Is this considered premature ejaculation?
Hello Doctor: I usually have a habit of masturbation, and after doing it for a while, I've noticed that my ejaculation time is faster than before.
Now, I feel the urge to ejaculate in less than a minute during masturbation.
Does this count as premature ejaculation? I would like to know if there are ways to improve this situation, whether through diet, physical methods, or if I need to seek medical advice at a clinic.
Thank you.
Xiao Xiong, 20~29 year old female. Ask Date: 2013/11/13
Dr. Lin Hexing reply Urology
Hello: The psychological aspects have a greater impact than dietary or physiological factors, so moderation in masturbation is advisable!
Reply Date: 2013/11/13
More Info
Premature ejaculation (PE) is a common concern among men and can indeed be a source of anxiety and frustration. It is characterized by the inability to delay ejaculation during sexual activity, leading to unsatisfactory sexual experiences. In your case, experiencing a quick release during masturbation may suggest that you are facing some form of PE, especially if this is a change from your previous experiences.
Understanding Premature Ejaculation
PE can be classified into two types: lifelong (primary) and acquired (secondary). Lifelong PE occurs from the first sexual experiences, while acquired PE develops after a period of normal sexual function. Factors contributing to PE can include psychological issues such as anxiety, stress, or relationship problems, as well as physiological factors like hormonal imbalances or neurological conditions.
Possible Causes
1. Psychological Factors: Anxiety about sexual performance, stress from daily life, or even the pressure to achieve satisfaction can lead to quicker ejaculation. This is particularly relevant if you have noticed a change in your sexual response over time.
2. Physiological Factors: Hormonal levels, neurotransmitter imbalances, or even certain medical conditions can affect ejaculation timing.
3. Habituation: If you frequently engage in masturbation, your body may become accustomed to quicker release, leading to a conditioned response that can carry over into sexual encounters.
Strategies for Improvement
1. Behavioral Techniques:
- Start-Stop Technique: During masturbation, when you feel close to ejaculation, stop stimulation until the urge decreases. This can help you gain better control over your ejaculation.
- Squeeze Technique: Similar to the start-stop method, this involves squeezing the base of the penis when you feel close to ejaculation, which can help delay the process.
2. Mindfulness and Relaxation: Practicing mindfulness can help reduce anxiety and improve your control over ejaculation. Techniques such as deep breathing, meditation, or yoga can be beneficial.
3. Pelvic Floor Exercises: Strengthening the pelvic floor muscles through Kegel exercises can improve control over ejaculation. These exercises involve repeatedly contracting and relaxing the muscles used to stop urination.
4. Consultation with a Healthcare Provider: If the issue persists or causes significant distress, it may be beneficial to consult a healthcare professional. They can provide a thorough evaluation to rule out any underlying medical conditions and discuss treatment options, which may include therapy, medications, or other interventions.
5. Diet and Lifestyle Changes: While there is no specific diet that guarantees improvement in PE, a balanced diet rich in fruits, vegetables, whole grains, and lean proteins can support overall health. Reducing alcohol and avoiding recreational drugs can also help, as these substances can affect sexual performance.
When to Seek Medical Advice
If you find that your condition is affecting your quality of life, relationships, or self-esteem, it is advisable to seek medical advice. A healthcare provider can offer tailored advice and treatment options based on your specific situation. Remember, PE is a common issue, and seeking help is a positive step toward managing it effectively.
In summary, while your experience of quick release during masturbation may indicate premature ejaculation, there are various strategies you can employ to improve your situation. Behavioral techniques, mindfulness practices, and consultation with a healthcare provider can all contribute to better control and satisfaction in your sexual experiences.
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