Quick Ejaculation and Erection Issues: Causes and Solutions - Urology

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Experiencing rapid ejaculation and insufficient hardness during masturbation?


I have a habit of masturbating quite frequently (every two to three days), and at my age, I’m unsure if this frequency is too high.
In the past, my average masturbation duration from being flaccid to ejaculation was about 15-20 minutes.
Recently, I feel like I’m only stimulating my penis for a few moments before ejaculating quickly, sometimes in less than five minutes, and my erection isn’t fully firm.
I’m concerned that if this situation continues, it might affect my sexual performance during intercourse as well.

A while ago, out of curiosity, I purchased a masturbation sleeve (along with lubricant) and I wonder if this could be a reason for my recent quick ejaculation.
Would it be more beneficial to masturbate without any aids? Additionally, are there any methods to prolong the duration of masturbation? Are there different techniques for masturbation?
Furthermore, if I’m experiencing insufficient erection hardness, are there ways to improve this? Regarding measuring penis size, what is the correct method? Roughly estimating, my penis is about 5 cm when flaccid, and previously felt like it was 15 cm when erect, but now it’s only about 12 cm.
Could this also be a reason for the insufficient erection hardness?
I would also like to ask if this penis length is considered normal, and are there any exercises to increase length? How can I accurately determine if my erection hardness is insufficient? I apologize for the many questions, thank you.

jason, 20~29 year old female. Ask Date: 2021/09/15

Dr. Cai Zhuorong reply Urology


In medicine, it is generally believed that masturbation is not problematic; however, it should not be used as a measure of your sexual function.
As long as both partners are satisfied during intercourse, that is what truly matters.

Reply Date: 2021/09/15

More Info


When it comes to issues like quick ejaculation and erection problems, it's essential to understand that these conditions can stem from a variety of factors, including psychological, physiological, and behavioral aspects. Let's break down your concerns and explore potential solutions.


Understanding Quick Ejaculation
Quick ejaculation, or premature ejaculation, is a common issue that many men experience at some point in their lives. It can be influenced by several factors:
1. Psychological Factors: Anxiety, stress, and performance pressure can significantly affect sexual performance. If you are worried about your sexual abilities or have had negative experiences in the past, this can lead to quicker ejaculation.

2. Physical Factors: Hormonal imbalances, neurological issues, or even certain medical conditions can contribute to premature ejaculation. It's also worth noting that frequent masturbation can sometimes lead to a decrease in control over ejaculation.

3. Behavioral Factors: The use of sex toys, like a masturbation sleeve, can create a different sensation compared to manual stimulation. If you find that using a toy leads to quicker ejaculation, it might be due to the heightened stimulation or the way it feels compared to your usual method.


Solutions for Quick Ejaculation
1. Techniques to Delay Ejaculation:
- Start-Stop Technique: This involves stimulating yourself until you feel close to ejaculation, then stopping until the urge decreases. Repeat this process to build endurance.

- Squeeze Technique: Similar to the start-stop method, but involves squeezing the base of the penis to reduce arousal before continuing.

- Mindfulness and Relaxation: Practicing mindfulness can help reduce anxiety and improve your control over ejaculation.

2. Pelvic Floor Exercises: Strengthening your pelvic floor muscles can improve control over ejaculation. Kegel exercises, which involve contracting and relaxing the muscles used to stop urination, can be beneficial.

3. Consult a Professional: If the issue persists, consider consulting a healthcare professional. They can provide guidance, and if necessary, prescribe medications or therapies that can help.


Addressing Erection Issues
Erection problems can also be multifactorial. Here are some potential causes and solutions:
1. Physical Health: Conditions like diabetes, hypertension, and cardiovascular issues can affect blood flow, leading to erection problems. Maintaining a healthy lifestyle, including regular exercise and a balanced diet, can improve overall health and sexual function.

2. Psychological Factors: Stress, anxiety, and depression can impact sexual performance. Addressing these through therapy or counseling can be beneficial.

3. Medications: If you suspect that medications you are taking might be affecting your erections, discuss this with your doctor. They may adjust your prescription or suggest alternatives.


Measuring Penis Size
Regarding measuring penis size, the correct method involves:
- Length Measurement: Use a ruler or measuring tape to measure from the pubic bone to the tip of the penis while it is erect. Ensure you press down on the pubic bone for an accurate measurement.

- Girth Measurement: Use a flexible measuring tape or string to measure around the thickest part of the shaft.


Size and Erection Hardness
A penis size of 5 cm when flaccid and around 12-15 cm when erect falls within the average range. It's important to remember that size does not determine sexual pleasure or performance. If you feel that your erection hardness is insufficient, consider the aforementioned solutions, including lifestyle changes and professional advice.


Conclusion
In summary, quick ejaculation and erection issues can be addressed through a combination of behavioral techniques, lifestyle changes, and professional guidance. If these problems persist, seeking help from a healthcare provider is crucial. They can offer tailored advice and treatment options to help you regain confidence and improve your sexual health. Remember, you are not alone in this, and many men face similar challenges.

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