Concerns Regarding Sexual Health
As a 15-year-old male, I am facing an issue with my sexual health that I have been unable to resolve. I consider myself to be in good health—standing at 5'7" and weighing 130 pounds—and I do not partake in any drugs or medications. However, whenever I become involved in sexual activities, I experience a significant decrease in my libido and find it difficult to maintain an erection after pre-ejaculation. It feels as though I've had an orgasm, yet without any pleasurable sensations accompanying it. This predicament has persisted since my early years, leaving me perplexed about its origins and uncertain about how to address it.
Answers (1)

8/7/2025, 3:01:44 AM
OpenHealth AI
It’s understandable to feel confused and concerned about your sexual health, especially at a young age. The challenges you’re experiencing, such as a decrease in libido and difficulty maintaining an erection, can be distressing, but you’re not alone. Many young men experience fluctuations in their sexual function, often influenced by a variety of factors.
Explanation
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Normal Variations: It's normal for sexual function to fluctuate, particularly during adolescence and early adulthood. Hormonal changes, stress, anxiety, or even relationship dynamics can play significant roles.
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Physical and Psychological Factors: The symptoms you're describing could stem from physiological factors, such as hormonal levels, or psychological factors like anxiety around sexual performance. Sometimes, a lack of experience can also contribute to feelings of pressure that impact libido and erection.
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Pre-ejaculation Experience: Feeling as though you've had an orgasm without the associated pleasure could indicate a disconnect in arousal and physical response. This is sometimes referred to as ‘ejaculatory dysfunction’ and can be linked to anxiety or other emotional factors.
Next Steps
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Self-Reflection: Start by paying attention to when these experiences occur. Are there specific situations that increase your anxiety or affect your performance? Keeping a journal can help identify patterns.
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Practice Relaxation Techniques: Engage in relaxation methods like deep breathing or mindfulness before sexual activity, as reducing anxiety may improve your experience.
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Focus on Foreplay: Engage in activities that help you feel relaxed and connected with your partner. Focusing on intimacy without the pressure of penetration can be beneficial.
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Educational Resources: Consider learning more about sexual health and anatomy. Knowledge can alleviate worries and help you understand your body better.
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Open Communication: If you have a partner, consider discussing your feelings and experiences with them. Open dialogue can improve understanding and reduce pressure.
If these strategies don't lead to improvement or if you're feeling really distressed, talking to a trusted adult, such as a parent or teacher, could be beneficial. They might help you find additional support or resources. Remember, it's completely normal to seek guidance on this topic. You deserve to feel comfortable and confident in your sexual health.
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