Overcoming Ejaculation Issues: Seeking Urology Solutions - Urology

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Self-defense issues


Hello doctor, I used to handle my genital area by lying down, but recently I've been trying to masturbate in a normal way and I'm unable to ejaculate.
What can I do to resolve this? If I visit a urologist, what treatments or medications might be available?

Tai, 10~19 year old female. Ask Date: 2024/01/13

Dr. Liu Mingyue reply Urology


Hello: Medication cannot be changed, so you need to take it slow.
Change your habits, and I wish you good health.

Reply Date: 2024/01/13

More Info


Ejaculation issues can be a sensitive and complex topic, but it's important to understand that you're not alone in facing these challenges. Many men experience difficulties with ejaculation at some point in their lives, and there are various potential causes and solutions.
Firstly, it's essential to identify the underlying reasons for your ejaculation issues. These can range from psychological factors, such as anxiety or stress, to physical conditions, including hormonal imbalances, nerve damage, or medication side effects. If you've previously relied on a specific method to achieve ejaculation, such as applying pressure to the genital area, this could indicate a learned behavior that may not translate to other methods, like masturbation.

When considering a visit to a urologist, you can expect a thorough evaluation. The doctor will likely ask about your medical history, any medications you're currently taking, and your sexual history. They may also perform a physical examination and possibly recommend tests to rule out any underlying medical conditions.
In terms of treatment options, several approaches might be considered:
1. Medication: Depending on the cause of your ejaculation issues, a urologist might prescribe medications. For instance, if anxiety is a contributing factor, anti-anxiety medications or antidepressants may be helpful. Conversely, if hormonal imbalances are suspected, hormone therapy might be an option.

2. Therapy: If psychological factors are at play, cognitive-behavioral therapy (CBT) or sex therapy can be beneficial. These therapies can help address anxiety, improve sexual confidence, and develop healthier sexual practices.

3. Pelvic Floor Exercises: Similar to Kegel exercises for women, pelvic floor exercises can help strengthen the muscles involved in ejaculation. A urologist or physical therapist specializing in pelvic health can guide you through these exercises.

4. Lifestyle Changes: Sometimes, simple lifestyle adjustments can make a significant difference. Reducing alcohol consumption, quitting smoking, and managing stress through relaxation techniques or exercise can improve overall sexual function.

5. Alternative Techniques: If traditional masturbation techniques are not effective, exploring different methods may help. This could include varying the pressure, speed, or rhythm during masturbation. Some men find that using lubrication or trying different positions can also enhance their experience.

6. Devices: There are also sexual aids and devices designed to enhance stimulation and potentially assist with ejaculation. Discussing these options with a urologist can provide insights into what might work best for you.

It's crucial to approach this issue with patience and an open mind. Sexual health is a vital aspect of overall well-being, and addressing these concerns with a healthcare professional can lead to effective solutions. Remember, seeking help is a positive step, and many men have successfully overcome similar challenges with the right support and treatment.
In conclusion, if you're experiencing difficulties with ejaculation, consider scheduling an appointment with a urologist. They can provide a comprehensive evaluation and tailor a treatment plan that addresses your specific needs. Don't hesitate to discuss all your symptoms and concerns openly, as this will help the doctor understand your situation better and recommend the most appropriate solutions.

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