Rapid Ejaculation and Its Effects on Health - Urology

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Masturbation issues?


Recently, I've been ejaculating very quickly during masturbation, sometimes even after just a few strokes.
Is this a problem, doctor? It didn't used to be like this, and sometimes after masturbating, I feel nauseous and dizzy.
I hope you can provide some answers.
Thank you.

Niming, 20~29 year old female. Ask Date: 2015/12/25

Dr. Xu Weikai reply Urology


Anonymous: Hello, I cannot answer.
Masturbation is primarily for personal pleasure, and the methods and timing are entirely under one's control.
As for feeling dizzy and nauseous after ejaculation, it is likely due to changes in blood pressure caused by nerve excitement, resulting in poor bodily adaptation.
It is speculated that you may not have a regular exercise routine.
I recommend exercising regularly, at least 3-5 times a week, with each session lasting a minimum of 40 minutes.
Stabilizing the autonomic nervous system can help improve this condition.
Online responses can only serve as a reference; if necessary, it is important to seek medical attention at a healthcare facility.
This message is from Dr.
Hsu Wei-Kai, Director of the Urology Department at Taitung Hospital, Ministry of Health and Welfare, who cares about your well-being.

Reply Date: 2015/12/25

More Info


Rapid ejaculation, often referred to as premature ejaculation, is a common concern among men and can have various implications for both physical and mental health. It is characterized by ejaculation that occurs with minimal sexual stimulation, often before or shortly after penetration, and can lead to dissatisfaction for both partners.
From a medical perspective, there are several factors that could contribute to rapid ejaculation. These include psychological factors such as anxiety, stress, or performance pressure, which can heighten arousal and lead to quicker ejaculation. Physical factors may also play a role, including hormonal imbalances, neurological conditions, or even certain medications. In your case, the sudden change in your experience with masturbation, where you find yourself ejaculating quickly, could be linked to psychological stress or anxiety, especially if you are feeling pressure or discomfort during the act.

The symptoms you describe, such as feeling nauseous or dizzy after ejaculation, are worth noting. These sensations could be related to a variety of factors, including hyperventilation (rapid breathing), anxiety, or even a vasovagal response, which is a sudden drop in heart rate and blood pressure leading to fainting or dizziness. If these symptoms persist, it would be advisable to consult a healthcare professional for a thorough evaluation.

In terms of health implications, while rapid ejaculation itself is not typically associated with serious health risks, it can affect your quality of life and intimate relationships. It may lead to feelings of inadequacy, frustration, or anxiety, which can further exacerbate the issue. Addressing these feelings through open communication with your partner or seeking counseling can be beneficial.

There are various approaches to managing rapid ejaculation. Behavioral techniques, such as the "stop-start" method or the "squeeze" technique, can help you gain better control over ejaculation. Additionally, pelvic floor exercises, commonly known as Kegel exercises, can strengthen the muscles involved in ejaculation and improve control.
If these methods do not yield satisfactory results, there are also medical treatments available. Topical anesthetics can reduce sensitivity, while certain medications, such as selective serotonin reuptake inhibitors (SSRIs), have been found to delay ejaculation. However, these should only be considered after consulting with a healthcare provider, who can help determine the most appropriate treatment based on your specific situation.

In conclusion, while rapid ejaculation can be concerning, it is a common issue that can often be managed effectively. It is important to consider both the physical and psychological aspects of the condition and to seek professional guidance if symptoms persist or worsen. Open communication with your partner and exploring various treatment options can lead to improved sexual health and overall well-being. If you continue to experience nausea and dizziness, it is crucial to consult a healthcare professional to rule out any underlying conditions.

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