Erectile Changes: Insights on Performance and Sensitivity - Urology

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Understanding erectile changes can be complex, as they are influenced by a multitude of factors including physiological, psychological, and behavioral aspects. Based on your description, it seems you are experiencing some changes in your erectile function, particularly in terms of the duration and rigidity of your erections during sexual activity and self-stimulation (DIY).
Firstly, it's important to recognize that sexual arousal and erectile function are not solely physical processes; they are also significantly influenced by psychological factors. The anxiety or concern about performance, especially if you are focusing on the duration of your erections or the timing of ejaculation, can create a feedback loop that affects your sexual performance. This is often referred to as performance anxiety, which can lead to difficulties in maintaining an erection or achieving the same level of arousal as before.

You mentioned that you have been practicing the "stop-start" technique and using a desensitizing method with a sex toy. These methods can be effective for some individuals in managing premature ejaculation and enhancing control over arousal. However, they may also inadvertently lead to a decrease in sensitivity or a change in how your body responds to sexual stimuli. If you are focusing too much on controlling your arousal, it might lead to a decrease in spontaneous sexual excitement, which can affect your ability to maintain an erection without continuous stimulation.

Additionally, the changes you are experiencing could be related to the reduction in visual sexual stimuli, such as pornography. Many individuals find that their sexual responses can be conditioned by the types of stimuli they regularly engage with. If you have been relying on pornography for arousal, your body may have adapted to that specific type of stimulation, making it more challenging to achieve the same level of arousal without it. This is sometimes referred to as "porn-induced erectile dysfunction," where the brain becomes accustomed to the high levels of stimulation provided by pornographic material, leading to difficulties in achieving arousal in more natural settings.

It's also worth considering the role of physical health in erectile function. You mentioned that you maintain a regular exercise routine, which is excellent for cardiovascular health and can positively influence erectile function. However, factors such as stress, fatigue, and overall mental health can also play significant roles. If you are feeling stressed or anxious about your sexual performance, it could contribute to the changes you are noticing.

In summary, the changes in your erectile function could be attributed to a combination of psychological factors, the impact of behavioral changes (like reducing pornography consumption), and possibly the techniques you are using to manage arousal and ejaculation. It may be beneficial to approach this situation holistically. Consider discussing your concerns with a healthcare professional who specializes in sexual health, as they can provide personalized advice and support. Additionally, focusing on relaxation techniques, open communication with your partner, and allowing yourself to experience sexual pleasure without the pressure of performance can help alleviate some of the anxiety you are feeling.

Ultimately, it's important to remember that variations in sexual function are common and can fluctuate over time. Being patient with yourself and understanding that these changes can be part of a normal sexual experience may help reduce some of the concerns you have.