Excessive Masturbation: Urinary Issues and Erectile Concerns

Excessive masturbation

Hello Doctor: 1.
I used to masturbate once a day, which has led to occasional urinary urgency, but I have difficulty urinating, and I find myself going to the bathroom frequently at night.
How can I improve this? 2.
During masturbation, my penis does not become very hard, and I ejaculate quickly (in about 10 seconds).
Is this considered erectile dysfunction? 3.
Additionally, when I see women wearing revealing or scantily clad outfits, I become aroused and experience a discharge of sticky fluid.
How can I address this?

Niming, 30~39 year old female. Ask Date: 2021/01/13

Dr. Cai Zhuorong reply Urology

Sometimes there is a feeling of urgency to urinate, but it is difficult to do so, or there may be frequent trips to the bathroom at night, which may not necessarily be related to masturbation.
It is advisable to consult a urologist for examination.
The erections are not very firm, and ejaculation occurs quickly (around 10 seconds), which raises concerns about erectile dysfunction and premature ejaculation.
The presence of a sticky fluid after erection is not necessarily a problem; if the amount is small, it is considered a normal response.

Reply Date: 2021/01/13

More Info

Excessive masturbation can lead to various urinary and erectile concerns, and it's important to address these issues with a comprehensive understanding of the underlying physiological and psychological factors involved.

1. Urinary Issues: The experience of having a frequent urge to urinate or difficulty urinating can be related to several factors, including overactive bladder syndrome, anxiety, or even pelvic floor dysfunction. If you find yourself needing to urinate frequently, especially at night (a condition known as nocturia), it may be beneficial to evaluate your fluid intake, particularly before bedtime. Reducing caffeine and alcohol consumption can also help, as both substances can irritate the bladder. Additionally, practicing pelvic floor exercises, such as Kegel exercises, can strengthen the muscles involved in urination and improve bladder control.

2. Erectile Concerns: The situation you described, where the penis does not achieve a firm erection and ejaculation occurs quickly, could be indicative of erectile dysfunction (ED) or premature ejaculation (PE). It's important to note that occasional difficulties with erection or ejaculation can happen to anyone and may not necessarily indicate a chronic issue. However, if this is a persistent problem, it may be beneficial to consult with a healthcare provider. They can assess for underlying conditions such as hormonal imbalances, psychological factors (like anxiety or stress), or other medical issues that could be contributing to these symptoms. Treatment options may include counseling, lifestyle changes, or medications.

3. Involuntary Arousal: The response of becoming aroused when seeing scantily clad individuals is a normal physiological reaction. However, if this leads to discomfort or unwanted situations, it may be helpful to explore techniques for managing arousal. Mindfulness and cognitive behavioral strategies can assist in redirecting thoughts and managing arousal responses. Engaging in physical activity or focusing on hobbies can also serve as effective distractions.

In summary, while excessive masturbation can lead to certain urinary and erectile issues, many of these concerns can be addressed through lifestyle modifications, pelvic floor exercises, and professional guidance. If symptoms persist or worsen, seeking help from a healthcare provider specializing in urology or sexual health is advisable. They can provide tailored advice and treatment options based on your specific situation. Remember, open communication with a healthcare professional can help alleviate concerns and lead to effective management of these issues.

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