Brief Answer:
masturbation does not cause pain

Detailed Answer:
Hello Man,

Thanks for writing to us.

First of all clarification about masturbation.

Masturbation (hand practice) is natural and normal thing. It is done by 95% of the males in the world, mostly before marriage as well as when wife is away, in menses or pregnant after marriage. It is not at all harmful. Frequency of masturbation done by an individual varies from once a day to once a week. It depends upon individual libido, wish and timing. It neither causes any weakness/pain nor any problem in sexual activity.

Let me know is there any symptom affecting your life.
Your frequency of masturbation is normal. Your stomach problem and gases are not at all related with masturbation.

To help you further I need more information.

- Since when do you have such problem?

- Since which age are you doing masturbation?

- How did problem start, any specific incidence was there?

- Is there nausea, vomiting or constipation?

- How much time do you spend during one act of masturbation?

I will be happy to help further after your response.

Regards,

Dr.Chintan Solanki

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Brief Answer:
evaluation for gastric symptoms is needed

Detailed Answer:
Hi,

Thanks for information.

I can definitely say that your masturbation habit is not related to your gastric symptoms. However pain in penis should be evaluated if it is always there and uncomfortable. It was started after first sex that means there may be some minor injury at that time and after that while masturbation tissue stretching is causing pain.
You need examination and evaluation by surgeon for gastric symptoms. Ultrasound abdomen may be required.

Early ejaculation can also be treated. However in your case it is likely due to less frequency of masturbation.There is likely excessive semen in seminal vesicles. So when you go for masturbation/sex, with little excitation or arousal ejaculation occurs.
Solution is simple: Frequency of masturbation/sex should be increased. It will make seminal vesicles somewhat empty and at time of masturbation/sex semen will take more time to come out. If you can masturbate regularly, say at least thrice a week, I think there will be no problem of early ejaculation.

For your information I want to describe about premature ejaculation here.

According to the latest diagnostic criteria by DSM 5, premature ejaculation (PME) should be defined when there is ejaculation within one minute after entering tin to vagina or even before penetration.

Treatment for PME:

Medicines:
Clomipramine and paroxetine are choice of medicines which are used as antidepressants (For depression dose is higher).
I prefer clomipramine for PME. No significant side effects with these medicines. Initially say for 20-30 days daily after dinner and later on just on the day when you do the sex.
Paroxetine is more potent but it may cause side effects like headache, gastric discomfort, giddiness and sedation. In patients with blood pressure it should be used in consultation with physician/cardiologist.

One molecule called depoxetine has been used specifically for PME and should be taken before 2 hours of sex when required.
These medicines are prescription medicines and you need to consult doctor/psychiatrist/sexologist for prescription.


Behavioral approaches are as follows for your information:

1. Stop and Squeeze technique can be applied which you can learn from internet and ask me if any query in that.(In brief, method suggests that you should try to divert your mind for a moment when you feel ejaculation arousal and penis should be tightly squeezed with hand inwards by your partner preferably).

2. Master and XXXXXXX technique can also be learnt from qualified sexologist/Psychiatrist which includes sessions in couple as it is couple sex therapy. It can help in prolongation of time.

3. Sex counselling of your sexual behavior and methods. Like if you are down and female partner on top, gravity is going to help you for lengthening the time.

4. One should do masturbation before sex (at least 2 hours before ). It will make seminal vesicles somewhat empty and at time of sex semen will take more time to come out.

Another approach:
-Use of condoms. Sometime use of condom while sex helps in delaying ejaculation by reducing sensitivity of glans penis.

--Topical application of lignocaine anesthetic gel/spray. For this one has to consult doctor.

Feel free to discuss further.

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