Netizen: Hello doctor, I would like to ask if pulling out (coitus interruptus) can lead to premature ejaculation?
Experts in Urology from Ji'nan Nine Dragon Hospital: Premature ejaculation occurs during sexual activity when the erected penis has not yet been inserted into the vagina or has just been inserted and ejaculation happens too quickly, preventing the female partner from reaching climax and making it impossible to continue with intercourse. If ejaculation occurs before the penis is inserted into the vagina or without any contact between the partners, it is considered severe premature ejaculation.
Treatment mainly depends on targeted therapy based on the cause of the condition. Causes include psychological factors, prostatitis, phimosis, and excessive masturbation.
However, this does not mean that coitus interruptus will not lead to premature ejaculation. Long-term coitus interruptus can harm both the body and other aspects. It is recommended to avoid long-term coitus interruptus.
Netizen: Then, does my behavior count as masturbation? What consequences might there be?
Experts in Urology from Ji'nan Nine Dragon Hospital: Coitus interruptus does not count as masturbation, but it still carries many risks.
Firstly, it easily leads to contraceptive failure.
Coitus interruptus refers to withdrawing the penis right before ejaculation during sexual intercourse so that the semen is ejaculated outside the vagina. However, this natural contraception method often fails to achieve its purpose. Why is that? During sexual intercourse, when both partners are at the peak of sexual excitement, a small amount of semen may leak into the vagina due to the contraction of the vas deferens. Although the volume of this semen is small, it contains a large number of sperm, making pregnancy more likely.
Secondly, it easily causes sexual neurasthenia.
Throughout the entire process of sexual activity, a man's sexual response is completed under the control of the cerebral cortex.
Psychological and physiological stimuli during sexual intercourse can trigger a series of changes and reactions. Intense excitement can cause mental tension, increased heart rate, and elevated blood pressure. At the same time, the reproductive organs experience penile vascular engorgement and muscle contractions leading to erection. If sexual intercourse is suddenly interrupted at the moment of reaching climax, it can have adverse effects on one's sexual psychology. Over time, this can easily lead to sexual neurasthenia, causing conditions such as premature ejaculation and erectile dysfunction.
Thirdly, it easily leads to functional anejaculation.
During sexual intercourse, when sexual excitement reaches its peak, the penis becomes even more rigid just before ejaculation. If sexual intercourse is forcibly interrupted at this point for coitus interruptus, it can disrupt the function of the central nervous system and the lumbar-sacral ejaculation center. Over time, this can easily lead to functional anejaculation.