Erectile Dysfunction: Causes and Solutions for Curved Penises

Sexual dysfunction

1.
My penis is slightly curved.
I once consulted a doctor who said it could be corrected, but I decided against it due to the high cost of the surgery (over NT$60,000).

2.
I have had multiple unsuccessful sexual experiences.
Sometimes I achieve an erection, but it quickly diminishes when I put on a condom.
More often, I am able to insert, but it softens before ejaculation.
Is this related to the curvature of my penis or my frequent masturbation?

Chen, 20~29 year old female. Ask Date: 2002/09/18

Dr. Pan Zhenqin reply Urology

The curvature of the penis, depending on the degree of the angle, determines whether it will affect sexual intercourse.
Generally, difficulties in penetration or pain during intercourse are the main concerns, which may be related to premature ejaculation caused by pain; however, this is not the same as the commonly referred premature ejaculation.
In young individuals, premature ejaculation should consider potential vascular issues, but further examination is necessary to confirm this.
The degree of penile curvature typically does not reach a level that requires surgical correction; if surgery is needed, it should fall within the coverage of health insurance.
Wishing you health and happiness from Tainan City Hospital.

Reply Date: 2002/09/18

More Info

Erectile dysfunction (ED) is a complex condition that can be influenced by various physical and psychological factors. In your case, the combination of a curved penis and the experiences you've described may contribute to the difficulties you're facing. Let's break down the potential causes and solutions.

Understanding the Causes
1. Curvature of the Penis: A curved penis, often due to a condition called Peyronie's disease, can lead to discomfort during sexual activity and may affect the ability to maintain an erection. The curvature can make penetration difficult, which may lead to anxiety or performance issues, further exacerbating erectile dysfunction.

2. Psychological Factors: Anxiety related to sexual performance can significantly impact erectile function. If you have had multiple unsuccessful sexual experiences, this can create a cycle of anxiety and fear, which may lead to further difficulties in achieving or maintaining an erection.

3. Physical Factors: Conditions such as vascular issues, hormonal imbalances, or nerve damage can also contribute to erectile dysfunction. If you have a history of excessive masturbation, while it is not directly linked to ED, it can sometimes lead to temporary desensitization or performance anxiety.

4. Medical Conditions: Underlying health issues such as diabetes, hypertension, or cardiovascular diseases can also affect erectile function. It's essential to consider these factors, especially if you have any pre-existing conditions.

Solutions and Recommendations
1. Consult a Specialist: Since you mentioned that a doctor suggested corrective surgery for the curvature but you found it too expensive, it might be worthwhile to seek a second opinion. There are various treatment options available, including non-surgical methods such as traction therapy or injections that may help reduce curvature.

2. Psychological Counseling: Engaging with a therapist who specializes in sexual health can be beneficial. Cognitive-behavioral therapy (CBT) can help address performance anxiety and improve your confidence during sexual encounters.

3. Medication: There are medications available that can help with erectile dysfunction. Phosphodiesterase type 5 inhibitors (such as Viagra or Cialis) can enhance blood flow to the penis and help maintain an erection. However, it is crucial to consult with a healthcare provider to determine if these medications are appropriate for you.

4. Lifestyle Changes: Improving overall health can have a positive impact on erectile function. Regular exercise, a balanced diet, and avoiding smoking and excessive alcohol consumption can enhance blood flow and improve erectile function.

5. Pelvic Floor Exercises: Strengthening the pelvic floor muscles through exercises like Kegels can improve erectile function and help with control during sexual activity.

6. Open Communication: If you are in a relationship, discussing your concerns with your partner can help alleviate some of the pressure you may feel during sexual encounters. Open communication can foster understanding and support.

Conclusion
Erectile dysfunction, especially when compounded by physical conditions like a curved penis, can be challenging. However, there are various avenues for treatment and support. It is essential to address both the physical and psychological aspects of the condition. Seeking professional help, whether through medical or psychological channels, can lead to improved sexual health and overall well-being. Remember, you are not alone in this, and many effective treatments are available.

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