Premature Ejaculation: A Teen's Guide to Urological Health - Urology

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It seems like premature ejaculation?


Hello, Doctor Sun.
I am 14 years old.
Previously, I masturbated about five times a week.
Two months ago, during one instance, I felt pain in the vas deferens after holding back.
After resting for a while, the pain went away, but I later noticed I was experiencing premature ejaculation.
After resting again, it improved, but I can't do it consecutively.
Recently, I've been doing it once a week.
A few days ago, I was under a lot of stress from exams, and while studying, I felt some pain in my penis, although it wasn't very severe.
I also have a tingling sensation in the vas deferens that hasn't completely gone away.
Could this be due to the stress from the exams? Today, after finishing my exams, I felt sexual desire but found that I ejaculated in just two minutes.
I feel very anxious and don't dare to tell my parents.
What should I do? Is there hope for improvement? Would resting for about a month help, or will it always be like this? Is it possible that my high sex drive at my age is contributing to the premature ejaculation? I didn't have this issue before.
Do I need to see a doctor? I hope you can respond, as I'm very nervous.

Niming, 10~19 year old female. Ask Date: 2024/06/27

Dr. Sun Hongshun reply Urology


Hello: Engaging in sexual activity five times a week may be excessive for a 14-year-old.
Sexual desire and premature ejaculation can improve based on your physical and psychological adjustments, so try not to be overly anxious.
As for the penile pain, it is "absolutely" unrelated to exam stress.
However, the doctor would first recommend that you "take a break" for 3 to 5 days, and you should see improvement.
If there is no improvement or if the pain persists or worsens during this time, please seek medical attention immediately.

Reply Date: 2024/06/27

More Info


It's completely understandable to feel anxious about issues related to sexual health, especially at your age. Premature ejaculation (PE) is a common concern among young men, and it's important to know that you're not alone in this experience. Let's break down your questions and concerns regarding this topic.

Firstly, it's essential to understand that PE can be influenced by various factors, including psychological stress, anxiety, and physical health. Given that you mentioned experiencing pain in the urethra and a significant increase in stress due to exams, it's possible that these factors are contributing to your current situation. Stress and anxiety can lead to a heightened state of arousal, which may result in quicker ejaculation. This is particularly common during periods of high pressure, such as exams.

Regarding your experience with masturbation, it's important to note that frequency can vary greatly among individuals. While some may masturbate frequently, others may do so less often. The key is to find a balance that feels comfortable for you. If you feel that your previous frequency was causing discomfort or pain, it might be beneficial to reduce the frequency and allow your body some time to recover.

As for the pain you experienced, if it has subsided and you are no longer feeling discomfort, that's a positive sign. However, if the pain returns or persists, it would be wise to consult a healthcare professional. They can provide a thorough examination and rule out any underlying issues that may be contributing to your symptoms.

Now, concerning premature ejaculation, there are several strategies you can consider to help manage this condition:
1. Relaxation Techniques: Since anxiety can exacerbate PE, practicing relaxation techniques such as deep breathing, meditation, or yoga can help reduce stress levels.

2. Pelvic Floor Exercises: Strengthening your pelvic floor muscles through exercises like Kegels can improve control over ejaculation. These exercises involve tightening and relaxing the muscles you would use to stop urination.

3. Desensitizing Products: Some over-the-counter creams or sprays can help reduce sensitivity and may assist in delaying ejaculation. However, it's important to use these products as directed and consult a healthcare provider if you're unsure.

4. Communication: If you have a partner, open communication about your concerns can help alleviate anxiety. Understanding and support from a partner can make a significant difference.

5. Professional Help: If you find that your concerns persist or worsen, seeking help from a healthcare professional or a therapist specializing in sexual health can provide you with tailored advice and support.

In terms of your question about whether resting for a month would help, it's possible that taking a break from sexual activity could allow you to reset and reduce anxiety. However, it's also important to address any underlying psychological factors that may be contributing to your experience.

Lastly, regarding your concern about sexual desire at your age, it's entirely normal for teenagers to experience heightened sexual urges due to hormonal changes. This does not inherently lead to premature ejaculation, but it can contribute to feelings of anxiety if you're not comfortable with your sexual experiences.

In summary, while premature ejaculation can be concerning, it is often manageable with the right strategies and support. If your symptoms persist or you feel overwhelmed, don't hesitate to reach out to a healthcare professional who can provide guidance tailored to your situation. Remember, taking care of your mental and physical health is crucial, and seeking help is a sign of strength.

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