Changes in Sexual Sensation and Ejaculation Difficulties

Sexual dysfunction

Hello, doctor.
I would like to ask about my experience during masturbation.
I do not feel the tingling or electric sensations in my penis, and there is a lack of pleasure.
It is difficult for me to reach orgasm, and I have to continuously stimulate with some effort to slowly feel something.
If I stop, I have to start over, and sometimes it takes me half an hour to an hour to achieve ejaculation.
I don't understand why this has become so difficult.
During the process, my penis becomes flaccid.
In the past, my penis was very sensitive, easily erect, and I could easily feel the tingling pleasure and reach ejaculation.
I used to worry about finishing too quickly, but now I fear that my penis lacks sensation and becomes soft, making it hard to reach orgasm.
I don't understand why there has been such a significant change.
I have not taken any erectile dysfunction medications or applied desensitizing creams, nor have I undergone any nerve block procedures.
I recall that during one masturbation session, I used diaphragmatic breathing and tensed my abdomen to reduce the urge to ejaculate, and after repeating this two to three times, my penis became soft, and it seemed I did not ejaculate.
The next day, when I started masturbating again, it felt strange.
Doctor, what is happening to me? Could the methods I used have harmed my reproductive organs?

Jack, 30~39 year old female. Ask Date: 2022/11/08

Dr. Cai Zhuorong reply Urology

It is recommended that you consult a urologist.

Reply Date: 2022/11/08

More Info

It sounds like you are experiencing a significant change in your sexual sensation and ejaculation process, which can understandably be concerning. Let's break down the potential factors that could be contributing to these changes and what you might consider doing next.

Firstly, it is important to recognize that sexual function can be influenced by a variety of factors, including psychological, physiological, and lifestyle elements. Changes in sensation, difficulty achieving orgasm, and erectile issues can stem from a range of causes, including stress, anxiety, hormonal fluctuations, or even changes in your physical health.

1. Psychological Factors: Stress and anxiety can have a profound impact on sexual performance and sensation. If you have been experiencing increased stress or anxiety—whether from personal life, work, or other pressures—this could lead to difficulties in achieving arousal or orgasm. The mind plays a crucial role in sexual function, and psychological barriers can inhibit physical responses.

2. Physiological Changes: As men age, hormonal levels can fluctuate, which may affect libido and sensitivity. Additionally, any changes in your health, such as weight gain, changes in diet, or lack of physical activity, can also impact sexual function. If you have experienced any recent health issues, these could be contributing factors.

3. Nerve Sensitivity: You mentioned that you previously experienced a strong sensation during masturbation, but now it feels different. This could be related to nerve sensitivity. Overstimulation or changes in technique can sometimes lead to temporary desensitization. If you have been using a particular technique that involves significant pressure or force, it might have affected your sensitivity.

4. Physical Techniques: The method you described—using abdominal breathing and tensing your stomach to control ejaculation—might have inadvertently caused some tension in your pelvic floor muscles. This can lead to a temporary decrease in sensitivity or even erectile issues. It’s important to approach sexual activity with a relaxed mindset, as tension can inhibit arousal and pleasure.

5. Health and Lifestyle: Consider reviewing your overall health and lifestyle habits. Factors such as diet, exercise, sleep, and substance use (like alcohol or recreational drugs) can significantly impact sexual function. A balanced lifestyle can help improve overall well-being, including sexual health.

Recommendations:
- Consult a Healthcare Professional: It would be wise to consult with a healthcare provider, such as a urologist or a sexual health specialist. They can perform a thorough evaluation to rule out any underlying medical conditions that might be contributing to your symptoms.

- Mental Health Support: If you suspect that psychological factors are at play, consider speaking with a mental health professional. Therapy can help address anxiety, stress, or any emotional issues that may be affecting your sexual health.

- Experiment with Techniques: If you are comfortable, try varying your masturbation techniques. Focus on relaxation and explore different forms of stimulation to see if this helps restore sensitivity and pleasure.

- Avoid Overstimulation: Be cautious about the amount of pressure and duration of stimulation. If you find that certain techniques lead to discomfort or numbness, it may be beneficial to reduce the intensity or frequency.

- Healthy Lifestyle Choices: Engage in regular physical activity, maintain a balanced diet, and ensure you are getting enough sleep. These factors can all contribute to improved sexual health.

In conclusion, changes in sexual sensation and ejaculation difficulties can be multifaceted, involving both physical and psychological components. Seeking professional guidance is crucial to understanding your specific situation and finding effective solutions. Remember, you are not alone in this experience, and many men face similar challenges at various points in their lives.

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