the Connection Between Masturbation and Erectile Hardness - Urology

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The relationship between masturbation and erection?


Hello, doctor.
About a year ago, a friend mentioned experiencing a loss of erection during sex or masturbation.
Since then, I've become very concerned about my hardness during masturbation and have noticed that sometimes it isn't firm enough.
I'm not sure if it's because I never thought about this before or if it's due to psychological factors on my part.
This happens about once a week, but after I relaxed, it hasn't been an issue.
At that time, I was somewhat unhealthy in that I would test my sexual function by masturbating again if I experienced softness, which has led to me sometimes masturbating multiple times a day.
In other words, sometimes I masturbate not out of sexual desire but to test myself.
Now, I don't feel as anxious as I did back then because I've learned to adjust my thoughts, but I do find that I am masturbating more frequently than before.
I would like to ask if frequent masturbation can really lead to occasional erectile difficulties.
I realize that I may have been influenced by my friend, as I was quite nervous during those times.
I also want to know if overthinking can truly cause erectile issues.
When I asked some friends about the hardness during masturbation, they told me that sometimes it naturally isn't at its best state, and they also experience softness due to distractions, not enjoying the material, or losing erection while switching videos.
However, I would still like to hear your opinion on my concerns.
Thank you.
(I currently do not have a partner, so I cannot determine if there would be any issues with hardness in real-life situations.)

Mike, 20~29 year old female. Ask Date: 2020/05/06

Dr. Du Shixi reply Urology


Hello: Your situation is quite common, and sexual function is related to overall health.
I recommend focusing on diet and exercise, as this may reduce the occurrence and be beneficial.
Wishing you good health.

Reply Date: 2020/05/06

More Info


The relationship between masturbation and erectile hardness is a nuanced topic that intertwines physiological, psychological, and behavioral aspects. Your experience of fluctuating erectile hardness during masturbation can be influenced by several factors, including anxiety, frequency of masturbation, and even the context in which you engage in the act.

Firstly, it's essential to understand that erectile function is a complex process involving the nervous system, blood vessels, and psychological state. When a person is aroused, signals from the brain lead to the relaxation of blood vessels in the penis, allowing increased blood flow, which results in an erection. However, psychological factors, such as anxiety or stress, can disrupt this process. In your case, the initial concern about erectile hardness, stemming from your friend's comments, may have created a psychological barrier that affected your performance during masturbation. This is often referred to as performance anxiety, where the fear of not achieving a full erection can lead to a self-fulfilling prophecy, causing the very issue one fears.

Regarding the frequency of masturbation, while there is no definitive evidence that frequent masturbation directly causes erectile dysfunction, it can lead to temporary changes in sensitivity and arousal levels. If you find yourself masturbating multiple times a day, it may lead to a decrease in sexual excitement or arousal during subsequent sessions, as the body may require more stimulation to achieve the same level of arousal. This phenomenon is sometimes referred to as "desensitization," where the body becomes accustomed to a certain level of stimulation, making it harder to achieve an erection under different circumstances.

Moreover, the context in which you engage in masturbation can also play a significant role. Distractions, lack of interest in the material you are viewing, or even the pressure to perform can all contribute to difficulties in achieving or maintaining an erection. It’s not uncommon for individuals to experience fluctuations in erectile hardness due to these factors, and it’s important to recognize that this is a normal part of sexual health.

To address your concerns, here are a few recommendations:
1. Mindfulness and Relaxation: Try to approach masturbation with a relaxed mindset. Reducing anxiety about performance can help alleviate the pressure you feel. Techniques such as deep breathing or mindfulness can help you focus on the experience rather than the outcome.

2. Limit Frequency: If you feel that your masturbation habits are becoming compulsive or are driven by anxiety rather than desire, consider moderating the frequency. This can help restore sensitivity and excitement.

3. Focus on Pleasure: Shift your focus from performance to pleasure. Enjoy the sensations and the experience without the pressure of achieving a specific outcome.

4. Open Communication: If you have a partner in the future, open communication about sexual experiences and preferences can alleviate anxiety and enhance mutual satisfaction.

5. Consult a Professional: If you continue to experience concerns about erectile hardness or if it begins to affect your quality of life, consider speaking with a healthcare professional or a therapist specializing in sexual health. They can provide personalized advice and support.

In conclusion, while occasional fluctuations in erectile hardness during masturbation are common and can be influenced by psychological factors, they are typically not a cause for concern. By addressing the underlying anxiety and focusing on a more relaxed approach to sexual activity, you can improve your overall sexual health and enjoyment.

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