Premature Ejaculation: Causes and Solutions for Men

Ejaculation issues

Hello doctor, previously my sexual experiences with my girlfriend were quite normal, but recently in the last two encounters, I don't know why, but shortly after penetration, I immediately felt the urge to ejaculate and did so, with the duration being much shorter than before.
Additionally, after ejaculation, my penis remained erect and did not deflate, and when I tried again, I ejaculated quickly once more.
Could you please tell me what kind of issue this might be? My erectile function seems normal; I only feel there is a problem with ejaculation.
Furthermore, recently my penis has been experiencing intermittent itching, and I'm not sure if this is related.
On average, I masturbate once every two days and do not have an exercise routine.

A Ji, 20~29 year old female. Ask Date: 2020/12/23

Dr. Xu Wencang reply Urology

Further observation.

Reply Date: 2020/12/23

More Info

Premature ejaculation (PE) is a common sexual dysfunction that affects many men at some point in their lives. It is characterized by the inability to control ejaculation, leading to ejaculation occurring sooner than desired during sexual activity. This can result in distress for both partners and can affect the overall sexual experience. Understanding the causes and potential solutions for PE is crucial for addressing this issue effectively.

Causes of Premature Ejaculation
1. Psychological Factors: Anxiety, stress, and relationship issues can significantly impact sexual performance. If a man is worried about his sexual abilities or is under pressure to perform, it can lead to premature ejaculation. In your case, the recent changes in your sexual performance could be linked to psychological factors, especially if you are feeling anxious about the situation.

2. Biological Factors: Hormonal imbalances, neurotransmitter levels, and certain medical conditions can contribute to PE. For instance, conditions like hyperthyroidism or prostatitis may affect ejaculation timing. The itching sensation you mentioned could be related to a skin condition or an infection, which might also influence your sexual function.

3. Lifestyle Factors: Lack of physical activity, excessive alcohol consumption, and smoking can negatively impact sexual health. Since you mentioned not having a regular exercise routine, incorporating physical activity could improve your overall health and potentially help with sexual function.

Solutions for Premature Ejaculation
1. Behavioral Techniques: Techniques such as the "stop-start" method or the "squeeze" technique can help you gain better control over ejaculation. The stop-start method involves pausing sexual stimulation before ejaculation, while the squeeze technique involves squeezing the base of the penis to reduce arousal.

2. Pelvic Floor Exercises: Strengthening the pelvic floor muscles through Kegel exercises can improve control over ejaculation. These exercises involve repeatedly contracting and relaxing the muscles used to stop urination.

3. Desensitizing Products: Over-the-counter creams or sprays that contain numbing agents can reduce sensitivity and help delay ejaculation. However, it is essential to use these products as directed and consult with a healthcare provider if you have concerns.

4. Counseling or Therapy: If psychological factors are contributing to your PE, speaking with a therapist or counselor can be beneficial. Cognitive-behavioral therapy (CBT) can help address anxiety and improve sexual confidence.

5. Medication: In some cases, doctors may prescribe medications such as selective serotonin reuptake inhibitors (SSRIs) or topical anesthetics to help manage PE. It is crucial to consult with a healthcare provider to discuss the best options for your situation.

6. Lifestyle Changes: Incorporating regular exercise, maintaining a healthy diet, and reducing stress through relaxation techniques can improve overall sexual health. Engaging in physical activity can enhance blood flow and improve stamina, which may help with sexual performance.

Conclusion
Premature ejaculation is a manageable condition, and there are various strategies to help improve control over ejaculation. Since you mentioned that your erection function is normal, focusing on the psychological and behavioral aspects may yield positive results. Additionally, addressing any underlying issues, such as the itching sensation, is essential. It is advisable to consult with a healthcare provider, such as a urologist or a sexual health specialist, to discuss your symptoms in detail and explore appropriate treatment options tailored to your needs. Remember, open communication with your partner about your experiences can also foster understanding and support as you work through this issue together.

Similar Q&A

Effective Solutions for Managing Premature Ejaculation: A Comprehensive Guide

Hello Doctor, I have a problem with premature ejaculation. I previously consulted a doctor who suggested self-control techniques, and I also tried using antidepressants, but the results were not very satisfactory. I really want to find a fundamental solution to this frustrating i...

Dr. Lai Ronghao reply Urology
Hello: Generally, treatment focuses on medication and psychotherapy, along with attention to physical and mental well-being, balanced nutrition, and regular exercise. If you have any concerns, please visit the outpatient clinic for further examination and treatment. Thank you!

Understanding Premature Ejaculation: Causes and Lifestyle Solutions

Premature ejaculation refers to the condition where ejaculation occurs shortly after penetration. If this is the case, what are the treatment options? Besides consulting a doctor, are there lifestyle changes that can help improve this condition?

Dr. Lai Ronghao reply Urology
Hello: I'm not sure about your sexual experience, but it's best to have a check-up with a physician.

Understanding Premature Ejaculation: A Guide for Young Men

Hello, doctor. I am 24 years old, and during my first sexual experience, I ejaculated before penetration even occurred. At first, I thought it was just nerves since it was my first time, so I didn't pay much attention to it. However, I later noticed that during each sexual e...

Dr. Cai Bingkun reply Urology
Based on your medical history, you have a condition known as "penile cavernous venous leak," which is caused by abnormal venous reflux in the penile cavernous bodies. This leads to difficulty in maintaining an erection, as the arterial blood that fills the cavernous bod...

Understanding Premature Ejaculation: Causes and Solutions for Couples

Hello, doctor: I have a question. The day before yesterday, during intimacy with my husband, he ejaculated right at the moment of penetration after foreplay. Everything calmed down afterward, and my husband felt very disappointed. I feel sad for him. I want to take him on a vacat...

Dr. Lin Wenbin reply Obstetrics and Gynecology
Premature ejaculation is related to many factors and is not solely a medical condition, so it shouldn't be viewed too seriously. This way, your husband can feel more at ease. Sometimes, when the body is very tired, a husband may feel compelled to engage in sexual activity du...