What should I do if I experience premature ejaculation due to masturbation?
Premature ejaculation (PE) is a well-known sexual dysfunction. Its occurrence can significantly impact a patient’s psychological well-being; some men experience persistent low mood and distress due to PE. Therefore, proactive treatment is essential. The first step is identifying the underlying cause—among which masturbation-related PE is relatively common. So, what should one do if PE is associated with masturbation?

What to Do If Premature Ejaculation Is Associated With Masturbation
Does masturbation inevitably cause premature ejaculation? Many patients visiting outpatient clinics ask physicians this very question: “Will frequent past or current masturbation necessarily trigger PE?” In fact, the relationship remains unclear. During clinical management of PE, if a couple’s sexual activity is irregular, physicians may even encourage moderate, therapeutic masturbation as part of the treatment plan. Thus, for individuals engaging in excessive or overly frequent masturbation, the primary concern is not PE per se, but rather potential adverse effects such as diminished sexual arousal, delayed or absent ejaculation, or even erectile difficulties.
How to Manage Premature Ejaculation
Psychological Therapy: A substantial proportion of PE cases are psychogenic in origin. Therefore, thorough psychological assessment is crucial. Therapeutic approaches—including suggestion therapy, distraction techniques, aversion therapy, and cognitive restructuring—can help correct misconceptions about sexuality and alleviate anxiety, thereby achieving initial therapeutic benefits.
Pharmacotherapy: Traditional Chinese medicine (TCM) demonstrates favorable efficacy in treating PE, though sustained adherence to prescribed regimens over an extended period is required. Certain Western medications may induce drowsiness; thus, they tend to be particularly effective for patients concurrently experiencing insomnia, anxiety, or tension.
Sexual Behavioral Therapy: Also known as sensate focus training. It is important to recognize that sexual disharmony involves both partners. Joint participation in therapy enhances mutual understanding, reduces the patient’s psychological burden, and improves overall treatment outcomes.
Physical Therapy: Adjunctive modalities—including ultra-shortwave diathermy applied to the lumbosacral region, warm-water baths, and mineral spring baths—may also support therapeutic efforts.
We hope the above information proves helpful. Wishing you a happy and fulfilling life.