Delayed Ejaculation: When to Seek Medical Advice

Ejaculation occurs during the second time?

Hello doctor, in the past few months of masturbation, I've noticed that during the first time, after about 2-3 minutes, I feel the sensation of ejaculation (the penis twitches about twice but no semen is released).
When I immediately proceed to the second time, it takes about 3-5 minutes before I actually ejaculate.
Should I seek medical evaluation for this?

Niming, 30~39 year old female. Ask Date: 2021/03/25

Dr. Chen Jiansheng reply Urology

It is recommended to continue monitoring.

Reply Date: 2021/03/25

More Info

Delayed ejaculation can be a concerning issue for many individuals, and understanding when to seek medical advice is crucial for addressing any underlying problems. In your case, experiencing a delay in ejaculation during masturbation, where you feel the sensation of ejaculation but do not release semen initially, followed by a delayed release in subsequent attempts, is something that warrants attention.

Firstly, it is important to recognize that ejaculation is a complex physiological process involving the nervous system, hormonal balance, and psychological factors. Delayed ejaculation can occur for various reasons, including anxiety, stress, certain medications, or underlying medical conditions such as diabetes or neurological disorders. If this is a new development for you, it may be related to psychological factors, especially if you have been experiencing stress or anxiety related to sexual performance.

In your situation, since you mentioned that this has been happening for a few months, it may be beneficial to consult a healthcare professional. Here are some reasons why seeking medical advice could be important:
1. Rule Out Underlying Conditions: A healthcare provider can help determine if there are any underlying medical issues contributing to your delayed ejaculation. Conditions such as diabetes, multiple sclerosis, or hormonal imbalances can affect sexual function.

2. Medication Review: If you are taking any medications, particularly antidepressants or medications for high blood pressure, these can sometimes have side effects that impact sexual performance, including delayed ejaculation. A doctor can review your medications and suggest alternatives if necessary.

3. Psychological Factors: If anxiety or stress is a contributing factor, a healthcare provider can recommend counseling or therapy to help address these issues. Sometimes, sexual performance anxiety can create a cycle of stress that exacerbates the problem.

4. Sexual Health Education: Consulting a healthcare professional can provide you with valuable information about sexual health and function. They can offer guidance on techniques or practices that may help improve your experience.

5. Personalized Treatment Options: If necessary, a healthcare provider can discuss treatment options tailored to your specific situation, which may include therapy, medication adjustments, or lifestyle changes.

In general, if you have been experiencing this issue consistently for several months and it is causing you distress or affecting your sexual relationships, it is advisable to seek medical advice. A healthcare professional can provide a thorough evaluation and help you understand your symptoms better, leading to appropriate management strategies.

In conclusion, while occasional variations in ejaculation timing can be normal, persistent issues warrant a closer look. Seeking medical advice can help you address any potential concerns and improve your sexual health and overall well-being. Remember, sexual health is an important aspect of overall health, and there is no shame in seeking help when needed.

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