Temporary Erectile Dysfunction and Sensation Loss

The penis has a slight loss of sensation?

Hello Doctor, on Friday I returned home and lay in bed scrolling through my phone when I came across something exciting that made me want to masturbate.
After exercising that day, I felt tired and took a nap.
When I woke up and had dinner, my sexual desire returned, possibly triggered by the exciting content I saw, which also made me feel the urge to have a bowel movement.
After that, I masturbated.
When I started to change positions, I felt a brief pain in my left lower back, but I didn't think much of it since it had happened before.
I continued, but halfway through, a classmate called me on video chat, and I stopped.
After hanging up, I noticed that my penis had become soft and could not get hard again.
I decided to stand up to try again, and when I ejaculated, it was clear with a slight yellow tint.
After that, I lost sensation in my penis.
A few hours later, I started to feel very weak and my heart was racing.
The next day, I first visited a cardiologist who said I had a slight fever.
Then I went to a urologist, but the doctor didn't even perform an examination and said that I was young and would recover.
However, I find it strange that my penis has lost some sensation.
Although I can still get an erection when thinking of exciting things, it doesn't last as long as before; it becomes soft quickly, and even though it feels hard to the touch, there is little sensation.
Additionally, I feel very weak and have no sexual desire.
I've been very worried and anxious lately.
Doctor, can I return to my previous state? Thank you.

Gaozhongsheng, 10~19 year old female. Ask Date: 2017/11/05

Dr. Xu Wencang reply Urology

You can go to the hospital for follow-up examinations.

Reply Date: 2017/11/05

More Info

Understanding temporary erectile dysfunction and sensation loss can be quite concerning, especially when it occurs suddenly and is accompanied by other physical symptoms. Based on your description, it seems that a combination of physical exertion, psychological factors, and possibly even anxiety may have contributed to your experience.

Firstly, it’s important to recognize that erectile dysfunction (ED) can be influenced by a variety of factors, including physical health, psychological state, and situational contexts. In your case, several elements may have played a role:
1. Physical Fatigue: You mentioned feeling fatigued after exercising. Physical exhaustion can affect your body’s overall performance, including sexual function. When the body is tired, it may not respond as effectively to sexual stimuli, which can lead to difficulties in achieving or maintaining an erection.

2. Psychological Factors: The sudden interruption of your activity due to a phone call and the subsequent anxiety about your erectile response can create a cycle of stress. Anxiety and stress are known to contribute significantly to erectile dysfunction. The mind plays a crucial role in sexual arousal, and any disruption can lead to performance anxiety, which may further exacerbate the issue.

3. Nerve Sensation and Blood Flow: The pain you felt in your left side could indicate a temporary nerve or muscle strain, which might have affected blood flow or nerve sensation in the pelvic area. This could explain the sensation loss you experienced. The penis relies on a complex interplay of blood flow and nerve signals to achieve and maintain an erection. If either is disrupted, it can lead to difficulties.

4. Physical Health: You mentioned feeling "very weak" and having a rapid heartbeat. These symptoms could be indicative of a stress response or even a mild infection, as suggested by your visit to the cardiologist. It’s essential to ensure that there are no underlying health issues contributing to your symptoms.

5. Recovery: The good news is that temporary erectile dysfunction, especially in young individuals, is often reversible. Many men experience episodes of ED due to stress, fatigue, or situational factors. As your body recovers from fatigue and any potential stressors are alleviated, it is likely that your erectile function and sensation will return to normal.

Here are some recommendations to help you recover:
- Rest and Recovery: Ensure you are getting adequate rest and managing your fatigue. Physical and mental exhaustion can significantly impact sexual health.

- Stress Management: Engage in relaxation techniques such as deep breathing, meditation, or yoga to help manage anxiety and stress levels.

- Healthy Lifestyle: Maintain a balanced diet, regular exercise, and adequate hydration. These factors contribute to overall health and can improve sexual function.

- Open Communication: If you are in a relationship, communicate openly with your partner about your feelings and experiences. This can alleviate some pressure and anxiety.

- Follow-Up: If symptoms persist or worsen, consider following up with a healthcare professional. They can provide further evaluation and support, ensuring that there are no underlying medical issues.

In conclusion, while your experience may be distressing, it is often a temporary condition that can improve with time and self-care. If you continue to have concerns, do not hesitate to seek further medical advice. Your health and well-being are paramount, and addressing these issues early can lead to better outcomes.

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