Hello,
You have mentioned about over leaking sperm during urination and defecation along with
premature ejaculation. I hope, i understood you clearly. If not, please rectify.
Sperm coming out along with urine is
retrograde ejaculation. Both Retrograde ejaculation and Premature ejaculation may be due to excessive
masturbation. It may lead to pain in penis, as you have mentioned.
How many times you masturbate in a day or week?? You should stop masturbating, if not, reduce the frequency. All your problem will gradually resolve.
Anxiety is also the cause of Premature Ejaculation. Stop worrying and you can plan for the marriage happily.
If Premature Ejaculation is causing problem then you can start
Fluoxetine after consulting a local
Psychiatrist.
Hope I have answered your query. Let me know if I can assist you further.
Take care
Regards,
Dr Ivan R. Rommstein, General Surgeon