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

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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.

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Answered 04/07/2025

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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.

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Answered 20/08/2025

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