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Excessive masturbation, erectile dysfunction, premature ejaculation. Treatment?

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Internal Medicine Specialist
Practicing since : 1998
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i masterbated a lot since i was 15 3 times a day sometimes, when i first started i would masterbate for about 10 mintues, im now 19 and i carnt last long at all and if i havnt in a few days i cum so fast in like a 1 2 mintues from masterbating, only way i last longer is if i have been drinking. and it also afects my sex life. i think i masterbated so much when i first started and masterbated to cum so quickly i have put something out of balance, how can i fix this ?
Posted Tue, 1 May 2012 in Men Sexual Problems
 
 
Answered by Dr. Jasvinder Singh 1 hour later
Hello XXXXXXX
Thanks for your query. At a younger age people usually have more sex drive and their frequency of masturbation is maximum. You can indulge in this activity as long as it is pleasurable and you have the drive for it. From the symptoms it looks like you have the problem of premature ejaculation and considering your age it looks psychological to me.

The most common psychological problems which are be related to masturbation are inhibited sexual desire, anxiety disorders, mental fatigue, stress, guilt etc. Another issue could be feeling of guilt about how often you masturbate which seems likely in your case and this could be the real issue for the onset of premature ejaculation. If you are experiencing negative emotions/thoughts related to the frequency of masturbation, masturbating less often may solve the problem.

Try distracting yourself when you feel you are about to ejaculate. Take a XXXXXXX breath and stay relaxed during mastrubation. Other treatment methods which can be followed are stop-start or squeeze-pause technique. In stop start technique, near ejaculation, stop stroking and relax and think about something else. In squeeze- pause technique, squeeze the end or the tip of the penis for 10 to 20 seconds when you are close to ejaculation and then resume stimulation after withholding for half a minute. If the symptoms persist then desensitizing creams and SRRI (selective serotonin reuptake inhibitors) may need to be prescribed for which you have to consult a urologist.

Although there are other medical problems of premature ejaculation but from your symptoms these seem unlikely. These include abnormal hormone level, reflex activity of ejaculatory system, thyroid problems, diabetes, hypertension and neurological causes. You may need to undergo certain medical tests like for diabetes, thyroid profile and hormonal assay to completely rule them out.

Hope this answers your query. I am available for follow ups as well.

Wish you good health.




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