Why does premature ejaculation occur when masturbation is not frequent?

Patient's question:

Why does premature ejaculation occur even with infrequent masturbation?

Doctor's answer:

Hello:
Masturbation refers to the act of stimulating the external genitalia with the hands, which subsequently induces sexual arousal to provide temporary psychological satisfaction, serving as a form of self-pleasure. Excessive or prolonged masturbation can lead to sexual dysfunction. Because the stimulation caused by a man's hand rubbing the penis to achieve ejaculation is relatively intense, the sexual stimulation the penis receives in normal sexual intercourse in the vagina is not stronger than that from masturbation. From this perspective, masturbation does not cause premature ejaculation.
On the other hand, long-term and overly frequent masturbation, similar to excessive sexual activity, can cause overstimulation of the erection and ejaculation centers, leading to fatigue. This shift from excitement to inhibition can result in sexual dysfunctions such as erectile dysfunction and premature ejaculation.
Regular and self-controlled masturbation does not harm physical or mental health. If masturbation becomes a frequent habit, it can create unnecessary mental stress and anxiety, and in severe cases, it may lead to psychological abnormalities and sexual dysfunction, affecting normal life, study, and work. Whether occasional or habitual masturbation is not advisable, and efforts should be made to overcome it.

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