Premature Ejaculation: Causes and Solutions for Teens - Urology

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Could you please provide more details regarding the issue of premature ejaculation?


Hello, doctor.
I am in the second year of junior high school.
About a month ago, during an episode of masturbation, I accidentally held back right before ejaculation, and suddenly I felt a sharp pain throughout my vas deferens.
The pain lasted for two days and then subsided.
However, I have since noticed that my stamina has been declining, and I often ejaculate in less than two minutes.
Could you please explain why this is happening? Did I injure my vas deferens during that incident? Will this issue persist in the future, or would resting help?

Niming, 10~19 year old female. Ask Date: 2024/05/28

Dr. Du Shixi reply Urology


Hello: Please take a week off to rest.
If symptoms persist, please seek medical attention.
Wishing you good health.

Reply Date: 2024/05/28

More Info


Premature ejaculation (PE) is a common concern among adolescents and can be influenced by various factors, including physical, psychological, and emotional aspects. In your case, the experience of pain in the spermatic duct during masturbation may have contributed to your current concerns about ejaculatory control.
Firstly, it’s important to understand that the male reproductive system is quite sensitive, and any discomfort or pain can lead to anxiety about sexual performance. The pain you experienced could have been due to a temporary strain or irritation of the spermatic duct or surrounding tissues, which is not uncommon during vigorous sexual activity or masturbation. However, if the pain has resolved and you are no longer experiencing discomfort, it is unlikely that you have caused any lasting injury.

Regarding your concerns about premature ejaculation, it is essential to recognize that this is a common issue, especially among younger males. Factors that can contribute to PE include anxiety, stress, and lack of experience. The pressure to perform well can lead to heightened anxiety, which may exacerbate the problem. Additionally, hormonal changes during adolescence can also play a role in sexual function and ejaculatory control.

Here are some potential solutions and strategies to help manage premature ejaculation:
1. Relaxation Techniques: Stress and anxiety can significantly impact sexual performance. Practicing relaxation techniques such as deep breathing, meditation, or yoga can help reduce anxiety levels and improve your overall sexual experience.

2. Pelvic Floor Exercises: Strengthening the pelvic floor muscles through exercises like Kegels can help improve ejaculatory control. To perform Kegel exercises, identify the muscles you use to stop urination, contract them for a few seconds, and then relax. Repeat this several times a day.

3. Desensitizing Techniques: Some individuals find that using desensitizing creams or sprays can help reduce sensitivity and prolong ejaculation. However, it is essential to use these products cautiously and follow the instructions carefully.

4. Communication with Partners: If you are engaging in sexual activity with a partner, open communication can help alleviate performance anxiety. Discussing your concerns and working together to find comfortable solutions can enhance intimacy and reduce pressure.

5. Professional Guidance: If premature ejaculation continues to be a concern, consider speaking with a healthcare professional or a therapist who specializes in sexual health. They can provide tailored advice and support, and if necessary, discuss potential medical treatments.

6. Patience and Practice: Remember that sexual performance can improve with experience. As you become more comfortable with your body and sexual activity, you may find that your control improves over time.

In conclusion, while your experience of pain during masturbation may have raised concerns about your sexual health, it is essential to approach the situation with patience and understanding. Premature ejaculation is a common issue, especially during adolescence, and there are various strategies to help manage it. If you continue to have concerns or if the issue persists, seeking professional advice can provide you with the support and guidance you need.

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