Restoring Erectile Function: Addressing Concerns and Solutions

Q: Restoring Erectile Function: Addressing Concerns and Solutions

Hello： 1) For issues related to physical weakness and kidney deficiency, it is advisable to consult a Traditional Chinese Medicine practitioner. <br>It is not within my expertise to address the stimulation of the penis. <br>Is it normal for the sphincter to contract and maintain

How can erectile function be restored?

Hello Doctor, I have some follow-up questions from my previous inquiries.
Today, I’m home alone on my day off and decided to relieve myself through masturbation.
I masturbated twice within an hour; during the second time, I didn’t achieve an erection but stimulated myself with my hand until ejaculation.
Afterward, I felt soreness in my thighs and buttocks.
Previously, after abstaining for over two months, I experienced similar sensations.
This time, it has only been five to six days since my last masturbation session.
Before abstaining, I was watching adult films and masturbating almost daily, at least once a day.
I usually sleep well and experience morning erections, so I believe I don’t have any organic issues.
I’m unsure if this is a psychological problem or what people refer to as "kidney deficiency" or "physical weakness."
1.
Is it normal for the anal sphincter to contract and maintain blood flow without directly stimulating the penis? It feels somewhat rigid, unlike before when I could maintain a strong erection for a while before it subsided.
Could excessive masturbation lead to a decrease in function? The hardness is okay, but I don’t feel that engorgement sensation; it feels like the blood is just flowing back.
2.
I feel that I used to masturbate too frequently, and now I do it much less, but after releasing, I feel very fatigued, as if my sexual stamina is diminishing.
From a Western medical perspective, it’s advised to maintain a moderate frequency of masturbation to prevent regression, while Traditional Chinese Medicine suggests that abstaining for several months, even up to a hundred days, is necessary to see recovery effects.
What should I do? These two viewpoints seem polarized.
3.
I previously tried using a realistic silicone masturbation sleeve to simulate various sexual positions.
It maintained insertion hardness and didn’t soften to the point of being unable to penetrate.
Does this have any reference value compared to actual intercourse? Does being able to penetrate the masturbation sleeve indicate that such hardness can also be achieved with a partner? Additionally, does using a masturbation sleeve have any training effects compared to using my hand?
4.
I plan to quit my job soon to take a break, as I sometimes really struggle to sleep well.
My intention is to go to bed early and wake up early, avoid junk food as much as possible, and run 3,000 meters daily, combining walking and jogging.
I aim to masturbate once a week, without watching adult films or engaging with any pornographic media.
Will this approach help improve my sexual function and habits?

Leo, 20~29 year old female. Ask Date: 2018/05/03

Dr. Du Shixi reply Urology

Hello: 1) For issues related to physical weakness and kidney deficiency, it is advisable to consult a Traditional Chinese Medicine practitioner.
It is not within my expertise to address the stimulation of the penis.
Is it normal for the sphincter to contract and maintain engorgement? --> Yes, some individuals may experience a decrease in function due to excessive masturbation --> Some people may feel a decline in rigidity or difficulty maintaining an erection.
2) Western medicine suggests that natural is best, and frequency should not be excessive; instead, attention should be paid to reasonable exercise and diet.
3) There is not much value in that; personally, I feel it does not have a training effect.
4) Your plan can be implemented while working; it depends on individual constitution.
If it is a psychological issue, it will depend on whether the individual can overcome it; some people recover quickly.
Wishing you good health.

Reply Date: 2018/05/03

More Info

Restoring erectile function and addressing concerns related to sexual health is a multifaceted issue that often involves both physical and psychological components. Your questions touch on various aspects of sexual health, including the effects of masturbation frequency, the physiological responses of the body, and the impact of lifestyle changes. Let’s break down your concerns systematically.

1. Physiological Responses and Erectile Function: It is normal for the body to exhibit variations in erectile function, especially after periods of abstinence or changes in sexual activity. The sensation of hardness without the typical "fullness" you describe may be influenced by several factors, including psychological state, physical conditioning, and even fatigue. The pelvic floor muscles, which include the sphincter muscles, can contract and create a sensation of rigidity without full erection. This is a normal response, but if you feel that your erections are not as firm or lasting as they used to be, it could be a sign of psychological stress or anxiety rather than a purely physical issue.

2. Masturbation Frequency and Sexual Health: The debate around masturbation frequency is ongoing. Some studies suggest that moderate masturbation can be beneficial for sexual health, while excessive masturbation may lead to temporary desensitization or decreased libido. Your experience of feeling fatigued after multiple sessions in a short period is not uncommon. It’s essential to find a balance that feels right for you. If you feel that your previous habits were excessive, reducing frequency, as you suggested, could help restore your sexual function over time. The idea that abstaining for several months can lead to improvements is more aligned with traditional views, but individual experiences vary widely.

3. Use of Sex Toys and Training Effects: Using a masturbation sleeve or similar device can provide a different sensation compared to manual stimulation. If you can maintain an erection while using a sleeve, it often indicates that your erectile function is intact. However, the experience may not fully replicate the dynamics of sexual intercourse. Training with a sleeve can help you understand your responses better and may enhance your stamina and control. However, it’s crucial to ensure that you’re not overly reliant on the device, as this could lead to a preference for that stimulation over natural sexual experiences.

4. Lifestyle Changes and Their Impact: Your plan to improve your lifestyle by focusing on sleep, diet, and exercise is commendable and can significantly impact your overall health, including sexual function. Regular physical activity, such as running, can improve cardiovascular health, which is crucial for erectile function. Additionally, a balanced diet low in processed foods can enhance your energy levels and overall well-being. Reducing exposure to pornography and sexual stimuli can also help reset your sexual responses and improve your relationship with sexual activity.

In summary, your concerns about erectile function and sexual health are valid and can be addressed through a combination of lifestyle changes, moderation in sexual activity, and understanding your body's responses. If you continue to experience issues or have concerns about your sexual health, consulting with a healthcare professional specializing in sexual medicine or urology can provide personalized guidance and support. Remember, sexual health is an integral part of overall well-being, and taking proactive steps can lead to significant improvements.

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