Overcoming Sexual Dysfunction: Issues with Masturbation and Foreskin - Urology

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It sounds like you're experiencing a complex interplay of sexual dysfunction, particularly related to your long-term use of a specific masturbation technique, and concerns about your anatomy. Let's break this down and explore some potential avenues for improvement and understanding.


Understanding Your Situation
1. Masturbation Technique: You mentioned using a "pressure method" for masturbation since you were 11 years old. This technique may have conditioned your body to respond primarily to that specific type of stimulation. Over time, this can lead to a decreased sensitivity to other forms of stimulation, such as manual or penetrative sex. It's not uncommon for individuals who have a long-standing habit to find it challenging to adapt to new methods.

2. Erectile Dysfunction: The inability to maintain an erection during intercourse can be distressing. This could be linked to both physical and psychological factors. Since you have conditioned your body to respond to a specific type of stimulation, it might not respond adequately to the sensations experienced during intercourse. Additionally, anxiety about performance or concerns about your anatomy could further exacerbate the issue.

3. Anatomical Concerns: You mentioned a low angle of erection and discomfort with your foreskin. A low angle of erection can sometimes be a normal anatomical variation, but if it causes pain or discomfort, it may warrant further evaluation. The issue with your foreskin getting stuck could indicate a condition known as phimosis, where the foreskin cannot be easily retracted over the glans (head) of the penis. This can lead to discomfort during erections and sexual activity.


Recommendations for Improvement
1. Consult a Urologist: It's crucial to seek professional medical advice. A urologist can assess your situation more thoroughly, including any anatomical concerns, and provide tailored recommendations. They can also evaluate whether you have any underlying conditions that may be contributing to your erectile dysfunction.

2. Gradual Change in Masturbation Technique: To help your body adapt to different forms of stimulation, consider gradually incorporating manual stimulation into your routine. Start slowly and focus on exploring different sensations. This may help retrain your body to respond to various types of stimulation.

3. Pelvic Floor Exercises: Engaging in pelvic floor exercises, often referred to as Kegel exercises, can strengthen the muscles involved in sexual function. These exercises can improve blood flow and potentially enhance your ability to maintain an erection.

4. Psychological Support: If anxiety or psychological factors are contributing to your sexual dysfunction, consider speaking with a mental health professional. Therapy can help address any underlying issues, such as performance anxiety or negative body image, which may be impacting your sexual health.

5. Explore Sexual Health Resources: There are many resources available that focus on sexual health and dysfunction. Books, articles, and online forums can provide valuable insights and coping strategies. However, ensure that the sources are reputable and evidence-based.

6. Open Communication with Partners: If you are in a relationship or considering dating, open communication with your partner about your concerns can foster understanding and support. This can alleviate some pressure and help you both navigate your sexual experiences together.


Conclusion
Your concerns about sexual dysfunction and anatomical issues are valid, and it's important to approach them with a comprehensive plan. Seeking professional help is the best first step. With the right support and strategies, many individuals can improve their sexual health and enjoy fulfilling intimate relationships. Remember, you are not alone in this, and there are resources and professionals available to help you navigate these challenges.