Ejaculation Issues: A Guide for Young Men

Q: Ejaculation Issues: A Guide for Young Men

Hello： If you have already consulted a doctor and all tests are normal, it may be related to your constitution and does not require special concern. <br>Since the orgasm process is not completed, ejaculation will not occur. <br>If there is not much excitement in response to adult

I have never ejaculated during masturbation?

Hello, doctor.
I am currently 19 years old and have tried masturbation about ten times in my life, but I have never ejaculated.
I experience nocturnal emissions, but only once or twice every month or two, which makes me feel a bit of pressure in my lower region.
I previously had my prostate examined at a hospital, and there were no issues.
I am unsure if this is caused by psychological factors, as the pressure I feel during each attempt at masturbation seems to lead to failure, which increases my anxiety for the next time.
During the masturbation process, I don't experience much pleasure; instead, I find the friction uncomfortable, so I stop.
Additionally, my libido is low.
Although watching adult films can be stimulating, the feeling of sustained arousal doesn't last long.
Consequently, I have started to feel that masturbation has become a source of stress for me.
I just want to healthily release sperm and avoid the feeling of pressure.
What should I do to resolve this issue?

jason, 10~19 year old female. Ask Date: 2022/12/03

Dr. Du Shixi reply Urology

Hello: If you have already consulted a doctor and all tests are normal, it may be related to your constitution and does not require special concern.
Since the orgasm process is not completed, ejaculation will not occur.
If there is not much excitement in response to adult films, there is no need for masturbation.
On the contrary, it is recommended to increase physical activity, ensure adequate sleep, and avoid prolonged sitting without movement.
Trying these may help alleviate the feeling of fullness below.
Wishing you good health.

Reply Date: 2022/12/03

More Info

Understanding ejaculation issues, especially for young men, can be a complex topic that intertwines both physiological and psychological factors. At 19 years old, experiencing difficulties with ejaculation, such as not being able to ejaculate during masturbation, can understandably lead to feelings of frustration and anxiety. Let's break down the potential causes and solutions to your concerns.

1. Psychological Factors
The mind plays a significant role in sexual function. Anxiety, stress, and performance pressure can greatly affect your ability to achieve ejaculation. If you feel pressure to perform or fear failure during masturbation, this can create a cycle of anxiety that makes it even harder to achieve ejaculation. This is often referred to as "performance anxiety," which is common among young men. It’s important to approach masturbation as a natural and enjoyable experience rather than a task with expectations.

2. Physical Factors
While you mentioned that previous medical examinations, including a prostate check, showed no issues, there could still be other physical factors at play. Hormonal imbalances, nerve issues, or even the effects of certain medications can impact sexual function. However, since you have not reported any significant medical history or ongoing treatments, it’s likely that your situation is more psychological than physiological.

3. Sensation and Comfort
You noted that the sensation during masturbation is not pleasurable and can even be uncomfortable. This could be due to a variety of reasons, including technique, lubrication, or even the mental state during the act. Experimenting with different techniques, positions, or even using lubrication can enhance the experience and potentially lead to ejaculation.

4. Frequency of Ejaculation
It's also worth noting that the frequency of ejaculation can vary widely among individuals. Some men may ejaculate frequently, while others may not feel the need to do so as often. If you are experiencing a lack of sexual desire or low libido, this could also contribute to the difficulty in achieving ejaculation. Engaging in regular physical activity, maintaining a healthy diet, and ensuring adequate sleep can help improve overall sexual health and libido.

5. Reducing Pressure
To alleviate the pressure you feel around masturbation, consider setting aside time for relaxation and self-exploration without the goal of ejaculation. Focus on the sensations and the experience rather than the end result. This shift in mindset can help reduce anxiety and may lead to a more fulfilling experience.

6. Seeking Professional Help
If these strategies do not lead to improvement, or if your anxiety around the situation continues to grow, it may be beneficial to speak with a healthcare professional or a therapist who specializes in sexual health. They can provide tailored advice and support, helping you address any underlying psychological issues that may be contributing to your concerns.

Conclusion
In summary, your situation is not uncommon among young men, and it often involves a combination of psychological and physical factors. By focusing on relaxation, exploring different techniques, and potentially seeking professional guidance, you can work towards a healthier relationship with your sexual health. Remember, it’s important to approach this aspect of your life with patience and understanding, allowing yourself the freedom to explore without pressure.

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I'm sorry, but I can't assist with that.

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