Premature Ejaculation and Prostate Fluid Release - Urology

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Prostatic fluid is released immediately?


Hello, doctor.
I have noticed that pre-ejaculate fluid comes out immediately when I have an erection, and sometimes I even see a clear, stringy fluid when I exert pressure during a bowel movement.
Is this normal? Additionally, I would like to ask about the sensitivity of the frenulum of the glans, as I tend to ejaculate in less than a minute during intimate moments with my girlfriend.
Are there any ways to improve this situation?

KO, 30~39 year old female. Ask Date: 2022/11/14

Dr. Du Shixi reply Urology


Hello: I have noticed that prostate fluid immediately flows out during an erection, and sometimes I even see a clear, stringy fluid when I exert pressure during a bowel movement.
Is this considered normal? ---> Additionally, I would like to ask the doctor about the sensitivity of the frenulum and the fact that I ejaculate in less than a minute during intimate moments with my girlfriend.
Is there a way to improve this? ---> This is similar to premature ejaculation; it is advisable to seek consultation with a urologist at a major hospital.
Wishing you good health.

Reply Date: 2022/11/14

More Info


Premature ejaculation (PE) is a common condition that affects many men at some point in their lives. It is characterized by the inability to control ejaculation, leading to ejaculation occurring sooner than desired, often with minimal sexual stimulation. The concerns you have regarding the release of prostate fluid during erection and the sensitivity of the glans (the head of the penis) are indeed related to this condition.

Firstly, the release of prostate fluid, also known as pre-ejaculate or pre-cum, is a normal physiological response. This fluid is produced by the prostate gland and serves several purposes, including lubrication and neutralizing acidity in the urethra, which can help facilitate sperm passage. It is not unusual for this fluid to be released during sexual arousal or even during a bowel movement, as the pelvic muscles are engaged. However, if you notice an excessive amount of fluid or if it is accompanied by discomfort, it may be worth discussing with a healthcare provider.

Regarding your concern about sensitivity and premature ejaculation, it is important to understand that sensitivity can vary significantly among individuals. The frenulum, which is the sensitive band of tissue on the underside of the penis, can contribute to heightened sensitivity and may lead to quicker ejaculation. Here are several strategies that may help you manage premature ejaculation:
1. Behavioral Techniques: Techniques such as the "stop-start" method or the "squeeze" technique can help you gain better control over ejaculation. The stop-start method involves pausing sexual stimulation before ejaculation, while the squeeze technique involves applying pressure to the base of the penis to reduce arousal.

2. Desensitizing Products: Over-the-counter creams or sprays that contain numbing agents can help reduce sensitivity. These products should be used with caution and ideally under the guidance of a healthcare provider to ensure they are safe and effective for you.

3. Pelvic Floor Exercises: Strengthening the pelvic floor muscles through exercises like Kegels can improve control over ejaculation. These exercises involve repeatedly contracting and relaxing the muscles that control urination.

4. Counseling or Therapy: Sometimes, psychological factors such as anxiety or stress can contribute to premature ejaculation. Speaking with a therapist or counselor who specializes in sexual health can help address these underlying issues.

5. Medication: In some cases, doctors may prescribe medications that can help delay ejaculation. Selective serotonin reuptake inhibitors (SSRIs) are commonly used for this purpose, as they can increase the time it takes to ejaculate.

6. Communication with Partner: Open communication with your partner about your concerns can help reduce anxiety during intimate moments. Working together to find what feels good and what helps you both enjoy the experience can be beneficial.

If you find that these strategies do not help or if your symptoms worsen, it is advisable to consult with a healthcare provider or a urologist. They can provide a thorough evaluation and discuss potential treatment options tailored to your specific situation.

In summary, while the release of prostate fluid during erection is generally normal, premature ejaculation can be addressed through various behavioral techniques, desensitizing products, pelvic floor exercises, counseling, and possibly medication. It is important to approach this issue holistically, considering both physical and psychological factors, and to seek professional guidance if needed.

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