Impact of COVID-19 on Ejaculation Control: A Urology Perspective - Urology

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During the diagnosis period, there is an inability to control ejaculation during masturbation?


Hello Doctor: As mentioned, I was diagnosed with Covid-19 and on the fourth day, I masturbated (about a week after the last time, which was approximately 2-3 times a week).
However, I ejaculated within two minutes (previously it took about 10-15 minutes at a similar pace), and at the moment of ejaculation, I couldn't control it; my penis also didn't seem fully erect.
Could this be related to my diagnosis? Do I need to seek follow-up treatment? Thank you.

Xing Er, 10~19 year old female. Ask Date: 2022/11/25

Dr. Chen Jiansheng reply Urology


Please seek medical attention.

Reply Date: 2022/11/25

More Info


The impact of COVID-19 on various bodily functions, including sexual health, has garnered increasing attention as the pandemic has progressed. Your experience of altered ejaculation control following a COVID-19 diagnosis raises important questions about the potential effects of the virus on sexual function.

Firstly, it is essential to understand that COVID-19 can affect multiple systems in the body, including the cardiovascular, respiratory, and neurological systems. The virus has been shown to cause inflammation and can lead to complications that may indirectly affect sexual health. For instance, the stress and anxiety associated with a COVID-19 diagnosis, along with physical symptoms such as fatigue and malaise, can impact libido and sexual performance.
In your case, the significant decrease in the time it took to ejaculate, along with the inability to control the process, may be attributed to several factors. One possibility is that the viral infection has caused temporary changes in your hormonal balance or neurological function, which can influence sexual arousal and ejaculation. COVID-19 has been associated with changes in testosterone levels, which can affect sexual function. Additionally, the psychological stress of being ill can lead to performance anxiety, which may also contribute to changes in sexual response.

Another consideration is the physical state of your body during the infection. Illness can lead to fatigue, dehydration, and changes in blood flow, all of which can impact erectile function and ejaculation. If you were experiencing any symptoms of COVID-19, such as fever, fatigue, or respiratory issues, these could have contributed to your experience during masturbation.

As for whether this requires follow-up or treatment, it largely depends on whether these changes persist. If you notice that your ejaculation control continues to be affected or if you experience other sexual health issues, it would be advisable to consult a healthcare professional, preferably a urologist or a sexual health specialist. They can conduct a thorough evaluation, including a review of your medical history and any ongoing symptoms, to determine if there is an underlying issue that needs to be addressed.

In summary, while it is possible that your experience of altered ejaculation control is related to your recent COVID-19 diagnosis, it is essential to consider the broader context of your health and any psychological factors at play. If these changes persist, seeking medical advice would be a prudent step to ensure that any potential issues are addressed appropriately. Remember, sexual health is an important aspect of overall well-being, and it is always best to consult with a healthcare provider if you have concerns.

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