Urge to Urinate During Oral Sex: Causes and Solutions

Q: Urge to Urinate During Oral Sex: Causes and Solutions

Hello： 1) Not everyone experiences urination difficulties; it may improve after circumcision, but if it has become a habit, it may not change. <br>2) Medical treatment may be necessary, as some habits related to masturbation can lead to ejaculation disorders during sexual interco

Experiencing urination during oral sex?

When my girlfriend performs oral sex on me, I feel the urge to urinate when she licks or sucks on the glans.
If she doesn't stop, I might end up urinating (while erect), and afterward, my penis becomes flaccid.
However, with further stimulation, I can achieve an erection again.
Sometimes during intercourse, I feel the need to urinate, so I go to the bathroom and then continue with sexual activity.
However, it usually takes a long time (about 25 minutes) to ejaculate, and I find it easier to ejaculate without a condom.
When using a condom, I often have to resort to DIY methods to achieve ejaculation, and sometimes I can't ejaculate at all and become flaccid.
I engage in sexual activity about 1-2 times a month, and my DIY frequency is also about 1-2 times a week.
My libido is not very strong, and I don't often feel a particular desire.

Doctor, I have the following questions:
1.
Is it normal to urinate when the glans is stimulated during an erection? Is this due to hypersensitivity of the glans, and would circumcision help improve this?
2.
What methods can be used to address the difficulty in ejaculating during intercourse?
3.
I am very concerned that I might have low testosterone levels, which could be causing my low libido.

peter, 20~29 year old female. Ask Date: 2020/04/03

Dr. Du Shixi reply Urology

Hello: 1) Not everyone experiences urination difficulties; it may improve after circumcision, but if it has become a habit, it may not change.
2) Medical treatment may be necessary, as some habits related to masturbation can lead to ejaculation disorders during sexual intercourse.
3) A blood test can determine if there is a deficiency in male hormones.
Wishing you good health.

Reply Date: 2020/04/03

More Info

The urge to urinate during oral sex, particularly when stimulating the glans (the head of the penis), can be a perplexing experience for many men. This sensation can be attributed to several physiological factors, and understanding these can help alleviate concerns and improve sexual experiences.

1. Normalcy of Urge to Urinate During Stimulation: It is not uncommon for men to feel an urge to urinate when their glans is stimulated. The glans is rich in nerve endings and is highly sensitive, which can sometimes lead to sensations that mimic the urge to urinate. This is particularly true if the stimulation is vigorous or prolonged. The sensation may also be exacerbated by anxiety or excitement during sexual activity, which can heighten awareness of bodily sensations.
If you find that this urge is overwhelming or leads to involuntary urination, it may be worth discussing with a healthcare provider. In some cases, sensitivity of the glans can be managed through desensitization techniques or, as you mentioned, circumcision may help reduce sensitivity and improve comfort during sexual activities. However, this is a personal decision that should be made after careful consideration and consultation with a urologist.

2. Difficulty Achieving Ejaculation: The challenge of achieving ejaculation during penetrative sex, especially when using condoms, can be frustrating. Several factors can contribute to this issue, including psychological factors (such as anxiety or performance pressure), physical factors (like sensitivity or lack of stimulation), and even the type of lubricant used with condoms.
To improve this situation, consider the following strategies:
- Experiment with Different Condoms: Some condoms are designed to enhance sensitivity or are thinner, which may help you feel more stimulation.
- Use Lubrication: Adequate lubrication can enhance pleasure and reduce friction, making it easier to achieve ejaculation.

- Focus on Foreplay: Engaging in extended foreplay can help increase arousal and make it easier to reach orgasm during intercourse.

- Mindfulness Techniques: Practicing mindfulness or relaxation techniques can help reduce anxiety and improve sexual performance.

3. Concerns About Testosterone Levels: Low libido can be a concern for many men, and while it is possible that low testosterone levels could contribute to decreased sexual desire, it is essential to consider other factors as well. Stress, anxiety, relationship dynamics, and overall health can significantly impact libido.
If you are concerned about your testosterone levels, it may be beneficial to consult with a healthcare provider. They can perform blood tests to assess hormone levels and discuss potential treatments if necessary. Lifestyle factors such as diet, exercise, and sleep also play a crucial role in hormone regulation and overall sexual health.

In summary, the urge to urinate during oral sex can be a normal response to stimulation of the glans, and while it can be managed through various means, it is essential to communicate openly with your partner and seek medical advice if the sensations are distressing. Additionally, addressing issues related to ejaculation and libido may require a multifaceted approach, including lifestyle changes, communication, and possibly medical intervention. Always prioritize your comfort and well-being in sexual experiences, and don't hesitate to seek professional guidance when needed.

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