Urinary Issues: Frequent Urination and Premature Ejaculation

Q: Urinary Issues: Frequent Urination and Premature Ejaculation

Hello： In response to your question. <br>At around 30 years old, urinary difficulties are mostly caused by pelvic floor muscle stiffness leading to sphincter control disorders or overactive bladder. <br>After ruling out other possibilities such as urinary tract infections, it is

Hello?

Dr.
Hsu, I have been troubled by one issue for a long time.
I often feel the urge to urinate, and after I finish, I still feel the need to go again.
Sometimes, there is residual urine that leaks from the glans, causing a slight wetness in my underwear.
Additionally, my sexual performance is not satisfactory; I ejaculate after just a few thrusts, which is commonly referred to as premature ejaculation.
Is this a problem with my kidneys or my urethra? I have visited many hospitals without improvement.
What should I do? Thank you.

Xiao Di, 30~39 year old female. Ask Date: 2003/09/19

Dr. Xu Wencang reply Urology

Hello: In response to your question.
At around 30 years old, urinary difficulties are mostly caused by pelvic floor muscle stiffness leading to sphincter control disorders or overactive bladder.
After ruling out other possibilities such as urinary tract infections, it is important to consider other life stressors or psychological issues that may cause tension.
Additionally, seeking medical treatment with medication may be necessary.
The issue of premature ejaculation is likely primary premature ejaculation, which has been present since the first sexual experience.
Behavioral therapies such as increasing ejaculation frequency, adopting the woman-on-top position, the stop-start technique, the squeeze technique, and pelvic floor muscle exercises can be employed.
Furthermore, medication treatment may also be an option.
Of course, if both partners have a harmonious sexual relationship that is not affected by premature ejaculation, treatment may not be necessary.

Reply Date: 2003/09/19

More Info

Frequent urination and premature ejaculation can be distressing symptoms that significantly impact a person's quality of life. Understanding the underlying causes of these issues is crucial for effective management and treatment.

Frequent Urination:
Frequent urination, or the need to urinate more often than usual, can be caused by a variety of factors. These may include urinary tract infections (UTIs), bladder irritation, prostate issues in men, or even psychological factors such as anxiety or stress. In your case, since you have already consulted multiple healthcare providers without finding a resolution, it may be beneficial to consider a few possibilities:
1. Bladder Overactivity: This condition occurs when the bladder muscles contract involuntarily, leading to a frequent and urgent need to urinate. It can be triggered by various factors, including stress and anxiety, which can exacerbate the symptoms.

2. Residual Urine: The sensation of needing to urinate immediately after using the bathroom may indicate that not all urine is being expelled. This can happen due to bladder dysfunction or obstruction in the urinary tract.

3. Prostate Issues: In men, an enlarged prostate can lead to urinary symptoms, including frequent urination and a feeling of incomplete emptying. It would be prudent to have a urologist evaluate your prostate health if you haven't done so already.

4. Psychological Factors: Anxiety and stress can lead to increased urinary frequency. If you are experiencing significant stress or anxiety, addressing these psychological factors may help alleviate your urinary symptoms.

Premature Ejaculation:
Premature ejaculation (PE) is a common issue that affects many men. It can be caused by psychological factors, such as anxiety about sexual performance, or physiological factors, such as hormonal imbalances or neurological conditions. Here are some considerations:
1. Psychological Factors: Anxiety, particularly performance anxiety, can lead to premature ejaculation. If you are worried about your sexual performance, this can create a cycle of anxiety that exacerbates the problem.

2. Physical Factors: Hormonal imbalances, nerve sensitivity, or even certain medical conditions can contribute to PE. A thorough evaluation by a healthcare provider can help identify any underlying physical issues.

3. Treatment Options: There are various treatment options available for PE, including behavioral techniques, topical anesthetics, and medications. Consulting with a urologist or a sexual health specialist can provide you with tailored treatment options.

Next Steps:
Given your ongoing symptoms and the lack of improvement despite multiple consultations, it may be beneficial to seek a specialist in urology or sexual medicine. A comprehensive evaluation, including a detailed medical history, physical examination, and possibly some diagnostic tests, can help pinpoint the underlying causes of your symptoms.

Additionally, consider discussing your symptoms openly with your healthcare provider. They may recommend lifestyle changes, pelvic floor exercises, or specific therapies that could help improve both your urinary issues and sexual function.

In summary, frequent urination and premature ejaculation can stem from a variety of causes, including physical and psychological factors. A thorough evaluation by a specialist is essential for accurate diagnosis and effective treatment. Don't hesitate to seek a second opinion or consult a specialist who focuses on these specific issues to find the relief you need.

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