Overcoming Premature Ejaculation: Seeking Help from Urology Experts - Urology

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Doctor, please help me!


I have had a habit of masturbating for a long time, and I do it frequently.
However, now when I am with my girlfriend, I ejaculate within one minute.
Is there any way to help me?

Tianxiang, 20~29 year old female. Ask Date: 2004/02/04

Dr. Zhang Chengye reply Urology


Hello, Tianxiang: Your issue is premature ejaculation.
Here are some solutions: 1.
Break the habit of masturbation.
2.
Relax your mind.
3.
Try again.
4.
Use a condom.
If these methods do not work, please seek medical advice at a clinic.
Dr.
Lai Rong-Hao, Attending Physician, Urology Department, Hsinchu Hospital, Department of Health, Executive Yuan.

Reply Date: 2004/02/04

More Info


Premature ejaculation (PE) is a common issue that many men face at some point in their lives. It can be distressing and can affect intimate relationships. The good news is that there are various strategies and treatments available to help manage and overcome this condition.

Firstly, it's important to understand that PE can be caused by a variety of factors, including psychological issues such as anxiety, stress, or guilt, as well as physiological factors like hormonal imbalances or neurological conditions. In your case, the frequent masturbation habit may have conditioned your body to ejaculate quickly, which can sometimes translate into sexual encounters with a partner.

Here are some steps you can take to address premature ejaculation:
1. Consult a Urologist or Sexual Health Specialist: Seeking help from a healthcare professional who specializes in urology or sexual health is a crucial first step. They can provide a thorough evaluation to determine if there are any underlying medical conditions contributing to your PE. They can also discuss treatment options tailored to your specific situation.

2. Behavioral Techniques: There are several behavioral techniques that can help you gain better control over ejaculation. One common method is the "stop-start" technique, where you or your partner stimulate the penis until you feel close to ejaculation, then stop until the urge decreases. This can help you learn to control your arousal levels.

3. Desensitizing Products: Over-the-counter creams or sprays that contain numbing agents (like lidocaine) can be applied to the penis to reduce sensitivity. This can help prolong the duration of intercourse. However, it's important to use these products as directed and to discuss their use with your partner.

4. Pelvic Floor Exercises: Strengthening the pelvic floor muscles through exercises (often referred to as Kegel exercises) can improve control over ejaculation. These exercises involve repeatedly contracting and relaxing the muscles that control urination.

5. Medications: In some cases, doctors may prescribe medications that can help delay ejaculation. Selective serotonin reuptake inhibitors (SSRIs), commonly used as antidepressants, have been found to have a side effect of delaying ejaculation. There are also specific medications designed for this purpose.

6. Counseling or Therapy: If psychological factors are contributing to your PE, talking to a therapist or counselor can be beneficial. Cognitive-behavioral therapy (CBT) can help address anxiety and improve sexual confidence.

7. Communication with Your Partner: Open communication with your partner about your concerns can help alleviate anxiety and create a supportive environment. Discussing your feelings and working together to find solutions can strengthen your relationship.

8. Lifestyle Changes: Reducing stress through relaxation techniques, regular exercise, and a healthy diet can also improve overall sexual function. Avoiding excessive alcohol and recreational drugs is advisable, as these can negatively impact sexual performance.

In conclusion, overcoming premature ejaculation is possible with the right approach. Consulting with a urologist or sexual health expert is essential to explore the best treatment options for you. Remember, you are not alone in this, and many men experience similar challenges. With patience and the right strategies, you can improve your sexual experience and regain confidence in your intimate relationships.

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