Ejaculation Issues: From Grinding to Piston Techniques

The grinding machine can ejaculate, but the piston type turns into urination?

Since childhood, I have been masturbating with my penis pointing downwards, and I can ejaculate without an erection, which should be considered as nocturnal emissions, although the volume is not much.
Later, when I tried to have sex with my girlfriend, she helped me with oral stimulation and manual stimulation, and while there was some pleasurable sensation, I did not feel the urge to ejaculate.
When it came time for penetration, I became flaccid, so we were unable to proceed.
To change this situation, I tried using a piston-like motion for masturbation, but after about 2-3 minutes of up-and-down movement, I ended up just urinating, without any sensation of wanting to ejaculate...
By the way, I am certain it was urine...
What could be the situation? P.S.
I have had a circumcision.

Hu Sheng, 10~19 year old female. Ask Date: 2021/05/24

Dr. Fu Shizhang reply Urology

This situation may be related to a long-standing habit of masturbation.
It may take time to correct, and if there is no improvement after an extended period, it is advisable to seek consultation at a clinic.

Reply Date: 2021/05/24

More Info

Ejaculation issues can be complex and multifaceted, often involving both physiological and psychological factors. Based on your description, it seems that you have experienced a range of difficulties related to sexual arousal and ejaculation, which can be distressing and confusing. Let's break down your situation and explore potential reasons and solutions.

Firstly, it’s important to understand that the ability to achieve ejaculation is influenced by various factors, including hormonal levels, psychological state, and physical health. The fact that you have been able to ejaculate without an erection in the past suggests that you may have experienced a form of "dry orgasm" or retrograde ejaculation, where semen enters the bladder instead of exiting through the penis. This can occur for several reasons, including nerve damage, certain medications, or even anatomical variations.

The transition to experiencing difficulties during sexual activity with your girlfriend may indicate a psychological component. Performance anxiety, stress, or fear of failure can significantly impact sexual function. When you find yourself in a situation where you feel pressured to perform, it can lead to a loss of erection or an inability to ejaculate, even if there is physical stimulation involved. This is a common issue and can be addressed through various methods, including counseling or sex therapy, which can help alleviate anxiety and improve communication with your partner.

Regarding your experimentation with different techniques, such as the "piston" method, it’s essential to note that the sensation of ejaculation is not solely dependent on physical stimulation. The brain plays a crucial role in sexual arousal and orgasm. If you are not mentally engaged or if you are feeling anxious or distracted, it can hinder your ability to reach climax. The fact that you mentioned experiencing a sensation similar to urination instead of ejaculation could indicate that your body is confused about the signals it is receiving. This could be due to a lack of arousal or an inability to differentiate between the sensations of ejaculation and urination, especially if you are feeling anxious or pressured.

In terms of physical health, since you mentioned that you have undergone circumcision, it’s worth considering whether this has affected your sensitivity or sexual response. Some individuals report changes in sensation post-circumcision, which can influence sexual pleasure and the ability to ejaculate. If you suspect that this might be a factor, discussing it with a healthcare provider who specializes in sexual health could provide further insights.

To address your concerns, here are some suggestions:
1. Consult a Healthcare Professional: It may be beneficial to speak with a urologist or a sexual health specialist who can evaluate your situation more thoroughly. They can conduct tests to rule out any underlying medical conditions that may be contributing to your symptoms.

2. Explore Psychological Factors: Consider seeking therapy or counseling to address any anxiety or stress related to sexual performance. A therapist can help you develop coping strategies and improve your sexual confidence.

3. Communicate with Your Partner: Open communication with your girlfriend about your experiences and feelings can help reduce pressure and create a more relaxed environment for intimacy.

4. Experiment with Relaxation Techniques: Engaging in relaxation exercises, such as deep breathing or mindfulness, before sexual activity can help reduce anxiety and improve your overall experience.

5. Focus on Foreplay: Spending more time on foreplay and less on the goal of ejaculation can help you become more comfortable and relaxed, potentially leading to a more fulfilling sexual experience.

6. Avoid Self-Pressure: Try to shift your focus from the end goal of ejaculation to enjoying the sensations and intimacy of the moment. This can help alleviate performance anxiety.

In conclusion, your experiences with ejaculation issues are not uncommon, and they can often be addressed through a combination of medical evaluation, psychological support, and open communication with your partner. Taking proactive steps to understand and address these issues can lead to improved sexual health and satisfaction.

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