Is a short masturbation time premature ejaculation or erectile dysfunction?

Patient's question:

Dear online doctors, I am 28 years old. I just started dating my girlfriend and had sex for the first time, but I quickly ejaculated. The second time was the same. I suspect I might have erectile dysfunction or premature ejaculation. I want to ask you, is a short masturbation time a sign of erectile dysfunction or premature ejaculation? Or could it be other diseases? Thank you

Doctor's answer:

If the penis can achieve normal erection but ejaculation is too fast, it indicates premature ejaculation, which cannot be considered a problem, except for some exceptions. If you have just started engaging in sexual activity, some slight awkwardness in sexual performance with faster ejaculation is normal. It may be due to overly high sexual sensitivity, and you should relax your mind. Currently, using double-layer condoms can reduce the sensitivity of the glans, and changing sexual positions can also help prolong the duration. Premature ejaculation tends to be recurrent, requiring long-term medication for management. For male patients, it is crucial to seek professional and reputable medical advice immediately. Treatment should be considered based on thorough examination results. Additionally, it is important to quit smoking and drinking, maintain good personal hygiene, and finally, wish all patients a speedy recovery.

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