Excessive Masturbation and Its Impact on Erectile Function

Suspected excessive masturbation?

Hello, doctor.
I've had a habit of masturbation since the first year of high school, doing it at least once a day, and sometimes 2-3 times on weekends.
After engaging in actual sexual intercourse (which has only happened three times), I've noticed that I often experience erectile difficulties.
During foreplay, I can achieve an erection, but once I put on a condom and start intercourse, it doesn't take long before I lose my erection.
Morning erections are quite firm, but it seems that once my brain wakes up, the erection quickly fades.
I do have some response to sexual fantasies, but once I get distracted, the erection also fades quickly.
It feels different from before, when I could achieve an erection quickly and maintain it for a longer time.
Given my frequent masturbation over the past few years, could it be that my penis has become accustomed to the sensation of my hand? To be honest, the feeling of penetration is not as tight as that of my hand.

Doctor, I have a few questions:
1.
What are the symptoms of organic erectile dysfunction? Do I have it, or is it simply psychological factors like anxiety, unfamiliarity, or just fatigue?
2.
I realize that I may have been overindulging.
Will quitting masturbation and starting to exercise lead to improvements?

Wei Wei, 20~29 year old female. Ask Date: 2016/12/24

Dr. Xu Wencang reply Urology

It can be observed, and if problems persist, a visit to the outpatient clinic for examination is recommended.

Reply Date: 2016/12/24

More Info

Excessive masturbation is a topic that often raises concerns regarding its potential impact on erectile function and overall sexual health. Based on your description, it seems you have been engaging in frequent masturbation since high school, which can lead to various psychological and physiological effects. Let's address your questions and provide some insights into the relationship between excessive masturbation and erectile function.

1. Symptoms of Organic Erectile Dysfunction: Organic erectile dysfunction (ED) typically arises from physical causes, such as cardiovascular issues, diabetes, hormonal imbalances, or neurological disorders. Symptoms may include:
- Difficulty achieving an erection.

- Difficulty maintaining an erection during sexual activity.

- Reduced sexual desire or libido.

- Morning erections may be absent or less firm.

In your case, since you report having strong morning erections and some ability to achieve an erection during foreplay, it suggests that your erectile issues may not be purely organic. Instead, they could be influenced by psychological factors such as anxiety, stress, or even the habitual nature of masturbation. Performance anxiety, especially when transitioning from masturbation to penetrative sex, is common among many individuals and can lead to difficulties in maintaining an erection.

2. Psychogenic Factors and the Role of Habituation: It is possible that your body has become accustomed to the sensations associated with masturbation, which can differ significantly from penetrative sex. The tightness and stimulation from your hand may feel more intense compared to the sensation of intercourse, leading to difficulties in maintaining an erection during sex. This is often referred to as "sensitization," where the body becomes conditioned to respond to specific stimuli.

3. Impact of Excessive Masturbation and Lifestyle Changes: Reducing the frequency of masturbation and incorporating regular exercise into your routine can indeed have positive effects on your sexual health. Exercise improves blood circulation, boosts testosterone levels, and enhances overall mood, which can contribute to better sexual performance. Additionally, taking breaks from masturbation can help reset your sexual response, making you more responsive to sexual stimuli during intercourse.

4. Addressing Psychological Factors: If you suspect that anxiety or nervousness is contributing to your erectile difficulties, consider exploring relaxation techniques, mindfulness, or even speaking with a therapist who specializes in sexual health. Cognitive-behavioral therapy (CBT) can be particularly effective in addressing performance anxiety and improving sexual confidence.

5. When to Seek Professional Help: If your erectile issues persist despite making lifestyle changes, or if you experience other symptoms such as pain during erections or a significant decrease in libido, it may be beneficial to consult a healthcare professional. They can conduct a thorough evaluation to rule out any underlying medical conditions and provide tailored advice or treatment options.

In conclusion, while excessive masturbation can have an impact on sexual function, it is essential to consider both physical and psychological factors. Making lifestyle adjustments, such as reducing masturbation frequency and engaging in regular exercise, can lead to improvements. If concerns persist, seeking professional guidance is a prudent step to ensure your sexual health and well-being.

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