Sexual Dysfunction: Insights on Masturbation Issues

Q: Sexual Dysfunction: Insights on Masturbation Issues

Hello： If there is no desired libido, there is no need for DIY. <br>Everyone's intensity varies, and it can change over time. <br>Don't put too much pressure on yourself; pay attention to your health. <br>Monitor your blood pressure and blood sugar levels, maintain a balanced die

Masturbation and Sexual Function Issues

Hello doctor, I feel like I have no sexual desire at all.
Watching videos or looking at pictures doesn't evoke any feelings, and I don't really get an erection during masturbation; I can only achieve an erection by using my hand.
Sometimes, I feel nothing when I touch myself, and when I do feel something, it's extremely sensitive to the point that I can't continue.
After just a few strokes, I feel like I'm about to ejaculate.
Even when I touch slowly, I'm still very sensitive.
If I stop for a while and then touch again, I lose all feeling.
Overall, I don't experience any pleasure while touching myself; I only feel a quick urge to ejaculate, and when I do, I don't feel any pleasure.
The initial sensitivity suddenly disappears, and no matter how I touch my penis, I feel nothing—it's like a sudden numbness.
There's no sensitivity or pleasure like I used to feel after masturbation, just a slight burning sensation in the urethra.
This condition has lasted for several months.
Sometimes I think about taking a month off from masturbation or trying it once a week, but there's no improvement.
Previously, I visited a urology clinic because I felt sensitivity in my penis and had the urge to ejaculate.
After several follow-up visits and medications, the doctor concluded that I had non-bacterial prostatitis, but after checking at two hospitals, they determined that I did not have prostatitis.
After some time, the sensitivity in my penis improved, and I stopped returning for medication.
However, later on, I started experiencing the masturbation issues I mentioned earlier.
I would like to ask the doctor if my situation is a sexual dysfunction or if there are other reasons.
Thank you.

Mr. Huang, 30~39 year old female. Ask Date: 2022/09/26

Dr. Du Shixi reply Urology

Hello: If there is no desired libido, there is no need for DIY.
Everyone's intensity varies, and it can change over time.
Don't put too much pressure on yourself; pay attention to your health.
Monitor your blood pressure and blood sugar levels, maintain a balanced diet, ensure adequate rest, and engage in moderate exercise.
Adjust your physical condition accordingly, and consider seeing a doctor to check your testosterone levels.
Wishing you good health.

Reply Date: 2022/09/26

More Info

Sexual dysfunction can manifest in various ways, and your description suggests a complex interplay of factors that may be contributing to your current experience. It’s important to understand that sexual dysfunction can encompass a range of issues, including diminished sexual desire (libido), erectile dysfunction, and altered sensitivity during sexual activities, including masturbation.

From what you've described, it seems you are experiencing a significant reduction in sexual desire and sensitivity, which can be distressing. The fact that you find it difficult to achieve an erection without manual stimulation and that you experience heightened sensitivity leading to premature ejaculation indicates that there may be underlying psychological or physiological factors at play.

Understanding Sexual Dysfunction
1. Psychological Factors: Stress, anxiety, and depression can significantly impact sexual desire and function. If you are experiencing emotional distress or anxiety related to sexual performance or other life stressors, this could be contributing to your symptoms. The mind plays a crucial role in sexual arousal, and psychological barriers can inhibit physical responses.

2. Physiological Factors: Hormonal imbalances, particularly low testosterone levels, can lead to decreased libido and erectile difficulties. Additionally, conditions such as prostatitis (inflammation of the prostate) can cause discomfort and affect sexual function. Although you mentioned that previous tests ruled out prostatitis, it may be worthwhile to revisit this with a healthcare provider, especially if symptoms persist.

3. Sensory Issues: The sudden change in sensitivity you described—where you feel heightened sensitivity that quickly turns into discomfort—could be indicative of a condition known as hyperesthesia, where there is an abnormal increase in sensitivity to stimulation. This could be linked to nerve function or psychological factors.

4. Medication Effects: If you are taking any medications, particularly those for anxiety or depression, it’s essential to consider that many can have side effects that impact sexual function. SSRIs (selective serotonin reuptake inhibitors), for example, are known to cause sexual side effects, including reduced libido and delayed ejaculation.

Recommendations
1. Consult a Specialist: Given the complexity of your symptoms, it would be beneficial to consult with a urologist or a sexual health specialist who can provide a comprehensive evaluation. They may recommend further testing, including hormonal assessments, to rule out any underlying physiological issues.

2. Psychological Support: Engaging with a mental health professional, particularly one who specializes in sexual health, can help address any psychological barriers that may be affecting your sexual function. Cognitive-behavioral therapy (CBT) can be particularly effective in addressing anxiety and performance issues.

3. Lifestyle Modifications: Consider making lifestyle changes that promote overall well-being. Regular exercise, a balanced diet, and adequate sleep can improve both physical and mental health, potentially enhancing sexual function.

4. Explore Alternatives: If masturbation is causing discomfort or frustration, it may be helpful to take a break from it and explore other forms of intimacy or sexual expression, whether through solo activities that do not involve direct stimulation or through other means that may help you reconnect with your body in a positive way.

5. Open Communication: If you are in a relationship, discussing your feelings and experiences with your partner can foster understanding and support. This communication can alleviate some of the pressure you may feel regarding sexual performance.

Conclusion
Your situation is not uncommon, and many individuals experience fluctuations in sexual desire and function at different points in their lives. It’s crucial to approach this issue holistically, considering both psychological and physiological aspects. Seeking professional guidance can provide clarity and help you navigate these challenges effectively. Remember, sexual health is an integral part of overall well-being, and addressing these concerns is a positive step toward improving your quality of life.

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