Hey, I'm dealing with some issues that I think are linked to porn and masturbation. Whenever I engage in sexual activity, I get overly excited, leading to pre-cum and premature ejaculation. The thing is, when it comes to actual sex, I'm not really feeling that emotional connection or excitement, but I still end up ejaculating. Can these problems be permanently resolved? Also, how long would I need to continue taking medication if that's part of the solution?

Answered by 1 Apollo Doctors

Dr Anshul Maheshwari

General Practitioner

MBBS
5+ Yrs

Consult Now

Regarding your concerns with premature ejaculation (PE) and pre-ejaculatory fluid, consult a urologist or sexologist for personalized guidance; to answer your questions: 1) PE can be effectively managed and treated with a combination of medications, behavioral techniques, and lifestyle changes, offering a potential for long-term improvement or "cure"; 2) the duration of treatment varies depending on individual response, but typically, medications like selective serotonin reuptake inhibitors (SSRIs), dapoxetine, or topical anesthetics may be prescribed for several months to a year or more, alongside behavioral techniques like the "stop-start" method or pelvic floor exercises.

Dr. Anshul Suggests...

Consult a Urologist

Find a Urologist

Answered 04/07/2025

Ask Apollo

AI powered Health Chatbot

Continue Chat

Understanding the Issues
- Pre-cum and premature ejaculation are common concerns. Emotional connection issues may be linked to excessive porn use and masturbation.
Potential for Permanent Resolution
- Behavioral changes, therapy, and lifestyle adjustments can help. Reducing porn and masturbation is crucial.
Role of Medication
- Medications like SSRIs or topical anesthetics can manage symptoms but don't address emotional factors.
Duration of Medication Use
- Duration varies; some use medication short-term, others longer. Medical supervision is essential.
Additional Support and Specialists
- Consult a urologist, sex therapist, or psychologist. Counseling can improve emotional connection.
Practical Steps and Recommendations
- Seek professional evaluation. Manage stress, communicate openly with your partner, and adopt healthy sexual habits.

Recommended next steps

Consult a Urologist or Consult a Sexologist

Find a Urologist Find a Sexologist

Answered 20/08/2025

More Urology Health Queries

View all

I have a 6.5 mm stone in the lower middle part of my left kidney and doctors are recommending surgery but I'd prefer to avoid it if possible can medicines help break it down or pass it naturally

6.5 mm kidney stone may pass with hydration, tamsulosin, and pain meds‚Äîif stuck or causing infection, lithotripsy or laser surgery may be needed.

Answered by 1 Apollo Doctors

I'm a 21-year-old guy, and I've been wondering about something that's been on my mind. I tend to masturbate almost daily, sometimes up to three times a day, or at least once. Also, I've been having sex with my girlfriend, maybe around 32 times. I'm curious to know if this might have any impact on my health now or in the future. Does what I'm doing pose any risks?

Masturbating 1-3 times a day and having sex with your girlfriend 2-3 times a week is generally considered a normal and healthy frequency for a 21-year-old male; however, it's essential to maintain a balance, as excessive masturbation or sexual activity can lead to fatigue, decreased libido, or relationship issues, so prioritize communication with your partner, practice safe sex, and focus on overall physical and mental well-being.

Answered by 1 Apollo Doctors

My frenulum feels tight when I'm erect but in flaccid state the foreskin moves down fully My doctor said it's frenulum breve and recommended frenuloplasty I'm confused about which option is better stitchless frenuloplasty or the one with stitches What are the pros and cons of each

Frenuloplasty, a procedure to address a tight frenulum (frenulum breve), can be performed with or without stitches. Both stitchless and stitch-based frenuloplasty aim to lengthen the frenulum and allow for normal foreskin retraction.

Answered by 1 Apollo Doctors