Ejaculation Challenges: Insights on Phimosis and Masturbation Techniques

The foreskin covers the glans?

I have a long-standing and embarrassing issue.
1.
I can only achieve ejaculation while masturbating when my penis is in a "soft" state, using the foreskin to cover the glans and lying down.
In other words, I cannot masturbate with my hand when I am erect; I can get an erection but cannot ejaculate.
I wonder if my habit of lying down to masturbate has conditioned my glans to respond to more intense stimulation, which is why I can only ejaculate in that position, while manual stimulation does not provide enough intensity for ejaculation.
Is this correct, doctor? 2.
I later realized that most people masturbate with an erect penis using their hands, but when I try to switch to hand masturbation, I can slowly achieve an erection, but I still do not experience ejaculation (I do not feel the urge to ejaculate at all).
What should I do? Am I considered to have erectile dysfunction?

bert, 20~29 year old female. Ask Date: 2013/07/24

Dr. Xu Weikai reply Urology

Hello, 1.
Different types of stimulation can indeed affect ejaculation.
2.
It may be due to autonomic nervous system issues causing difficulty in ejaculation.
Note: Strictly speaking, the inability to ejaculate is also considered a medical condition.
You can visit a large hospital and consult a specialist (a physician who focuses on sexual function) for relevant examinations and treatment.
If there are any unclear points, feel free to ask again, and we can further discuss and research the matter.
Responses on the internet should only be used as a reference; if necessary, it is still important to seek medical care at a healthcare facility.
This message is from Dr.
Hsu Wei-Kai, Director of Urology, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2013/07/24

More Info

Ejaculation challenges can be a complex issue, and it's important to approach them with understanding and sensitivity. Based on your description, it seems that you are experiencing difficulties with ejaculation during masturbation, particularly when the penis is erect. This can be influenced by various factors, including physical, psychological, and habitual aspects.

1. Understanding Phimosis and Sensitivity: Phimosis is a condition where the foreskin cannot be fully retracted over the glans (head) of the penis. This can lead to increased sensitivity of the glans when it is covered, which might explain why you find it easier to ejaculate when the penis is in a soft state and the glans is covered. The stimulation you experience in this position may be more intense due to the friction and pressure against the foreskin. If you have not been able to retract your foreskin comfortably, this could also contribute to your current situation.
2. Masturbation Techniques: It is common for individuals to develop specific techniques that work for them based on their comfort and sensitivity levels. If you have primarily masturbated in a prone position with the foreskin covering the glans, your body may have adapted to this method, leading to difficulties when trying to use different techniques, such as manual stimulation while erect. The lack of ejaculation in this scenario could be due to a combination of psychological factors (such as anxiety about performance) and physical factors (like the difference in stimulation).

3. Erection and Ejaculation: The ability to achieve an erection does not necessarily guarantee ejaculation. The process of ejaculation involves a complex interplay of physical and psychological factors, including arousal, stimulation, and the body's response to these stimuli. If you find that you can achieve an erection but do not feel the urge to ejaculate, it may be helpful to explore different forms of stimulation or relaxation techniques to enhance your experience.

4. Psychological Factors: Anxiety or stress about sexual performance can significantly impact your ability to ejaculate. If you feel pressure to perform in a certain way, it may hinder your natural response. Consider practicing relaxation techniques, such as deep breathing or mindfulness, to help reduce anxiety during masturbation.

5. Exploring New Techniques: If you want to transition to using your hand for masturbation, start slowly. Experiment with different grips, speeds, and pressures to find what feels pleasurable. You might also consider using lubrication to enhance the sensation. Gradually increasing your comfort with this method may help you achieve ejaculation over time.

6. Consulting a Professional: If these challenges persist and significantly affect your sexual health or well-being, it may be beneficial to consult a healthcare professional, such as a urologist or a sexual health specialist. They can provide personalized advice and assess if there are any underlying medical conditions contributing to your situation.

In conclusion, your experience is not uncommon, and many individuals face similar challenges. Understanding the interplay between physical sensations, psychological factors, and habitual behaviors is crucial in addressing ejaculation difficulties. With patience and exploration, you may find new ways to enhance your sexual experiences.

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