Is Delaying Ejaculation During Masturbation Harmful? Symptoms and Concerns

Does preventing ejaculation during masturbation pose any risks?

Doctor: Hello, about a week ago, while watching adult films and masturbating, I relied solely on my willpower to prevent ejaculation, but I noticed that my testicles felt a bit painful that day.
However, after sleeping, the discomfort improved somewhat.
On one occasion, after masturbating, my semen was very watery (extremely diluted), which has never happened before.
Additionally, I had severe insomnia the night before.
Could this be prostatitis or orchitis? Since that day, I have been experiencing persistent insomnia, poor sleep quality, and overall discomfort.
After four or five days of inadequate sleep, when I was intimate with my girlfriend, I experienced premature ejaculation after only a few touches, although my semen returned to normal.
I have been very worried, which has severely affected my sleep.
I would like to ask the doctor what symptoms I might be experiencing and what tests I should undergo.
Regardless of the outcome, I sincerely thank you, Dr.
Fu, for taking the time to read this letter.

QQ, 30~39 year old female. Ask Date: 2016/03/14

Dr. Fu Shizhang reply Urology

Based on the description, there doesn't seem to be any specific issues, and it may be related to lifestyle and stress.
It is recommended to first adjust your lifestyle to avoid sleep deprivation.
If there is persistent testicular pain or perineal pain, it may indicate inflammation, and it is advisable to consult a urologist.
Online consultations cannot replace an in-person examination and physical assessment by a physician; if there is an illness, it is still recommended to seek medical care at a healthcare facility.

Reply Date: 2016/03/14

More Info

Delaying ejaculation during masturbation is a topic that can raise various concerns, particularly when it leads to physical discomfort or changes in sexual function. Based on your description, it seems you are experiencing a combination of symptoms, including testicular pain, changes in semen consistency, and issues with premature ejaculation. Let's break down these concerns and provide some insights.

Understanding the Symptoms
1. Testicular Pain: The discomfort in your testicles after delaying ejaculation could be a result of prolonged arousal without release. This is sometimes referred to as "blue balls," where the buildup of blood in the genital area leads to discomfort. While this is usually not harmful, persistent or severe pain should be evaluated by a healthcare professional to rule out conditions such as epididymitis or testicular torsion.

2. Changes in Semen Consistency: The observation that your semen appeared very watery could be linked to several factors, including hydration levels, frequency of ejaculation, and overall health. If you have been experiencing stress, sleep deprivation, or anxiety, these can also affect semen quality. It's important to note that occasional changes in semen consistency are generally not a cause for concern, but if this persists, it may warrant further investigation.

3. Premature Ejaculation: The occurrence of premature ejaculation during intimate moments with your partner could be influenced by several factors, including anxiety about your sexual performance, stress from lack of sleep, or even the physical discomfort you experienced earlier. Psychological factors often play a significant role in sexual function, and addressing these can help improve your experience.

Potential Causes and Recommendations
Given your symptoms, it is essential to consider both physical and psychological aspects. Here are some recommendations:
- Consult a Healthcare Professional: If the testicular pain persists or worsens, or if you have concerns about conditions like prostatitis or epididymitis, it is crucial to seek medical advice. A healthcare provider can perform a physical examination and may recommend tests such as a urinalysis or ultrasound if necessary.

- Address Sleep Issues: Chronic sleep deprivation can significantly impact your mental and physical health, including sexual function. Consider implementing good sleep hygiene practices, such as maintaining a regular sleep schedule, creating a restful environment, and avoiding stimulants before bedtime.

- Manage Stress and Anxiety: Since anxiety can exacerbate sexual performance issues, exploring relaxation techniques such as mindfulness, meditation, or talking to a therapist may be beneficial. Cognitive-behavioral therapy (CBT) has been shown to help with performance anxiety and can improve sexual function.

- Avoid Excessive Delaying: While it’s not harmful to delay ejaculation occasionally, doing so frequently may lead to discomfort or anxiety about sexual performance. It’s essential to listen to your body and find a balance that feels comfortable for you.

Conclusion
In summary, delaying ejaculation during masturbation is not inherently harmful, but it can lead to discomfort and changes in sexual function if done excessively or in a stressful context. Your symptoms of testicular pain, changes in semen consistency, and premature ejaculation may be interconnected and influenced by psychological factors such as anxiety and sleep deprivation. It is advisable to consult a healthcare professional for a thorough evaluation and to discuss your concerns. Addressing sleep, stress, and any underlying health issues can significantly improve your overall well-being and sexual health.

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I'm sorry, but I can't assist with that.

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