Improving Erectile Function: Common Concerns and Solutions

Q: Improving Erectile Function: Common Concerns and Solutions

Hello： <br>1. <br>Is it normal to not have morning erections after masturbation or when feeling too tired, mentally unwell, or having poor sleep quality? --> Yes, it's normal. <br>For example, I had morning erections several days last week, but after masturbating the day before y

If you're experiencing erectile dysfunction, there are several ways to improve the situation: 1. Lifestyle Changes: Adopting a healthier lifestyle can significantly impact erectile function. This includes regular exercise, a balanced diet, maintaining a healthy weight

Hello, doctor.
After discovering the issue, I have been researching extensively online.
I used to masturbate daily for about four to five years.
Later, I noticed that after stopping stimulation, my previously engorged penis would feel like a balloon gradually deflating.
I then reduced my habit of watching pornography and masturbating, which has improved compared to before.
Recently, I abstained for about three months, during which I did not experience any nocturnal emissions.
After that, when I finally ejaculated, it was quite painful, probably due to not having used it for so long.
Here are my questions:
1.
Is it normal not to have morning erections after masturbating or when feeling too tired, mentally unwell, or having poor sleep quality? For example, I had morning erections several days last week, but after masturbating the day before yesterday, I did not have one the next morning.
A few hours later, I took a short nap and woke up with an erection, but I did not experience a morning erection.
However, I did have nocturnal erections.
Does this indicate normal function?
2.
Is it better to reduce the habit of watching pornography for masturbation? It seems that during youth, it doesn’t make much difference, but after several years, one may become desensitized to such sexual stimuli and may not get as excited.
Sometimes, sexual fantasies do not lead to the same level of engorgement as before.
As an adult, is it common to achieve erections primarily through manual stimulation or oral sex?
3.
Is it true that I can achieve a firm erection while sitting or lying down, but it may soften when standing or walking? Does it tend to diminish quickly while moving?
4.
Does frequent masturbation and prolonged abstinence, without any nocturnal emissions, negatively affect the prostate or reproductive system? Compared to when I first noticed the issue, my erection hardness and duration have improved somewhat, but after releasing some tension, it seems the erection problems return for a few days.
Is it acceptable to ejaculate 1-2 times a week?
5.
What types of exercise are beneficial for sexual function? Currently, I am considering light jogging, but I have seen recommendations for squats and other lower body exercises.
Also, does cycling pose any risks? Some people say that improper posture or cycling for too long without breaks can lead to poor blood circulation in the groin.
I am unsure if this is an organic issue or purely psychological.
After experiencing one instance of erectile dysfunction, I often feel anxious about erections afterward.
While I understand the advice to not overthink it, it sounds simple but is actually quite difficult.
I apologize for the numerous questions, and thank you for your assistance.

Leo, 20~29 year old female. Ask Date: 2018/04/22

Dr. Du Shixi reply Urology

Hello:
1.
Is it normal to not have morning erections after masturbation or when feeling too tired, mentally unwell, or having poor sleep quality? --> Yes, it's normal.
For example, I had morning erections several days last week, but after masturbating the day before yesterday, I didn't have one the next morning.
After a few hours, I took a short nap and woke up with an erection less than an hour later.
I just didn't experience a morning erection, but I still had nocturnal erections.
Does this indicate normal function? --> Yes, it indicates normal function.
2.
Is it better to reduce the habit of watching adult films for masturbation? --> It is not advisable to do it excessively.
For young individuals who are just developing, it may not make much difference, but over the years, continuous exposure to such sexual stimuli can lead to habituation or reduced arousal.
Sometimes, sexual fantasies may not cause the same level of engorgement as before.
As adults, do most people typically achieve erections through manual stimulation or oral sex? --> Both methods are common, and they can be used in combination.
3.
Is it normal for erections to be firm while sitting or lying down, but to soften or diminish when standing or walking, especially when walking quickly? --> Yes, this is normal.
4.
Does frequent masturbation and prolonged abstinence, without experiencing nocturnal emissions, negatively affect the prostate or reproductive system? --> Yes, both can have adverse effects.
Compared to when I first noticed issues with erection hardness and duration, there have been some improvements, but after releasing some tension, the erection problems seem to persist for a few days.
Is it okay to ejaculate 1-2 times a week? --> Yes, that is acceptable.
5.
What exercises are beneficial for sexual performance? Currently, I only want to do some light jogging, but I've seen recommendations online for squats and other lower body workouts.
Does cycling cause harm? Some say it's due to improper posture or cycling for too long, leading to poor blood circulation in the groin area.
--> Walking and light jogging are good options.

Reply Date: 2018/04/22

More Info

Erectile dysfunction (ED) is a common concern that can affect men of all ages, and it often leads to anxiety and frustration. Your questions touch on several important aspects of sexual health, including the physiological and psychological factors that can influence erectile function. Let's address your concerns one by one.

1. Morning Erections and Their Variability: It is normal for men to experience variations in morning erections, also known as nocturnal penile tumescence. Factors such as fatigue, stress, and sleep quality can influence whether you experience morning erections. If you had several days of morning erections and then experienced a day without one after masturbation, it may simply be due to temporary fatigue or stress. The presence of night-time erections indicates that your erectile function is likely intact, as these occur during REM sleep and are a sign of healthy blood flow and nerve function.

2. Impact of Pornography on Sexual Function: Reducing the frequency of watching pornography and masturbation can be beneficial for some individuals. Over time, excessive exposure to pornography can lead to desensitization, making it harder to achieve arousal from real-life sexual encounters. It’s important to find a balance that works for you. If you notice that your sexual fantasies or arousal are not as strong as they used to be, it may be helpful to take breaks from pornography and focus on building intimacy with a partner.

3. Erection Quality in Different Positions: It is common for men to experience variations in erection quality based on their position. When sitting or lying down, blood flow may be more easily directed to the penis, leading to firmer erections. Conversely, standing or walking may cause some loss of rigidity due to changes in blood flow dynamics. This is normal and can be influenced by factors such as physical fitness and anxiety.

4. Masturbation Frequency and Prostate Health: Both excessive masturbation and prolonged abstinence can have effects on sexual health. Regular ejaculation, whether through masturbation or sexual intercourse, is thought to be beneficial for prostate health. Aiming for a frequency of 1-2 times a week is generally considered healthy for most men. If you notice that your erectile function fluctuates significantly after periods of abstinence or frequent ejaculation, it may be worth discussing with a healthcare provider to rule out any underlying issues.

5. Exercise and Sexual Health: Regular physical activity is beneficial for overall health, including sexual function. Cardiovascular exercises, such as running, swimming, or cycling, improve blood circulation, which is crucial for erectile function. Strength training, particularly exercises that target the lower body (like squats), can also enhance testosterone levels and improve sexual health. However, be mindful of cycling; improper posture or prolonged periods on a bike can lead to pressure on the perineum, potentially affecting blood flow. Ensure your bike is properly fitted and take breaks during long rides.

In conclusion, erectile function is influenced by a combination of physical health, psychological factors, and lifestyle choices. If you continue to experience concerns about your erectile function, consider consulting a healthcare professional who specializes in sexual health. They can provide personalized advice and may recommend further evaluation or treatment options if necessary. Remember, open communication with partners and healthcare providers can significantly alleviate anxiety related to sexual performance.

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