Regarding the symptoms of anejaculation?
I am unable to achieve ejaculation during intercourse.
I initially thought it was due to phimosis, so I underwent circumcision, which has increased my pleasure somewhat, but I still cannot reach ejaculation.
I have been masturbating since I was very young without understanding that it was masturbation, which seems to have led to excessive and frequent masturbation over time.
Will stopping masturbation for a period of time help with ejaculation during intercourse?
Reg, 20~29 year old female. Ask Date: 2010/01/02
Dr. Xu Weikai reply Urology
Ejaculatory dysfunction is commonly observed in young individuals, primarily due to insufficient stimulation.
Additionally, intentionally prolonging the duration of an erection can disrupt autonomic regulation, making ejaculation difficult.
As for masturbation, there is no causal relationship with the ability to ejaculate.
Reply Date: 2010/01/02
More Info
Anejaculation, or the inability to ejaculate during sexual intercourse, can be a complex issue influenced by various physical, psychological, and behavioral factors. Your experience of not being able to achieve ejaculation even after undergoing a circumcision suggests that there may be underlying issues that need to be addressed beyond just anatomical concerns.
Firstly, it’s important to understand that while circumcision may enhance sensitivity for some individuals, it does not guarantee the resolution of ejaculation issues. Anejaculation can stem from a variety of causes, including psychological factors such as anxiety, stress, or performance pressure, as well as physical factors like hormonal imbalances or nerve damage.
Regarding your question about abstaining from masturbation, it’s worth noting that excessive masturbation can sometimes lead to desensitization, which may affect sexual performance. If you have been engaging in frequent masturbation, taking a break might help reset your sexual response. This abstinence could potentially increase sensitivity and help you regain a more natural response to sexual stimuli during intercourse. However, the effects of abstaining can vary from person to person, and there is no one-size-fits-all answer.
In addition to considering abstinence, it may be beneficial to explore other avenues to address your concerns. Here are some suggestions:
1. Consult a Healthcare Professional: It’s crucial to discuss your symptoms with a healthcare provider, preferably a urologist or a sexual health specialist. They can conduct a thorough evaluation to rule out any underlying medical conditions that may be contributing to your anejaculation.
2. Psychological Support: If anxiety or psychological factors are at play, seeking therapy or counseling can be beneficial. Cognitive-behavioral therapy (CBT) has been shown to help individuals manage anxiety and improve sexual function.
3. Pelvic Floor Exercises: Strengthening the pelvic floor muscles through exercises such as Kegels may help improve sexual function and ejaculation control. A physical therapist specializing in pelvic health can provide guidance on proper techniques.
4. Communication with Partner: Open communication with your sexual partner about your experiences and feelings can reduce performance anxiety and create a more supportive environment for intimacy.
5. Gradual Reintroduction of Sexual Activity: If you decide to abstain from masturbation, consider gradually reintroducing sexual activity, focusing on pleasure rather than performance. This can help alleviate pressure and allow you to explore what feels good without the expectation of ejaculation.
6. Medication: In some cases, medications may be prescribed to help with sexual function. Discussing this option with your healthcare provider can provide additional avenues for treatment.
In conclusion, while abstaining from masturbation may help some individuals with anejaculation, it is essential to consider a holistic approach that includes medical evaluation, psychological support, and open communication with your partner. Each person's experience is unique, and finding the right combination of strategies may take time and patience.
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