Erectile Dysfunction: Causes and Solutions for Improved Performance

Insufficient erectile engorgement, with decreased rigidity and duration compared to before?

Experiencing insufficient rigidity during erections, occasional loss of erection upon stopping stimulation, and the ability to ejaculate while not fully erect are concerning symptoms.
These issues were not prevalent in the past, as you previously had normal rigidity and duration of erections without mid-intercourse loss of erection.

You are wondering if these problems could be related to frequent masturbation (more than five times a week) or the habit of delaying ejaculation.
You are seeking ways to self-assess the underlying issues or improve the situation.
You do not smoke, exercise regularly at the gym each week, and do not experience depression or stress.
To address your concerns, it may be beneficial to consider the following:
1.
Frequency of Masturbation: While masturbation is a normal activity, excessive frequency can sometimes lead to temporary changes in sexual function.
Reducing the frequency may help.
2.
Ejaculation Control: The habit of holding back ejaculation can lead to psychological conditioning that affects sexual performance.
Practicing relaxation techniques or focusing on pleasure rather than performance may help.
3.
Self-Assessment: Keeping a journal of your sexual experiences, noting any patterns related to your physical and emotional state, can provide insights.
Additionally, consider trying to engage in sexual activity without the pressure of ejaculation to see if that improves your experience.
4.
Consultation with a Healthcare Professional: If these issues persist, it may be beneficial to consult a urologist or a sexual health specialist.
They can provide a thorough evaluation and recommend appropriate interventions.
5.
Lifestyle Factors: Continue maintaining a healthy lifestyle, including regular exercise, a balanced diet, and managing stress through relaxation techniques or mindfulness practices.
If these symptoms continue or worsen, seeking professional medical advice is strongly recommended.

Mike, 20~29 year old female. Ask Date: 2018/04/09

Dr. Xu Wencang reply Urology

Masturbating too frequently can lead to decreased sensitivity of the nerves and impaired erectile function.
It is advisable to stop masturbating for a period of time to see if there is any improvement.
Given your age, there should not be any organ issues.
If you have a regular partner, pay attention to foreplay and stimulation, as insufficient stimulation can also lead to erectile dysfunction.
If problems persist, seek medical advice.

Reply Date: 2018/04/09

More Info

Erectile dysfunction (ED) is a common issue that can affect men of all ages, and it can be caused by a variety of physical and psychological factors. Based on your description, it seems that you are experiencing difficulties with maintaining an erection, which can be frustrating and concerning. Let's explore the potential causes of your symptoms and discuss some strategies for improvement.

Potential Causes of Erectile Dysfunction
1. Physical Factors: While you mentioned that you do not smoke and maintain a regular exercise routine, other physical factors could still contribute to ED. Conditions such as diabetes, hypertension, high cholesterol, and hormonal imbalances (like low testosterone) can affect blood flow and nerve function, leading to difficulties in achieving or maintaining an erection. It's important to have a thorough medical evaluation to rule out these conditions.

2. Psychological Factors: Even if you do not feel depressed or stressed, psychological factors can still play a significant role in erectile function. Anxiety about sexual performance, relationship issues, or even the pressure to perform can lead to ED. The mind and body are closely connected, and psychological stress can manifest physically.

3. Frequency of Masturbation: You mentioned that you masturbate frequently (more than five times a week). While masturbation is a normal sexual activity, excessive frequency can sometimes lead to temporary changes in sexual response. It may desensitize you to sexual stimulation, making it harder to achieve the same level of arousal during partnered sexual activity. However, this is usually reversible with a reduction in frequency.

4. Pelvic Floor Dysfunction: The pelvic floor muscles play a crucial role in erectile function. If these muscles are weak or tense, they can affect blood flow to the penis. Engaging in pelvic floor exercises (often referred to as Kegel exercises) can help strengthen these muscles and improve erectile function.

Self-Assessment and Improvement Strategies
1. Medical Evaluation: The first step in addressing your concerns should be to consult with a healthcare professional. A urologist or a primary care physician can perform tests to evaluate your hormone levels, blood flow, and overall health. This will help identify any underlying conditions that may be contributing to your ED.

2. Lifestyle Modifications: Continue your regular exercise routine, as physical activity can improve blood circulation and overall health. Additionally, consider adopting a balanced diet rich in fruits, vegetables, whole grains, and lean proteins. Reducing alcohol consumption and avoiding recreational drugs can also be beneficial.

3. Mindfulness and Relaxation Techniques: Since psychological factors can contribute to ED, practicing mindfulness, meditation, or relaxation techniques can help reduce anxiety and improve your sexual experience. Engaging in open communication with your partner about your feelings and concerns can also alleviate performance pressure.

4. Adjusting Masturbation Habits: If you suspect that frequent masturbation may be affecting your sexual performance, consider reducing the frequency. Allowing some time between sessions can help restore sensitivity and improve your response during partnered sexual activity.

5. Pelvic Floor Exercises: Incorporate pelvic floor exercises into your routine. These exercises can strengthen the muscles that support erectile function. To perform Kegel exercises, identify the muscles you use to stop urination, contract them for a few seconds, and then relax. Aim for several sets throughout the day.

6. Seek Professional Help: If your symptoms persist despite making lifestyle changes, consider seeking therapy or counseling. A mental health professional can help address any underlying psychological issues that may be contributing to your ED.

Conclusion
Erectile dysfunction can be a complex issue with multiple contributing factors. By taking a proactive approach to your health, including medical evaluation, lifestyle changes, and addressing psychological aspects, you can work towards improving your erectile function. Remember, it’s essential to communicate openly with healthcare professionals and your partner to find the best solutions for your situation.

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