Erectile Dysfunction: Causes and Solutions for Men - Urology

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Erectile dysfunction issues?


About six months ago, I came across an article online about penis training.
The method involved gripping the base of the penis during an erection to increase blood flow to the tip.
I practiced this for two months, using adult films to achieve erections.
Three months ago, I noticed that my erections were not as frequent, and my morning erections decreased.
The veins on the surface of my penis became more prominent, and my libido also decreased.
I then stopped the training, as well as masturbation and watching adult films.
About a month ago, my morning erections started to return slightly, but the veins on my penis are still somewhat noticeable.
Additionally, I find that I finish masturbating much quicker than before.
Could it be that not masturbating for a long time has caused me to ejaculate quickly upon excitement? Also, the semen is not as thick as it used to be.
What should I do now, doctor?

Mr. Zhu, 20~29 year old female. Ask Date: 2018/09/16

Dr. Sun Hongshun reply Urology


Hello, in addition to physiological factors, psychological factors are also important causes of erectile dysfunction.
If you are experiencing erectile dysfunction, it is advisable to seek assistance from a physician.
The effectiveness of various treatments may vary from person to person.
Additionally, regarding issues related to penile blood vessels, masturbation, and semen, there is no need to be anxious, as these are all normal occurrences.
However, if you experience pain or discomfort, it is recommended to consult a doctor in an outpatient setting.

Reply Date: 2018/09/16

More Info


Erectile dysfunction (ED) is a complex condition that can arise from various physical and psychological factors. Understanding its causes and potential solutions is crucial for men experiencing this issue. Based on your description, it seems you have experienced changes in your erectile function and sexual desire, which can be attributed to several factors, including the techniques you practiced, psychological influences, and possibly physiological changes.


Causes of Erectile Dysfunction
1. Physical Factors:
- Blood Flow Issues: ED often results from inadequate blood flow to the penis. This can be due to vascular problems, which may be exacerbated by certain practices that alter blood flow dynamics, such as the technique you described of squeezing the base of the penis during erection.

- Hormonal Changes: Testosterone levels can significantly impact libido and erectile function. Fluctuations in hormone levels can lead to decreased sexual desire and performance.

- Nerve Damage: Conditions that affect nerve function, such as diabetes or neurological disorders, can impair the signals necessary for an erection.

2. Psychological Factors:
- Performance Anxiety: The pressure to perform, especially after a period of practicing specific techniques, can lead to anxiety, which may hinder erectile function.

- Depression and Stress: Mental health plays a significant role in sexual health. Stress from daily life or specific events can lead to decreased libido and erectile difficulties.

3. Lifestyle Factors:
- Sedentary Lifestyle: Lack of physical activity can contribute to poor cardiovascular health, which is essential for erectile function.

- Diet and Nutrition: A poor diet can lead to obesity and other health issues that affect blood flow and hormone levels.

4. Substance Use:
- Alcohol and Drugs: Excessive alcohol consumption and recreational drug use can impair sexual function and desire.


Solutions for Erectile Dysfunction
1. Lifestyle Modifications:
- Regular Exercise: Engaging in regular physical activity can improve cardiovascular health, enhance blood flow, and boost testosterone levels. Aim for a mix of aerobic and strength training exercises.

- Healthy Diet: A balanced diet rich in fruits, vegetables, whole grains, and lean proteins can support overall health and improve erectile function. Foods that promote heart health, such as nuts, fish, and olive oil, are particularly beneficial.

2. Psychological Support:
- Counseling: If anxiety or depression is contributing to your ED, speaking with a mental health professional can be beneficial. Cognitive-behavioral therapy (CBT) is particularly effective for performance anxiety.

- Open Communication: Discussing your concerns with your partner can alleviate anxiety and improve intimacy.

3. Medical Consultation:
- Check Hormone Levels: If you suspect hormonal imbalances, consult a healthcare provider for testing and potential treatment options.

- Medication: There are various medications available that can help improve erectile function by enhancing blood flow to the penis. Consult a healthcare provider to discuss the best options for you.

4. Gradual Reintroduction of Sexual Activity:
- Moderation in Stimulation: If you have abstained from sexual activity for a while, gradually reintroducing sexual stimulation can help your body adjust. This includes both physical stimulation and mental arousal through fantasies or erotic materials, but in moderation to avoid overwhelming your system.

5. Hydration and Nutrition:
- Stay Hydrated: Proper hydration is essential for overall health and can affect the viscosity of semen. If you notice changes in the consistency of your ejaculate, ensure you are drinking enough fluids.

- Nutritional Supplements: Some supplements, such as L-arginine or ginseng, may help improve erectile function, but consult with a healthcare provider before starting any new supplement regimen.


Conclusion
Erectile dysfunction can be a distressing experience, but understanding its causes and exploring potential solutions can lead to improvement. It is essential to approach this issue holistically, considering both physical and psychological aspects. If symptoms persist, seeking professional medical advice is crucial to rule out any underlying health conditions and to receive tailored treatment options. Remember, open communication with partners and healthcare providers can significantly enhance the journey towards regaining sexual health.

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