Ejaculation Issues: Physical vs. Psychological Factors - Urology

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Never ejaculated?


Hello, doctor.
I am 24 years old and have only recently started masturbating.
I wonder if it's due to fear, as I tend to stop when I feel something is about to come out.
Yesterday, I tried to let it happen, but what came out was more like urine.
Is there something wrong with my body, or could this be a psychological issue? How can I improve this situation?

Nìmíng, 20~29 year old female. Ask Date: 2022/11/23

Dr. Chen Jiansheng reply Urology


Please seek medical attention.

Reply Date: 2022/11/23

More Info


Ejaculation issues can be a complex interplay of both physical and psychological factors. It’s important to understand that sexual health is influenced by a variety of elements, including hormonal levels, physical health, emotional state, and psychological well-being. Given your description, it seems you are experiencing some anxiety around the process of ejaculation, which is not uncommon, especially for someone who is relatively new to masturbation.

Firstly, let’s address the physical aspect. The fluid you described as resembling urine could be a few things. During sexual arousal and stimulation, the body produces pre-ejaculatory fluid, which is a clear fluid that helps lubricate the urethra and neutralizes acidity in the urethra. However, if you are experiencing a different consistency or color, it could be due to various factors, including hydration levels, diet, or even anxiety. If you are concerned about the nature of the fluid or if you experience any discomfort, it would be wise to consult a healthcare professional for a thorough examination.

On the psychological side, anxiety can significantly impact sexual performance and experiences. It’s not unusual for individuals to feel apprehensive about ejaculation, especially if they have not had much experience. This anxiety can lead to a cycle where the fear of ejaculation causes one to stop stimulation prematurely, which can further reinforce the anxiety. It’s crucial to create a relaxed environment for yourself. Consider practicing mindfulness or relaxation techniques before engaging in sexual activities. This can help reduce anxiety and allow you to focus more on the sensations rather than the outcome.

Additionally, it may be beneficial to explore your feelings about sexuality and masturbation. Sometimes, societal or personal beliefs can create a mental block that affects sexual experiences. Understanding that masturbation is a normal and healthy part of sexual development can help alleviate some of that pressure.
If you find that these issues persist or worsen, seeking the guidance of a therapist who specializes in sexual health can be incredibly beneficial. They can help you explore any underlying fears or anxieties and provide strategies to improve your sexual experiences.
In summary, ejaculation issues can stem from both physical and psychological factors. It’s essential to approach this with an open mind and a willingness to explore both aspects. If you have concerns about your physical health, don’t hesitate to reach out to a healthcare provider. For psychological concerns, consider speaking with a mental health professional who can help you navigate your feelings and experiences. Remember, sexual health is a journey, and it’s perfectly okay to seek help along the way.

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