Common Penis Concerns: From Morning Wood to Sexual Function - Urology

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Penile issues


1.
Is it normal not to have morning erections the day after masturbation? Is it normal for morning erections to occur infrequently?
2.
Sometimes, if the erection during masturbation isn't very firm, could that affect sexual function or lead to premature ejaculation?
3.
Occasionally, if masturbation takes too long and I become distracted, resulting in a loss of erection, does that indicate a sexual dysfunction? Also, could these issues lead to a decrease in penis size?
4.
I have a phimosis issue; could that be affecting these problems? If I undergo circumcision, will things be more normal, and will my penis appear larger than when it was phimosis, since it feels very tight when erect? Doctor, I have heard you tell other patients that young people do not experience sexual dysfunction, but I am still very worried.
Could it still be a sexual dysfunction? I have consulted doctors who also said young people do not have this issue, and as an athlete, they mentioned it might be a psychological problem.
I haven't been tested or prescribed medication, but these issues are causing me a lot of concern.

xuesheng, 10~19 year old female. Ask Date: 2019/07/04

Dr. Du Mingyi reply Urology


Excessive worry is one of the psychological factors.

Reply Date: 2019/07/04

More Info


Understanding concerns related to sexual health, particularly regarding erections and masturbation, is essential for both mental and physical well-being. Let's address your questions one by one.

1. Morning Wood and Its Variability: It is entirely normal for men to experience variations in morning erections, commonly referred to as "morning wood." This phenomenon is influenced by various factors, including hormonal levels, sleep cycles, and overall health. If you find that you do not experience morning erections after masturbation, it may simply be a reflection of your body's recovery time. It is also normal for morning erections to occur infrequently; many factors, including stress, fatigue, and hormonal fluctuations, can influence this.

2. Erection Quality During Masturbation: The quality of your erection during masturbation can vary due to numerous factors, including psychological state, level of arousal, and physical health. If you notice that your erections are not as firm as they used to be, it does not necessarily indicate a problem with sexual function. However, if you consistently experience difficulties achieving or maintaining an erection, it might be worth discussing with a healthcare provider, as this could be an early sign of erectile dysfunction (ED).

3. Erections Softening During Masturbation: It is not uncommon for erections to soften or become less firm during prolonged masturbation, especially if you become distracted or lose focus. This does not automatically indicate a sexual dysfunction. Many men experience fluctuations in erection quality based on their mental state and physical arousal. If you find that this happens frequently and affects your sexual experiences, it may be beneficial to explore relaxation techniques or mindfulness practices to enhance focus during intimate moments.

4. Phimosis and Its Impact: Phimosis, or the inability to retract the foreskin, can indeed affect sexual function and comfort. If you are experiencing discomfort or issues related to phimosis, a circumcision may help alleviate these concerns. Post-surgery, many men report improved comfort and sexual function, as the penis is no longer constricted by the foreskin. However, it is essential to consult with a urologist to discuss the potential benefits and risks associated with the procedure.
Regarding your concerns about sexual dysfunction, it is important to note that many young men experience anxiety about their sexual performance, which can exacerbate feelings of inadequacy. Psychological factors, including stress and anxiety, can significantly impact sexual performance, often leading to a cycle of worry that further complicates the issue.
If you have consulted with healthcare professionals and they have reassured you that your concerns are common among young men, it may be helpful to focus on maintaining a healthy lifestyle, including regular exercise, a balanced diet, and good sleep hygiene. Additionally, consider speaking with a mental health professional if anxiety about sexual performance persists, as they can provide strategies to help manage these feelings.

In summary, while variations in sexual function and concerns about erections are common, they do not necessarily indicate a serious problem. However, if these issues continue to cause distress, seeking further evaluation from a healthcare provider or a mental health professional can provide clarity and support. Remember, sexual health is a vital aspect of overall well-being, and addressing these concerns openly is the first step toward resolution.

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