Premature Semen Release During Masturbation: Causes and Solutions - Urology

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During masturbation, half of the semen may be released first?


Hello, doctor.
Over the past month, I've noticed a significant decrease in erectile firmness during intercourse with my wife.
When I masturbate, I sometimes experience ejaculation of about half of my semen before reaching orgasm, and my penis becomes soft.
However, if I continue to masturbate, I can still reach orgasm and ejaculate the remaining semen.
I would like to know if there is a problem and if I should seek an examination.

ddt, 30~39 year old female. Ask Date: 2023/05/12

Dr. Du Shixi reply Urology


Hello: If you are taking medication, please pay attention to your sleep, exercise, and diet for about two weeks.
If there is no improvement, seek medical attention.
If any other symptoms arise, you should seek medical care first.
Wishing you good health.

Reply Date: 2023/05/12

More Info


Premature semen release, often referred to as premature ejaculation, can be a source of concern for many men. It is characterized by the involuntary release of semen before or shortly after penetration, and it can occur during masturbation as well. In your case, experiencing a decrease in erectile hardness and premature semen release during masturbation may indicate several underlying factors that could be contributing to these symptoms.


Causes of Premature Semen Release
1. Psychological Factors: Anxiety, stress, or performance pressure can significantly impact sexual performance. If you are feeling anxious about your sexual encounters or are preoccupied with thoughts about your performance, this can lead to premature ejaculation.

2. Physical Factors: Hormonal imbalances, particularly involving testosterone, can affect sexual function. Additionally, conditions such as prostatitis or other pelvic floor disorders may contribute to changes in ejaculation patterns.

3. Age-Related Changes: As men age, changes in hormone levels and sexual function can occur. This may lead to variations in erectile function and ejaculation.

4. Desensitization: Frequent masturbation or sexual activity may lead to desensitization, where the body becomes accustomed to certain stimuli, potentially leading to premature release during sexual activity.

5. Medical Conditions: Certain medical conditions, such as diabetes or neurological disorders, can affect sexual function and ejaculation.


Solutions and Recommendations
1. Consult a Healthcare Professional: It is advisable to consult with a urologist or a healthcare provider specializing in sexual health. They can perform a thorough evaluation to rule out any underlying medical conditions and provide tailored advice.

2. Behavioral Techniques: Techniques such as the "stop-start" method or the "squeeze" technique can help you gain better control over ejaculation. These methods involve pausing stimulation before ejaculation or applying pressure to the penis to delay ejaculation.

3. Pelvic Floor Exercises: Strengthening the pelvic floor muscles through Kegel exercises can improve control over ejaculation. These exercises involve contracting and relaxing the muscles used to stop urination.

4. Medication: In some cases, medications may be prescribed to help manage premature ejaculation. Selective serotonin reuptake inhibitors (SSRIs) are commonly used for this purpose, as they can delay ejaculation.

5. Counseling or Therapy: If psychological factors are contributing to your symptoms, speaking with a therapist or counselor specializing in sexual health can be beneficial. They can help address anxiety, stress, or relationship issues that may be affecting your sexual performance.

6. Lifestyle Changes: Adopting a healthy lifestyle, including regular exercise, a balanced diet, and adequate sleep, can improve overall sexual health and function.


Conclusion
Experiencing premature semen release and decreased erectile hardness can be distressing, but it is essential to remember that these issues are common and can often be addressed effectively. Seeking professional help is a crucial step in understanding the underlying causes and finding appropriate solutions. By addressing both the physical and psychological aspects of sexual health, you can work towards improving your sexual function and overall well-being.

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