Brief Answer:
medicine cannot help in this problem, need some information

Detailed Answer:
Hello XXXXXXX

Thanks for writing to us. I can understand your concern.

In males there is called refractory period after ejaculation and orgasm. This is the period during which it is physiologically impossible for a man to have additional orgasms. The penis may be hypersensitive and further sexual stimulation may feel painful during this time frame. While the refractory period varies widely among individuals, ranging from minutes to days, most men cannot achieve or maintain an erection during this time. Many perceive a psychological feeling of satisfaction and are temporarily uninterested in further sexual activity.

There are suggested hormonal, neurotransmitter and muscle fatigue theories to specify refractory period. Average period duration varies from 15 to 45 minutes. But it can be less like 1 minute and more like 1 day also. In your case this period is likely around of 8 hours to 1 day.

This is natural phenomenon, not dysfunction we can say (though it is affecting your sexual activity more than once in a day) and no specific treatment for the same.

There is no medication to help you ejaculate better for second /more time.

However you are involved in sexual activities very frequently with different partners. This may lead to emptying of seminal vesicles completely. Due to that you do not have enough semen to ejaculate again in short time. In that case one behavioral change may help.
Give break of at east 3 days between sexual activities which will allow semen to accumulate in seminal vesicles.This may help to have ejaculation frequently on same day.

Let me know some information:

- Since when this problem is there?

- What was the situation before? How much minimum duration between two ejaculations was there?

- How frequent do you go for sex routinely (per day, per week or per month)?

Hope I have answered your query, I will be happy to help further.
Regards,
Dr.Chintan Solanki.

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Brief Answer:
yes sex addiction is possibility

Detailed Answer:
Hi,

Thanks for information and sorry for delayed response.

Your history suggests that your problem is just due to excess sexual activity. Semen production starts around age of 14 and as age progresses after 35 there is slight reduction in quantity of semen. Your output rate of semen through ejaculation exceeds production rate many times at some moment and due to which you are not able to enjoy successive ejaculation in short duration. As age progresses refractory period also increases.

Sex is an important function of human life. It is basic need. But it should not be compulsion. There are other needs also which should be given equal importance.
If someone has to masturbate/sex compulsorily at cost of routine work or this habit is creating problem in occupation and/or social life and stress then it is something abnormal and require treatment. Same thing if happening with you, possibility of sex addiction is there.

If you are not able to control on your own, you should consult psychiatrist.
With counseling and anti depressant medicines from SSRI group you of course can quit excessive sexual activity and thoughts of sex as well. There is also no need of stopping completely as it is basic need but it must be controlled in terms of frequency. Giving break yourself in between will also help to enjoy sex successively in short duration and you will not need prostate massage.

Hope this answer will help.

Take care and feel free to discuss further.

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Brief Answer:
though it is denial, there is partial acceptance also

Detailed Answer:
Hi,

Yes we can say it is denial. But on the other part you yourself are aware that you are denying means you are also partially accepting that something wrong is there. In alcohol health issues are there. You are practicing safe so health issues are minor though there can be risk.

Considering your desire and habit there is no objective confirmation that it is problem or not. It is individual perception. As I mentioned in previous answer, until it is creating problem in any area of life it is not a problem. However if you have any social, occupational, emotional, relationship or economical disturbance due to this habit, of course you should accept that something needs to be corrected. Ultimately you are the best judge of your situation at present.

Problem of not being able to enjoy second time early is totally physiological thing due to excessive sex.

If still any query there, I will be happy to answer. If not, you can close the discussion and if feasible give your feedback and rating so I can improve my service.

In future you can contact me directly on this site if you wish with this link:

http://bit.ly/drchintansolanki

by clicking on 'Ask me a question' on same page at the same cost with three follow up questions.

Take care.

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