Erectile Issues: When to Seek Medical Help - Urology

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Erectile dysfunction?


Hello doctor, a few days ago I masturbated for almost three hours, with a brief interruption.
After that, I was unable to achieve an erection, but two hours later, I was able to get an erection again, although it wasn't very firm.
Could this be due to physical weakness? I've read that rest and exercise can help improve the situation.
How long should I wait to see improvement before seeking medical attention?

Mo, 10~19 year old female. Ask Date: 2017/02/15

Dr. Du Shixi reply Urology


Hello: It may be necessary to refrain from masturbation for at least one week.
Ensure you have adequate rest, and engage in physical activity for half an hour each day.
Avoid taking over-the-counter medications.
If you do not return to your normal state, please seek medical attention.
Thank you for your inquiry.

Reply Date: 2017/02/15

More Info


Erectile dysfunction (ED) can be a concerning issue for many men, and it’s important to understand when to seek medical help. Based on your description, it seems that you experienced a prolonged period of arousal followed by difficulty achieving a firm erection. This can happen for various reasons, including physical, psychological, or lifestyle factors.

Firstly, it’s essential to recognize that occasional difficulties with erections are common and can happen to anyone. Factors such as stress, fatigue, anxiety, or even overexertion during sexual activity can temporarily affect erectile function. In your case, the prolonged period of stimulation may have led to temporary fatigue or overstimulation of the erectile tissues, which could explain the difficulty in achieving a firm erection afterward.

However, if you find that this issue persists, it is crucial to consider a few factors. If you experience erectile difficulties that last for more than a few weeks or if they become recurrent, it may be time to consult a healthcare professional. Persistent ED can sometimes be a sign of underlying health issues, such as cardiovascular disease, diabetes, hormonal imbalances, or psychological conditions like depression or anxiety.

Here are some guidelines on when to seek medical help for erectile issues:
1. Duration: If you have been experiencing difficulties for more than a few weeks, it is advisable to seek medical advice. Persistent issues may indicate a more serious underlying condition.

2. Frequency: If the problem occurs regularly rather than just occasionally, it’s a good idea to consult a doctor.

3. Associated Symptoms: If you notice other symptoms, such as pain during erections, changes in libido, or any physical changes, you should seek medical attention.

4. Impact on Quality of Life: If erectile dysfunction is affecting your relationships or self-esteem, it’s important to talk to a healthcare provider. They can help you explore treatment options and provide support.

5. Underlying Health Conditions: If you have existing health issues, such as diabetes, hypertension, or heart disease, it’s particularly important to discuss any erectile difficulties with your doctor, as these conditions can contribute to ED.

In terms of lifestyle changes, incorporating regular exercise, maintaining a healthy diet, managing stress, and avoiding excessive alcohol or tobacco use can all contribute positively to erectile function. Additionally, ensuring adequate rest and recovery time after sexual activity is important for overall sexual health.

If you decide to seek medical help, a healthcare provider may perform a physical examination, review your medical history, and possibly conduct tests to determine the underlying cause of your erectile dysfunction. Treatment options can vary widely, from lifestyle modifications and counseling to medications or other therapies.

In conclusion, while occasional erectile difficulties can be normal, persistent issues warrant a conversation with a healthcare professional. They can provide a thorough evaluation and guide you toward appropriate treatment options, ensuring that any underlying health concerns are addressed. Remember, seeking help is a positive step towards improving your sexual health and overall well-being.

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