Sexual Dysfunction: Causes of Decreased Pleasure During Masturbation

Sexual dysfunction

Hello, doctor.
I would like to ask about the reasons behind the decreased pleasure during masturbation.
I find that the process requires a longer time to feel any sensation, and the climax comes very slowly.
When I feel close to climax, I stop, and a white fluid is expelled, accompanied by contractions in the perineum.
I experience the sensation of ejaculation, but my penis remains erect.
I can still masturbate without it becoming flaccid, and when I feel close to climax again, there is more fluid expelled, with contractions in the perineum, yet my penis does not soften.
I wonder if the lack of continuous masturbation leads to an incomplete climax and ejaculation, resulting in this repetitive cycle.
Is this normal, and what could be the implications?
Additionally, when my penis is flaccid, it feels very soft, lacking a sense of fullness, almost as if there is no nerve response, giving a sensation of being lifeless or lacking energy.
Why is this the case? My sexual desire has been low for a while, and I find myself masturbating purely due to a mental addiction to sex.
However, my sexual function is inconsistent, which often causes anxiety during masturbation, and I feel anxious even when not masturbating.
Sometimes I can achieve a slow erection, while other times there is no response at all, which is very distressing.
I do not have a strong desire for sexual activity, and during masturbation, my mind is filled with fear and worry, which seems to affect my ability to achieve an erection.

I feel that the experience of masturbation is no longer enjoyable, yet I cannot escape my addiction to sex.
I constantly worry whether there is an issue with my genitalia.
I sometimes masturbate once a day or every 2-3 days, and each time I have mixed feelings, almost a battle within myself about whether to masturbate or not, while my mind still craves it.
Could this lead to problems? Thank you for your response, doctor.

Xiao You, 30~39 year old female. Ask Date: 2022/10/01

Dr. Xu Wencang reply Urology

You can visit the outpatient clinic for examination and evaluation.

Reply Date: 2022/10/01

More Info

Sexual dysfunction can manifest in various ways, and your experience highlights several interconnected factors that may contribute to decreased pleasure during masturbation and other sexual activities. Understanding these factors is crucial for addressing your concerns effectively.

Firstly, it's important to recognize that sexual arousal and pleasure are complex processes influenced by both physiological and psychological factors. The fact that you are experiencing a decrease in pleasure during masturbation, along with prolonged time to reach orgasm, suggests that there may be underlying psychological components at play. Anxiety, stress, and fear can significantly impact sexual function. In your case, you mentioned feeling anxious during the masturbation process, which can inhibit arousal and make it more difficult to achieve orgasm. This anxiety may stem from concerns about your sexual performance or the fear of not being able to achieve satisfaction, which can create a cycle of worry that further diminishes your sexual experience.

Moreover, the physical sensations you described, such as the feeling of your penis being "soft" or lacking sensation, could be related to a few factors. One possibility is that the prolonged anxiety and stress you are experiencing may lead to a temporary decrease in blood flow to the penis, affecting its firmness and responsiveness. Additionally, if you are not fully engaged in the experience due to anxiety or distraction, this can lead to a diminished sense of pleasure and a feeling of disconnect from your body.

The phenomenon of experiencing multiple sensations of orgasm or ejaculation without a complete feeling of satisfaction is not uncommon. It may indicate that your body is responding physically, but your mind is not fully engaged or relaxed enough to enjoy the experience. This disconnect can lead to feelings of frustration and confusion about your sexual health.

It's also worth considering the role of hormonal balance in sexual function. You mentioned that your libido has decreased, which could be related to hormonal fluctuations or imbalances. Testosterone, for instance, plays a significant role in sexual desire and function. If your testosterone levels are lower than average for your age, this could contribute to the feelings of low sexual desire and the difficulties you are experiencing during masturbation.

Another aspect to consider is the impact of medication or substance use. If you are taking any medications or substances that affect your mood or sexual function, this could also play a role in your experience. Some medications, particularly those used to treat anxiety or depression, can have side effects that impact sexual desire and performance.

To address these concerns, it may be beneficial to explore a few strategies:
1. Mindfulness and Relaxation Techniques: Engaging in mindfulness practices, such as meditation or deep breathing exercises, can help reduce anxiety and improve your overall sense of well-being. This can create a more conducive environment for sexual arousal and pleasure.

2. Open Communication: If you are in a relationship, discussing your feelings and experiences with your partner can help alleviate some of the pressure you may be feeling. Open communication can foster intimacy and understanding, which can enhance sexual experiences.

3. Consult a Healthcare Professional: Given the complexity of your symptoms, consulting with a healthcare professional, such as a urologist or a mental health specialist, can provide valuable insights. They can assess any potential hormonal imbalances, review any medications you are taking, and offer tailored advice to address your concerns.

4. Gradual Exposure: If anxiety is a significant factor, consider gradually exposing yourself to sexual stimuli in a low-pressure environment. This could involve exploring your body without the expectation of orgasm, allowing yourself to enjoy the sensations without the pressure to perform.

5. Physical Health: Maintaining overall physical health through regular exercise, a balanced diet, and adequate sleep can positively influence sexual function and desire.

In conclusion, the interplay between psychological factors, physical sensations, and hormonal balance can significantly impact your sexual experiences. By addressing these components holistically, you can work towards improving your sexual health and overall well-being. Remember, seeking professional guidance can provide you with the support and resources needed to navigate these challenges effectively.

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