 2018/10/10

More Info


Delayed ejaculation is a condition where a man has difficulty achieving ejaculation during sexual activity, including masturbation. This can be a source of concern for many men, as it may affect sexual satisfaction and intimacy with partners. Understanding the effects of delayed ejaculation requires a multifaceted approach, considering both the physiological and psychological aspects involved.

When a man attempts to hold back ejaculation, it can lead to several outcomes. Physically, the body may still release some semen, even if the man is trying to prevent it. This is often referred to as "premature release" or "leakage." This can occur due to the body's natural reflexes and the buildup of pressure in the reproductive system. The act of trying to hold back ejaculation can also lead to discomfort or a feeling of fullness in the pelvic area, which may be accompanied by a sense of urgency to ejaculate.

From a psychological perspective, the attempt to control ejaculation can create anxiety or stress. Men may worry about their sexual performance or feel pressure to meet certain expectations, which can further complicate the experience. This anxiety can lead to a cycle of performance issues, where the fear of not being able to ejaculate becomes a self-fulfilling prophecy. In some cases, this can contribute to feelings of inadequacy or low self-esteem, particularly if the individual feels that they are not meeting societal or personal standards for sexual performance.

It's also important to note that delayed ejaculation can be influenced by various factors, including hormonal imbalances, neurological conditions, psychological issues (such as anxiety or depression), and certain medications (like antidepressants). If a man experiences persistent difficulties with ejaculation, it may be beneficial to consult a healthcare professional for a thorough evaluation. They can help identify any underlying causes and recommend appropriate treatment options.

In terms of treatment, approaches can vary based on the underlying cause. For psychological factors, therapy or counseling may be beneficial. Cognitive-behavioral therapy (CBT) can help address anxiety related to sexual performance and improve overall sexual function. For men whose delayed ejaculation is linked to medication, a healthcare provider may adjust the dosage or switch to a different medication.

Lifestyle changes can also play a significant role in improving sexual health. Regular exercise, a balanced diet, and stress management techniques (such as mindfulness or relaxation exercises) can enhance overall well-being and potentially improve sexual function. Additionally, open communication with partners about sexual preferences and concerns can foster a more supportive and understanding environment, reducing performance anxiety.

In conclusion, while the experience of delayed ejaculation can be frustrating and concerning, it is essential to approach the issue holistically. Understanding the physical and psychological components, seeking professional guidance, and making lifestyle adjustments can help men navigate this condition effectively. If you have further concerns or specific symptoms, it is advisable to consult a healthcare professional for personalized advice and treatment options.

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