What could cause ejaculation immediately after erection?

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

Patient's Query

Hi doctor,

I am 25 years old and have been regularly masturbating for the last 10 years. But now I have a problem. Whenever my penis is erect, I ejaculate. During sexual intercourse, I ejaculate just when I penetrate. I am using Jiva Ayurvedic medicine, but I see no results. I often ejaculate in two or three days without any activity. After the discharge, I feel very bad. I am currently taking Dhatu Postica Ashwagandha Kaunch beej, and Shudh Shilajit Safed Musli. All the medicines are in the form of churna. My semen analysis result is 75 mL.

Please help.

Thank you.

Hi,

Welcome to icliniq.com.

I understand your concern.

This condition is called premature ejaculation. It is primarily psychogenic, but other health issues like diabetes or hypertension may cause such a condition. Masturbation does not cause such kinds of problems. Instead, I suggest checking your blood pressure and blood sugar levels.

I hope that you get your answer.

Please let me know if you need any help.

Thank you.

The Probable causes

The probable causes are obesity, stress, anxiety, diabetes, blood pressure, injuries, etc.

Investigations to be done

Investigations to be done include blood sugar (fasting and post-prandial), and blood pressure.

Differential diagnosis

Differential diagnosis include:

1. Premature ejaculation. 2. Erectile dysfunction.

Probable diagnosis

The probable diagnosis is premature ejaculation.

Preventive measures

Preventive measures include: 1) Avoid spicy and fried junk foods. 2) Quit smoking and drinking if you have these habits. 3) Reduce your weight if you are obese. 4) Do regular meditation and pranayama.

Regarding follow up

Follow-up after 15 days of medications, provide your feedback.

Medically reviewed byiCliniq medical review team

Published At September 19, 2022
Reviewed AtNovember 27, 2024

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