Ejaculation Timing and Frenulum Issues in Men - Urology

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Could you please clarify the issue regarding ejaculation time and the frenulum?


Hello, doctor.
I would like to ask:
1.
If I feel that I cannot sustain thrusting in the vagina for more than 2 minutes before I want to ejaculate, and I change positions or withdraw, will this affect the woman's emotional response and the timing of her orgasm?
2.
I feel that my sensitivity to ejaculation may be related to the tension on the frenulum.
Would cutting the frenulum or just circumcising help reduce sensitivity, or is this situation not a significant concern? Thank you.

A-Dan, 20~29 year old female. Ask Date: 2007/08/30

Dr. Xu Weikai reply Urology


A-Dan: Hello, the general sensitive areas include the frenulum of the foreskin, which tends to be more sensitive.
After circumcision, some individuals may feel less sensitivity, which can also make it more difficult to ejaculate.
Additionally, it seems that no one only undergoes frenulum removal; if you really want to pursue this, you can discuss it with a physician.
Personally, I am more conservative, and my suggestions are: 1.
You can start with other desensitization methods, such as consistently using condoms or finding positions that make it less likely to ejaculate, etc.
2.
If those methods are ineffective, there are some medications that can increase ejaculatory resistance, which should also be effective.
3.
If none of the above methods work, then consider surgical options.
Taitung Hospital, Department of Urology, Executive Yuan Health Department, Dr.
Hsu Wei-Kai is concerned about your situation.

Reply Date: 2007/08/30

More Info


Understanding ejaculation timing and frenulum issues in men is a multifaceted topic that involves both physiological and psychological aspects. Let's break down your questions and provide a comprehensive understanding.

1. Ejaculation Timing and Its Impact on Female Orgasm: It is common for men to experience a desire to ejaculate shortly after penetration, and this can indeed affect the sexual experience for both partners. If you find that you are unable to last more than two minutes before feeling the urge to ejaculate, it may lead to a situation where you feel the need to withdraw to prolong the experience. This withdrawal can disrupt the rhythm of sexual activity and may affect your partner's ability to reach orgasm. Women often require a combination of physical stimulation and emotional connection to achieve orgasm, and interruptions can diminish arousal.
To address this, consider techniques such as the "stop-start" method or "squeeze" technique, which can help you gain better control over your ejaculation. Communication with your partner about what feels good and what helps maintain arousal can also enhance the experience for both of you. If this issue persists and causes distress, consulting a healthcare professional or a sex therapist may provide additional strategies tailored to your situation.

2. Frenulum Sensitivity and Circumcision: The frenulum, a band of tissue on the underside of the penis, is highly sensitive and plays a significant role in sexual arousal. If you feel that the sensitivity in this area contributes to your premature ejaculation, it is worth discussing with a healthcare provider. Some men find that frenulum sensitivity can lead to quicker ejaculation, and in some cases, procedures such as frenuloplasty (a surgical procedure to modify the frenulum) or circumcision may be considered to reduce sensitivity.

However, it is important to note that surgical interventions should not be taken lightly. They come with risks and potential complications, including changes in sensation and the possibility of scarring. Before considering any surgical options, it is advisable to explore non-invasive methods to manage sensitivity, such as desensitizing creams or behavioral techniques.

3. Psychological Factors: It is also essential to recognize that psychological factors can significantly influence ejaculation timing. Anxiety, stress, and performance pressure can exacerbate the feeling of urgency to ejaculate. Engaging in relaxation techniques, mindfulness, or even therapy can help address these underlying issues.

4. Consultation with a Specialist: If you are concerned about your sexual health, including issues related to ejaculation timing and frenulum sensitivity, it is beneficial to consult a urologist or a sexual health specialist. They can provide a thorough evaluation and discuss potential treatment options, whether they be behavioral, pharmacological, or surgical.

In summary, while issues related to ejaculation timing and frenulum sensitivity can be concerning, they are common and manageable. Open communication with your partner, exploring various techniques to enhance control, and seeking professional guidance can lead to improved sexual satisfaction for both you and your partner. Remember, sexual health is an important aspect of overall well-being, and addressing these concerns can lead to a more fulfilling intimate life.

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