apollo
  • Male
  • 29 Years
  • 22/01/2025

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?

Doctor 1

Answered by 1 Apollo Doctors

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

Answered 04/07/2025

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  1. Understanding the Issues

    • Pre-cum and premature ejaculation are common concerns. Emotional connection issues may be linked to excessive porn use and masturbation.
  2. Potential for Permanent Resolution

    • Behavioral changes, therapy, and lifestyle adjustments can help. Reducing porn and masturbation is crucial.
  3. Role of Medication

    • Medications like SSRIs or topical anesthetics can manage symptoms but don't address emotional factors.
  4. Duration of Medication Use

    • Duration varies; some use medication short-term, others longer. Medical supervision is essential.
  5. Additional Support and Specialists

    • Consult a urologist, sex therapist, or psychologist. Counseling can improve emotional connection.
  6. 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

Answered 20/08/2025

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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.