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Doctor, in your previous article #118362, you mentioned that some individuals who delay treatment for 1-2 years may have a more difficult time recovering.
Are you referring to erectile dysfunction caused by excessive masturbation? When you mentioned medication, does that imply that the issues caused by excessive masturbation require pharmacological treatment, or are you referring to other problems? If excessive masturbation leads to issues such as erectile dysfunction or premature ejaculation and persists for about six months, will it cause permanent damage, or is it sufficient to abstain from sexual activity and masturbation for a period of time for recovery? Additionally, can excessive masturbation or ejaculation potentially cause permanent damage to the nerves or muscles of the penis? Thank you for your assistance, doctor.
Nìmíng, 20~29 year old female. Ask Date: 2018/03/05
Dr. Du Shixi reply Urology
Hello: Sexual activity is a complex mechanism influenced not only by habits related to masturbation but also potentially by vascular blockages or psychological factors.
If there is a period of unsatisfactory sexual performance, it can lead to psychological impacts or stress.
After treatment, some factors may improve, but a lack of confidence can hinder progress.
Therefore, if sexual issues persist for too long without treatment, recovery can be difficult.
Masturbation is not prohibited, but if it leads to significant changes in rigidity or duration, it is advisable to reduce the frequency.
Excessive masturbation or ejaculation may potentially cause permanent damage to the nerves or muscles of the penis.
While it is difficult to definitively state that permanent damage occurs, any deterioration can certainly affect one's mood negatively.
Wishing you good health.
Reply Date: 2018/03/05
More Info
Excessive masturbation can indeed have various effects on sexual health, but it is essential to understand the nuances involved. Firstly, it is important to clarify that masturbation itself is a normal and common behavior among individuals, particularly during adolescence and young adulthood. It is a natural way to explore one's body, experience pleasure, and relieve sexual tension. However, when it becomes excessive, it can lead to potential issues.
In your question, you refer to the possibility of excessive masturbation leading to sexual dysfunctions such as erectile dysfunction (ED) and premature ejaculation (PE). While there is no definitive medical consensus that links excessive masturbation directly to these conditions, psychological factors associated with it can play a significant role. For instance, if an individual becomes overly reliant on masturbation for sexual gratification, they may experience difficulties when attempting to engage in sexual activities with a partner. This can lead to performance anxiety, which may exacerbate issues like ED or PE.
Regarding the concern about the long-term effects of excessive masturbation, it is crucial to note that while temporary issues may arise, such as decreased libido or difficulty achieving erections, these are often reversible. If someone has been experiencing these symptoms for an extended period (like six months, as you mentioned), it is advisable to take a break from sexual activities, including masturbation. This period of abstinence can help reset the body's sexual response and alleviate any psychological stress associated with performance.
As for the concern about permanent damage to the penis or its nerves and muscles due to excessive masturbation, current medical literature does not support the idea that masturbation itself causes irreversible physical harm. The penis is a resilient organ, and while excessive friction or aggressive techniques may lead to temporary soreness or irritation, these effects are typically not permanent. However, if there are any signs of pain, discomfort, or unusual changes in the genital area, it is essential to consult a healthcare professional.
In terms of treatment, if excessive masturbation has led to significant psychological distress or sexual dysfunction, therapy or counseling may be beneficial. Cognitive-behavioral therapy (CBT) can help address any underlying anxiety or compulsive behaviors associated with masturbation. In some cases, medication may be prescribed to manage anxiety or depression, which can indirectly improve sexual function.
In conclusion, while excessive masturbation can lead to temporary sexual health issues, it is often reversible with appropriate lifestyle changes and psychological support. It is essential to maintain a balanced approach to sexual health, recognizing that both masturbation and partnered sexual activity can coexist healthily. If you are experiencing persistent issues, seeking guidance from a healthcare provider or a mental health professional can provide tailored advice and support.
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