Appearance and genital issues?
1.
I have small spots on the midsection of my foreskin.
What could this be? How did this happen? (Do I need to show you a photo?)
2.
Sometimes when I masturbate, my semen flows out.
Does this count as premature ejaculation?
3.
How can premature ejaculation be treated?
Mr. Lin, 10~19 year old female. Ask Date: 2021/04/14
Dr. Du Shixi reply Urology
Hello: 1) If it has not occurred in the past and has just appeared recently, it is advisable to seek medical attention, as a diagnosis cannot be made without an examination in this setting.
2) No.
3) Premature ejaculation can be treated with medication, but a diagnosis by a physician should be made first before starting any active treatment.
Wishing you good health.
Reply Date: 2021/04/14
More Info
When it comes to urological concerns, it's essential to understand the symptoms, potential causes, and available treatments. Let's address your questions one by one.
1. Bumps on the Shaft of the Penis: The presence of small bumps on the shaft of the penis can be concerning, but it's important to note that not all bumps are indicative of a serious condition. These bumps could be a variety of things, including pearly penile papules, which are harmless and common, or they could be related to conditions such as folliculitis, which is inflammation of the hair follicles. Other possibilities include genital warts or other infections. It is advisable to consult a healthcare professional for a proper diagnosis. If you feel comfortable, sharing a photo with your doctor can help them assess the situation more accurately.
2. Ejaculation Issues: If you notice that your semen flows out rather than being expelled forcefully, it may not necessarily indicate premature ejaculation (PE). PE is typically characterized by ejaculation that occurs sooner than desired during sexual activity, often with minimal stimulation. If you find that you are unable to control the timing of your ejaculation during sexual intercourse, then it may be worth discussing this with a healthcare provider. Factors such as anxiety, stress, or even certain medical conditions can contribute to these issues.
3. Treatment for Premature Ejaculation: If you are diagnosed with premature ejaculation, there are several treatment options available. These can include behavioral techniques, such as the "stop-start" method or the "squeeze" technique, which can help you gain better control over ejaculation. Additionally, certain topical anesthetics can be applied to reduce sensitivity, and some oral medications may also be prescribed to help delay ejaculation. Cognitive-behavioral therapy (CBT) can also be beneficial, especially if anxiety is a contributing factor.
In summary, if you are experiencing any unusual symptoms, such as bumps on the penis or concerns about ejaculation, it is crucial to seek medical advice. A healthcare professional can provide a thorough evaluation and recommend appropriate treatments based on your specific situation. Remember, open communication with your doctor about your symptoms and concerns is key to finding the right solution for your urological health.
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