Premature Ejaculation: Is It Linked to Frequency of Masturbation? - Urology

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I have been masturbating since I was very young, and in the past, I would do it about once a day, sometimes even 2 to 3 times a day.
Typically, my masturbation sessions last around 6 to 10 minutes, or even longer.
However, I have been troubled by a particular issue: whenever I return from a trip lasting three days and two nights, during which I do not masturbate, my first session after the trip is almost always a quick ejaculation.
It only takes a few strokes before I finish, and then I gradually return to my usual state.
So, my stamina seems to be developed through daily masturbation, and after three days without it, I revert to my original state.
Am I what you would call a "quick shooter"?
I also have another question: if someone has a congenital issue with serotonin receptors, such as "premature ejaculation patients," would they experience premature ejaculation during masturbation regardless of frequency? Is there a relationship between frequency and this issue? I hope you can clarify my doubts.
Thank you!
Response from the doctor: Urologist, Dr.
Du Shih-Hsi suggested: Hello, DIY and sexual intercourse are different.
Premature ejaculation has its definition, and individual performance can vary depending on the environment and circumstances.
If it occurs occasionally, such as after a long period without sexual activity, there is no need to worry too much.
However, if it happens consistently, you should seek medical attention from a urologist.
Wishing you good health.
Thank you for the doctor's response.
May I ask you one more question? Based on your medical experience, is there a significant chance that someone in my situation might have congenital premature ejaculation (less than 1 minute)?

Niming, 10~19 year old female. Ask Date: 2022/07/04

Dr. Du Shixi reply Urology


Hello: This response is for reference only and cannot replace a doctor's examination or testing.
Wishing you good health.

Reply Date: 2022/07/04

More Info


Premature ejaculation (PE) is a common condition that affects many men, and it can be influenced by various factors, including psychological, physiological, and behavioral aspects. Your question about whether the frequency of masturbation is linked to premature ejaculation is quite pertinent, as it touches on both the physiological and psychological dimensions of sexual health.

Firstly, it's important to clarify what premature ejaculation is. It is generally defined as ejaculation that occurs with minimal sexual stimulation, often within one minute of penetration, and is accompanied by distress or interpersonal difficulty. The condition can be classified into two types: lifelong (primary) and acquired (secondary). Lifelong PE is often thought to be related to genetic or neurobiological factors, while acquired PE may develop due to psychological issues, relationship problems, or other medical conditions.

Regarding your experience, it seems that you have noticed a pattern where your ejaculatory control diminishes after a period of abstinence from masturbation. This observation is not uncommon. Regular masturbation can indeed help some men develop a better sense of control over their ejaculation. The act of masturbation allows for practice and familiarization with one's own sexual response, which can translate into improved performance during sexual intercourse. When there is a break from this practice, such as during a trip, it is possible that the body may respond differently upon resuming sexual activity, leading to quicker ejaculation.

Your reference to being a "quick shooter" or "快槍俠" (fast gun) suggests a concern about your ejaculatory control. While occasional rapid ejaculation after a period of abstinence might not be a cause for concern, if this becomes a consistent pattern that leads to distress or affects your sexual relationships, it may be worth exploring further.
As for the question of whether individuals with a congenital predisposition to premature ejaculation—such as those with serotonin receptor issues—would experience PE regardless of masturbation frequency, the answer is nuanced. Men with such predispositions may indeed find that their ejaculatory control is less stable, regardless of how often they masturbate. However, behavioral practices, including masturbation, can still play a role in managing the condition. Regular practice may help improve control over time, but it may not completely eliminate the underlying predisposition.

In summary, while frequent masturbation can enhance ejaculatory control for some men, it is not a guaranteed solution for everyone. If you find that your experiences with premature ejaculation are causing significant distress or impacting your relationships, it may be beneficial to consult a healthcare provider or a urologist. They can offer tailored advice, potential treatment options, and strategies to help manage the condition effectively. Remember, sexual health is an important aspect of overall well-being, and seeking help is a positive step towards improving your situation.

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