Does frequent masturbation always lead to the occurrence of premature ejaculation?

Patient's question:

I started having sex since middle school and quite frequently. Now, although I have a girlfriend, we are living in different places, so when she's not around, I often have sex. Recently, during the few times I had sex with my girlfriend, I quickly ejaculated, and I feel like I'm experiencing premature ejaculation again. Does frequent masturbation lead to premature ejaculation?

Doctor's answer:

Masturbation frequently can easily lead to prostatitis and urinary tract infections, and may cause poor mental state, fatigue, and decreased libido, affecting work and exercise. In severe cases, it may also impact fertility. It is recommended not to wear overly tight underwear. Avoid exposure to sexually stimulating images and sounds. Do not go to bed until you have had deep sleep. Do not linger in bed in the morning; go to sleep immediately after waking up to avoid getting lost in thoughts. These symptoms generally improve on their own once the habit is quit. In addition to immediate treatment, patients with premature ejaculation should also pay attention to maintaining a proper diet and ensuring adequate nutrition in their daily lives.

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