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How to overcome the cause of premature ejaculation?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

My wife and I have been sexually inactive for several years, so masturbation was a sexual release. The good news is that we have renewed our sexual intimacy, but while having erections, I am having ejaculation issues. Later I masturbated to see if I could, and I did. Maybe my dependency on masturbation has caused this problem. Any help is much appreciated.

Thank you.
Answered by Dr. Poosha Darbha

Education:

PhD

Professional Bio:

Dr. Poosha Darbha is a dedicated sexologist with expertise in human sexual health, relationships, orientation, development, and sexual wellness. He is trained to help individuals and couples address concerns such as difficulty communicating sexual needs, intimacy challenges, sexual dysfunction, and understanding healthy and satisfying relationships. Dr. Darbha also provides compassionate support for individuals dealing with the emotional effects of sexual trauma, abuse, and intimacy-related difficulties. Known for his respectful, confidential, and patient-centered approach, he focuses on creating a safe environment where patients can openly discuss sensitive concerns and receive evidence-based guidance for improved emotional and sexual well-being.        

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hi,

Welcome to icliniq.com.

As you have rightly observed, there is no problem with your ejaculation. Masturbation may be an indirect cause in that the penis receives a kind of stimulation different from intercourse. For example, the squeeze you get in masturbation is not there in intercourse. The pace of stroking is different. The partner's movements may not be conducive.

It probably takes a while before you re-learn to experience intense pleasure from peno-vaginal intercourse.

See if your sensations improve if your partner holds her vaginal muscles tight during intercourse. She might also hold the base of your penis with a ring formed by her thumb and index finger while you are thrusting. At the same time, she may also slightly squeeze your penile base rhythmically. Check if these measures help you ejaculate. Try several times before giving up.

More importantly, look within yourself for any mental blocks holding you back. If self-help does not help, please see a sex therapist.

I hope this answers your query.

Thank you.

Medically reviewed by iCliniq medical review team
Published At October 4, 2023
Reviewed At February 20, 2026

Education:

PhD

Professional Bio:

Dr. Poosha Darbha is a dedicated sexologist with expertise in human sexual health, relationships, orientation, development, and sexual wellness. He is trained to help individuals and couples address concerns such as difficulty communicating sexual needs, intimacy challenges, sexual dysfunction, and understanding healthy and satisfying relationships. Dr. Darbha also provides compassionate support for individuals dealing with the emotional effects of sexual trauma, abuse, and intimacy-related difficulties. Known for his respectful, confidential, and patient-centered approach, he focuses on creating a safe environment where patients can openly discuss sensitive concerns and receive evidence-based guidance for improved emotional and sexual well-being.        

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Poosha Darbha
Dr. Poosha Darbha

Sexology

Education:

PhD

Professional Bio:

Dr. Poosha Darbha is a dedicated sexologist with expertise in human sexual health, relationships, orientation, development, and sexual wellness. He is trained to help individuals and couples address concerns such as difficulty communicating sexual needs, intimacy challenges, sexual dysfunction, and understanding healthy and satisfying relationships. Dr. Darbha also provides compassionate support for individuals dealing with the emotional effects of sexual trauma, abuse, and intimacy-related difficulties. Known for his respectful, confidential, and patient-centered approach, he focuses on creating a safe environment where patients can openly discuss sensitive concerns and receive evidence-based guidance for improved emotional and sexual well-being.        

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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