the Causes of Natural Erection Issues: A Urology Perspective - Urology

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Issues with natural erection?


Hello Doctor: A few days ago, I noticed something unusual during masturbation.
Previously, I would automatically achieve an erection when watching certain videos or images, but in the past few days, I haven't been able to get an erection naturally while watching videos.
Sometimes I experience slight erections, but they are not as responsive as before, and I often need to use manual stimulation to achieve full erection.
However, if I stop stimulating, it goes down within a few seconds.
Previously, I would masturbate occasionally or once or twice a day.
A few days ago, I had a mild cold and visited a doctor, who prescribed medication.
The cold has now resolved, but I still do not have natural erections.
Could this be related to frequent masturbation, or is it possible that the cold medication is causing this issue? Could this be related to erectile dysfunction? What can I do to restore my ability to achieve natural erections?

Niming, 20~29 year old female. Ask Date: 2019/03/22

Dr. Chen Jiansheng reply Urology


Get plenty of rest and continue to monitor the situation.

Reply Date: 2019/03/22

More Info


Understanding the causes of natural erection issues can be complex and multifaceted, often requiring a thorough evaluation from a urological perspective. Based on your description, it seems you are experiencing a temporary change in your erectile function, which can be influenced by various factors, including psychological, physiological, and pharmacological elements.

Firstly, it's important to recognize that occasional difficulties in achieving or maintaining an erection can be quite common, especially in younger men. Factors such as stress, anxiety, fatigue, and even minor illnesses like a cold can impact sexual performance. The body’s response to sexual stimuli can be affected by emotional states; if you are feeling anxious or preoccupied, this can hinder your ability to achieve an erection naturally.

In your case, you mentioned experiencing a mild cold and taking medication for it. Certain medications, especially those that affect the central nervous system, can have side effects that include erectile dysfunction. Common cold medications, particularly those containing antihistamines or decongestants, can sometimes lead to temporary changes in sexual function. If you suspect that your medication might be contributing to your erectile issues, it would be wise to consult with your healthcare provider to discuss alternative treatments or adjustments.

Additionally, frequent masturbation, while generally considered a normal sexual activity, can sometimes lead to temporary changes in sexual response. Some individuals may experience a decrease in sensitivity or a change in their sexual response due to habitual patterns of stimulation. This is often a psychological phenomenon rather than a physical one, and it can resolve itself over time as your body readjusts.

It's also essential to consider lifestyle factors that can impact erectile function. These include diet, exercise, sleep quality, and overall mental health. Regular physical activity, a balanced diet, and adequate sleep can all contribute positively to sexual health. Conversely, excessive alcohol consumption, smoking, and poor diet can negatively affect erectile function.

If these issues persist, it may be beneficial to seek a consultation with a urologist. They can perform a comprehensive evaluation, which may include a physical examination, blood tests to check hormone levels, and possibly other diagnostic tests to rule out any underlying medical conditions. Conditions such as diabetes, hypertension, or hormonal imbalances can significantly impact erectile function.

In summary, while your current experience of difficulty achieving natural erections may be concerning, it is often temporary and can be influenced by various factors, including recent illness, medication, psychological state, and lifestyle choices. Monitoring your symptoms and discussing them with a healthcare professional can provide clarity and help you regain your natural erectile function. Remember, open communication with your healthcare provider is key to addressing any concerns regarding sexual health.

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