Can masturbation cause retrograde ejaculation?

Patient's question:

Does masturbation cause retrograde ejaculation? This morning after getting an erection, I touched it twice, then felt like I was about to ejaculate, but I held it back and didn't let it come out. Later, some semen came out. Could this situation lead to retrograde ejaculation?

Doctor's answer:

Hello: Frequent masturbation causes long-term congestion in the urinary and reproductive systems, leading to a decline in local immunity and conditions such as urethritis, prostatitis, and seminal vesiculitis. Excessive masturbation overstimulates the sexual nerves, which, over time, can lead to sexual nerve fatigue and issues like reduced libido, impotence, and weak erections. Additionally, if one prioritizes the pleasure of ejaculation during masturbation and reaches orgasm too quickly, this can shorten the sexual reflex time, resulting in habitual premature ejaculation. For the sake of health, it is recommended to reduce the frequency of masturbation as much as possible.

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