Previous question?
Thank you for the doctor's response; it has given me a lot of confidence.
However, since I have reduced the frequency of masturbation, I have noticed an increase in the sensitivity of my penis, and I ejaculate quickly (every two days).
Is this normal, or do I actually have a congenital issue with premature ejaculation that I have been unaware of?
Wo hao wuzhu, 10~19 year old female. Ask Date: 2022/05/15
Dr. Li Xinyi reply Urology
Premature ejaculation is related to individual physiology and has a certain prevalence across all age groups.
It generally refers to ejaculation occurring within one minute of vaginal penetration, or a duration that is too short, affecting the couple's relationship.
Your situation cannot be definitively assessed yet, so it may be too early to be concerned.
Reply Date: 2022/05/15
More Info
Increased sensitivity and changes in ejaculation frequency can be influenced by several factors, including psychological, physiological, and behavioral aspects. It’s not uncommon for men to notice variations in sensitivity and ejaculation frequency, especially after changes in sexual habits, such as reducing the frequency of masturbation.
When you decrease the frequency of ejaculation, your body may respond by increasing sensitivity. This heightened sensitivity can lead to quicker ejaculation during sexual activity or masturbation. This phenomenon is often referred to as "refractory period" adjustment, where the body becomes more responsive after a period of abstinence.
Regarding the concern about premature ejaculation (PE), it’s important to understand that PE can be classified into two types: lifelong and acquired. Lifelong PE occurs from the first sexual experiences, while acquired PE develops after a period of normal sexual function. If you find that you are consistently ejaculating sooner than desired, it may be worth exploring this further, as it could indicate an underlying issue.
However, it’s also essential to consider the psychological aspect. Anxiety, stress, and performance pressure can significantly impact sexual performance. If you are feeling anxious about your sexual performance or are preoccupied with the idea of having a problem, this can create a cycle of anxiety that exacerbates the situation.
To address your concerns, here are some suggestions:
1. Self-awareness: Monitor your experiences over time. If you notice a consistent pattern of increased sensitivity and rapid ejaculation, it may be worth discussing with a healthcare provider.
2. Relaxation techniques: Engaging in relaxation exercises, mindfulness, or breathing techniques can help reduce anxiety and improve sexual performance.
3. Communication: If you have a partner, open communication about your experiences and feelings can help alleviate pressure and enhance intimacy.
4. Consultation with a specialist: If your concerns persist, consider consulting a urologist or a sexual health specialist. They can provide a thorough evaluation and discuss potential treatment options, which may include behavioral techniques, counseling, or medications.
5. Kegel exercises: These exercises can strengthen the pelvic floor muscles, which may help with ejaculation control.
6. Gradual reintroduction: If you’ve reduced masturbation frequency, consider gradually reintroducing it to find a balance that works for you without leading to heightened sensitivity or premature ejaculation.
In summary, experiencing increased sensitivity and changes in ejaculation frequency after reducing masturbation is not uncommon and can be a normal physiological response. However, if these changes are causing distress or impacting your sexual satisfaction, it may be beneficial to seek professional advice to explore potential underlying issues and effective strategies for management.
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