Doctor, please help me?
Hello, doctor.
I am a college student.
I developed a habit of masturbation during middle school, and it was quite frequent.
I had sexual experiences with females in my first year of high school, but starting in my second year, I gradually noticed that urination was no longer as smooth as before, and I often felt a sensation of residual urine.
Sometimes, I even experience leakage after putting on my underwear.
When I engage in intimate activities with my girlfriend, I also struggle with endurance.
Occasionally, after watching two or three adult films, I feel pain in my lower region.
Could this be related to my previous excessive masturbation, or is there a problem with my urinary system? Are there any exercises or methods that could help remedy this? I understand that I may not be in a position to demand solutions, but I really want to seek help as soon as possible, and I hope you can provide guidance for someone like me who feels inadequate.
Guo Fen Si, 10~19 year old female. Ask Date: 2007/12/16
Dr. Lin Wenxu reply Urology
Hello, sir: Thank you for your inquiry.
I would like to address your question and provide some relevant suggestions as follows: In reality, your issue does seem to be quite complex and resembles a "psychosomatic disorder," as various symptoms arise due to emotional factors such as anxiety, tension, and worry.
I recommend that you visit a clinic for a thorough evaluation and treatment by a physician, so that your concerns can be resolved as soon as possible.
Lastly, I wish you peace and happiness.
Reply Date: 2007/12/16
More Info
It's commendable that you're seeking help and trying to understand your urological issues. Based on your description, it seems you're experiencing a combination of urinary symptoms and sexual dysfunction, which can be distressing, especially for a young adult. Let's break down your concerns and explore potential causes and solutions.
Firstly, the symptoms you're describing—difficulty urinating, a feeling of incomplete bladder emptying, and occasional leakage—could indicate a few different issues. One possibility is that you might be experiencing a condition known as urinary retention, where the bladder doesn't empty completely. This can lead to feelings of urgency and discomfort. Another potential issue could be related to pelvic floor dysfunction, which can affect both urinary and sexual function.
Your history of frequent masturbation and early sexual experiences may also play a role in your current symptoms. While masturbation itself is a normal and healthy behavior, excessive or aggressive techniques can sometimes lead to physical irritation or injury. This might explain the pain you're experiencing after watching pornography or during sexual activity. It's essential to recognize that the body needs time to recover, and over-stimulation can lead to temporary discomfort.
In terms of your sexual performance, it's not uncommon for young men to experience difficulties with endurance, especially if there's anxiety or pressure involved. The psychological aspect of sexual performance can significantly impact physical function. If you're feeling anxious about your sexual experiences or if you're comparing yourself to unrealistic portrayals in pornography, this can create a cycle of stress that exacerbates the problem.
To address these issues, here are some steps you can take:
1. Consult a Healthcare Professional: It's crucial to speak with a urologist or a healthcare provider who specializes in sexual health. They can conduct a thorough evaluation, including a physical examination and possibly some tests, to determine if there's an underlying medical condition that needs to be addressed.
2. Pelvic Floor Exercises: Engaging in pelvic floor exercises, commonly known as Kegel exercises, can help strengthen the muscles involved in urination and sexual function. These exercises can improve bladder control and may enhance sexual performance.
3. Mindfulness and Relaxation Techniques: Since anxiety can play a significant role in sexual performance, practicing mindfulness, meditation, or relaxation techniques can help reduce stress and improve your overall mental well-being.
4. Limit Pornography Consumption: If you find that watching pornography is leading to discomfort or unrealistic expectations, consider reducing your consumption. This can help you develop a healthier perspective on sexual relationships and performance.
5. Healthy Lifestyle Choices: Regular exercise, a balanced diet, and adequate hydration can positively impact your overall health, including your urological function. Staying active can also help reduce stress and improve your mood.
6. Open Communication: If you're in a relationship, discussing your feelings and concerns with your partner can foster understanding and support. Open communication can alleviate some of the pressure you may feel during intimate moments.
7. Seek Counseling: If you're struggling with feelings of inadequacy or self-worth, talking to a mental health professional can provide valuable support. They can help you work through any underlying issues that may be affecting your sexual health and overall well-being.
Remember, you're not alone in this journey, and seeking help is a sign of strength. Many young adults experience similar challenges, and with the right support and guidance, you can work towards recovery and improved health. Don't hesitate to reach out to a healthcare provider who can help you navigate these issues effectively.
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