Ejaculation Issues: A Guide for Teenagers - Urology

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Masturbation and ejaculation issues?


Your question: Hi, doctor.
I am a high school student, and recently when I masturbate, sometimes I suddenly feel a twitch and then it becomes a bit soft, but I can still ejaculate normally.
I have been masturbating almost every day since middle school.
I remember experiencing a similar situation two years ago, but I found that if I don't masturbate every day and take a day off, the situation usually improves.
Doctor, is this due to excessive masturbation or is it a physical issue? I've also been staying up late recently; could that be the reason? Thank you for your response.
Doctor's reply: Urologist, Dr.
Du Shixi suggests: Hello, if resting helps, it should be due to overactivity.
Please pay attention to rest and exercise.
Wishing you good health.
Patient: Hello, doctor.
I am this patient.
What should I do? Should I stop masturbating or do something else? Sorry for bothering you.
Doctor's reply: Urologist, Dr.
Du Shixi suggests: Hello, please reduce the frequency of masturbation.
Wishing you good health.
Patient: Sorry to bother you again.
After following your advice, I changed to once every three days.
The first time was normal, but during the second time, I noticed the issue almost resurfaced right before ejaculation, similar to before, but then it got better the next second.
I don't know if this is a problem with my libido.
Two weeks ago, I was doing it every day for over two years without any issues, and I'm really worried.
Thank you for your help.

Chian, 10~19 year old female. Ask Date: 2024/03/28

Dr. Du Shixi reply Urology


Hello: A temporary pause may help or improve the situation.
If there is no improvement, please seek medical attention at a major hospital.
Wishing you good health.

Reply Date: 2024/03/28

More Info


Understanding ejaculation issues, especially for teenagers, can be a complex topic that intertwines physical, psychological, and lifestyle factors. It's important to approach this subject with sensitivity and a clear understanding of the normal variations in sexual health.

Firstly, it's essential to recognize that masturbation is a normal part of sexual development for many teenagers. It can serve as a way to explore one's body, understand sexual feelings, and relieve sexual tension. However, like any behavior, moderation is key. The concerns you've raised about experiencing temporary erectile issues during masturbation could be linked to several factors.

1. Frequency of Masturbation: As you mentioned, you've been engaging in masturbation almost daily for an extended period. This frequency can lead to temporary fatigue of the sexual organs, which might explain why you experience a momentary loss of erection. Reducing the frequency, as you've started to do, can help your body recover and may improve your overall sexual function.

2. Physical and Mental Health: Factors such as stress, anxiety, and fatigue can significantly impact sexual performance. If you're experiencing stress from school or personal life, this could manifest in physical ways, including during sexual activities. Additionally, late nights and lack of sleep can affect your energy levels and hormonal balance, which are crucial for sexual health. Ensuring you get adequate rest and manage stress through healthy outlets like exercise or hobbies can be beneficial.

3. Hormonal Fluctuations: During adolescence, your body undergoes numerous hormonal changes that can affect libido and sexual performance. It's not uncommon for teenagers to experience fluctuations in sexual desire and performance as their bodies adjust to these changes.

4. Psychological Factors: Sometimes, the pressure to perform or anxiety about sexual activity can lead to temporary erectile issues. It's important to approach masturbation and sexual experiences with a relaxed mindset. If you're overly focused on the outcome, it can create a cycle of anxiety that affects performance.

5. Health and Lifestyle Choices: Maintaining a healthy lifestyle, including a balanced diet, regular exercise, and avoiding excessive alcohol or drug use, can positively influence sexual health. If you notice that certain habits correlate with your experiences, it might be worth adjusting those.

In conclusion, while occasional difficulties with ejaculation or maintaining an erection can be concerning, they are often temporary and can be influenced by a variety of factors. If you continue to experience issues or if they worsen, it may be beneficial to consult a healthcare professional who specializes in sexual health. They can provide personalized advice and support tailored to your specific situation. Remember, open communication about sexual health is crucial, and seeking help is a sign of maturity and responsibility.

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


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