Hey, I'm dealing with some issues that I think are linked to porn and masturbation. Whenever I engage in sexual activity, I get overly excited, leading to pre-cum and premature ejaculation. The thing is, when it comes to actual sex, I'm not really feeling that emotional connection or excitement, but I still end up ejaculating. Can these problems be permanently resolved? Also, how long would I need to continue taking medication if that's part of the solution?

Regarding your concerns with premature ejaculation (PE) and pre-ejaculatory fluid, consult a urologist or sexologist for personalized guidance; to answer your questions: 1) PE can be effectively managed and treated with a combination of medications, behavioral techniques, and lifestyle changes, offering a potential for long-term improvement or "cure"; 2) the duration of treatment varies depending on individual response, but typically, medications like selective serotonin reuptake inhibitors (SSRIs), dapoxetine, or topical anesthetics may be prescribed for several months to a year or more, alongside behavioral techniques like the "stop-start" method or pelvic floor exercises.