Q. How to enjoy sexual stimulation without early ejaculation?
Hi doctor,
Hello, I have trouble maintaining an erection and holding in my ejaculation. Then once I ejaculate, I get the urge that my bowel will empty or lose control. After the contractions to expel semen, the muscles feel weak to hold in the bowel and bladder. It is very worrying. The nerves and muscles are not in control, and ejaculation is making it worse. Also, I can not enjoy sexual stimulation because of the sensation of using the bathroom.
Kindly advice.
Hi,
Welcome to icliniq.com.
I understand your concern.
Sorry to hear about your trouble. For me to help you, I need a few more details from your side:
- Are you diabetic or hypertensive?
- Are you on any medication at the moment?
- Have you had any spinal injury or surgery in the past?
- How long has it been since you noticed your problems with your erection and ejaculation?
- On a scale of 1 to 100, how would you rate your erections now (assuming it was 100 when everything was fine)?
- How long into the intercourse do you ejaculate? (in minutes)?
- Do you have pain in the perineum (the area between your testicles and anus)?
- Do you have any pain after ejaculation?
- Do you have trouble passing urine - like straining or urgency or burning sensation?
- Do you sit for prolonged hours in one go?
- Do you suffer from conditions like irritable bowel syndrome or constipation?
Please revert with the details, and I will do my best to assist you.
Best wishes.
Hi doctor,
Thank you for the reply.
I do not have diabetes, heart issues, medications, surgeries, or spinal injuries but could pressure when masturbating and edging cause some problems? I have had noticeable issues with erections for more than 12 months. I can not sustain them. They are not strong or spontaneous. About 50% of what they used to be. They die quickly and have to apply extra pressure. I get tension pain from muscles around the perineum and a sore shaft from trying to keep erect. Holding ejaculation is difficult, but it can last maybe a few minutes. Passing urine is fine, but sometimes a mild sting behind the pubic bone at the front. I have some IBS, diarrhea, and loose stools with regular movements. Regular movements. Maybe two to three small movements per day. My work is sedentary, yes. Trying to be more active. My anus and testicles also used to be more sensitive to touch but not so much now. Muscles that hold in feel weak or loose, but I haven’t lost control. My inner thighs clench tightly on my perineum to initiate an erection. Afterward, I can feel aching here.
Hi,
Welcome back to icliniq.com.
Thank you for your detailed reply.
First of all, masturbating does not cause ED or Premature Ejaculation. Secondly, I believe the feeling of needing to evacuate your bowels immediately stems from your IBS. Based on the symptoms you are describing, I feel there may also be a component of Prostatitis. I am going to advise you on some treatment. So please follow it word for word and review back with me in 15 to 20 days to let me know if you feel some benefit:
- Drink 2.5 to 3 liters of water per day.
- Avoid prolonged sitting.
- Ejaculate (sex or masturbation) at least two to three times a week.
- Lose weight.
- Do kegel exercises daily it will help improve your pelvic floor muscles, which will help with premature ejaculation. Medication (you might need a prescription from your local physician based on your location):
- Tablet Cranpac D 1-0-1 for three months.
- Tablet Econorm 250 mg 1-0-1 for three months.
- Tablet Tadalafil 5 mg 0-0-1 before food every night. Take regardless of whether you are sexually active that night for three months.
- Tablet Chymoral forte 1-0-1 for three months.
I hope this helps. Please let me know if I can help you with anything else.
Best wishes.
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