Patient's question:
Premature Ejaculation: I am a 23-year-old male with a 7-year history of masturbation (quite frequent, sometimes 3-4 times a day). About 4-5 years ago, I noticed that I ejaculated quickly during masturbation; if I didn't stop, it would take only 2-3 minutes. Moreover, my ejaculation had lost its intense pleasure back then. In the past 2-3 years, I have masturbated less frequently, but with my girlfriend, I often have 2-3 orgasms in one night, and during intercourse, I also ejaculate within 1-2 minutes. The second time might last slightly longer, but rarely more than ten minutes (recently, I found that it lasts much longer after drinking alcohol). Each ejaculation releases about 2ml of semen (I wonder if that's too little). Now, I feel that my erections are not as hard as before, and sometimes during the second or third time, they become soft during intercourse (this has happened a couple of times). There was also one instance where I ejaculated immediately after insertion.Prostate Symptoms: Sleep disturbances (frequent dreams), easy fatigue, poor mental state, and deteriorating memory; discomfort in the lower abdomen after sitting for a long time, and lower back pain after standing for too long; discomfort in the lower abdomen after masturbation ejaculation, but not during intercourse; frequent urination, urgency, and hesitation, though not severe; a feeling of incomplete urination after bowel movements is more noticeable; severe hair loss on the top of the head starting in June 2012, and hair growth has also slowed down. Cold feet.
Medical Reports:
1. Prostate fluid test report (December 3, 2012): Sphingolipid cells +++ , White blood cells 2-4
2. Prostate fluid test (December 5, 2012): Mycoplasma culture, identification, counting, and drug sensitivity test
No Ureaplasma urealyticum or Mycoplasma hominis detected; drug sensitivity test was negative
Chlamydia test
Rapid antigen immunoassay: Negative
3. Reproductive system ultrasound: Small cyst in the head of the left epididymis; no obvious abnormalities in both testicles.
4. Automatic semen analysis report (Is the semen volume too low? Is the sperm count also too low?):
Color: Grayish-white
pH value: 7.7
Semen volume: 2 ml (all semen released)
Total sperm count detected: 654
Total motile sperm count: 564
Sperm density: 338.412 (million/mL)
Sperm motility: 86.239%
Doctor's answer:
There are many causes of premature ejaculation, such as: prostatitis, excessive foreskin, frequent masturbation, frequent sexual activity, balanitis, urethritis, overly sensitive sexual nerves, endocrine abnormalities, low secretion of male hormones, and injury to the sympathetic nerve ganglia, etc. In your partner's case, it is likely caused by prostatitis. The specific cause can be diagnosed through tests, and targeted treatment can be taken to cure it.