Concerns About Erection Hardness: What Could Be Causing This? - Urology

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I'm worried because my erection isn't as firm as it used to be. I'm anxious!


Hello, doctor! At the end of last month, I noticed that when I masturbated, my erection wasn't as firm, and my ejaculation wasn't as forceful as before; it was more of a dribble.
However, just the day before, I had masturbated and had a very strong erection with a powerful ejaculation.
How could there be such a drastic change in just two days? I'm really worried.
Before this incident, my erections were so hard it felt like they could burst, and I could ejaculate quite far with great force.
Now, in less than two days, it's such a significant difference that I can't face it.
Ever since I learned about this issue, I haven't dared to masturbate, but I've still been experiencing morning erections, although the firmness is definitely lacking.
I'm a person with a strong sex drive.
Could it be that I'm masturbating too much? Since February, I've been single and have been masturbating almost every day or paying for services.
Also, on the day I discovered this issue, I had a stomach flu with fever and diarrhea and took medication.
Could that be the reason? After my stomach flu got better, I wanted to see if things returned to normal, but I was too nervous and sweating cold, so I didn't try.
I didn't want to go to the hospital due to embarrassment, so I've been researching online and asking questions, which is why I'm only asking now.
Additionally, I'm 170 cm tall and weigh 98 kg.
I smoke, have an irregular sleep schedule, and have been sitting at work for years without exercising.
Could this be the reason? My sex drive is still strong, and I still get erections often, but the firmness is really lacking, and I don't have that explosive feeling anymore.
Doctor, what is happening to me? Please help me! Thank you.

danxin, 20~29 year old female. Ask Date: 2020/05/07

Dr. Cai Zhuorong reply Urology


The intensity of erection and ejaculation is influenced by many factors, and the situation you described is likely just a temporary phenomenon.
However, as you mentioned, smoking and having an irregular sleep schedule are long-term detrimental factors for sexual function.
Smoking, in particular, can damage your small blood vessels, directly affecting the engorgement of the corpora cavernosa.
Being overweight can also impact hormonal balance.
A healthy body is the foundation for a healthy sex life.

Reply Date: 2020/05/07

More Info


Dear Patient,
Thank you for reaching out with your concerns regarding changes in your erection hardness and sexual performance. It’s understandable to feel anxious about such changes, especially when they seem to occur suddenly. Let's break down some potential factors that could be contributing to your situation.

Firstly, it’s important to recognize that fluctuations in erection hardness can be influenced by a variety of factors, including physical health, psychological state, and lifestyle choices. Given your description, several key areas warrant attention:
1. Physical Health: You mentioned experiencing gastrointestinal issues, including gastroenteritis, which can lead to dehydration and fatigue. Both of these conditions can temporarily affect your sexual performance. Additionally, your lifestyle factors, such as smoking, lack of exercise, and irregular sleep patterns, can also contribute to erectile difficulties. Smoking is known to impair blood flow, which is crucial for achieving and maintaining an erection.
2. Psychological Factors: Anxiety and stress can significantly impact sexual function. The worry about your erection hardness can create a cycle of anxiety that further exacerbates the issue. This is often referred to as performance anxiety. When you become overly concerned about your ability to perform, it can lead to a self-fulfilling prophecy where the anxiety itself hinders your performance.

3. Frequency of Masturbation: While masturbation is a normal sexual activity, excessive frequency can sometimes lead to temporary changes in sexual response. If you are masturbating daily, it’s possible that your body may need a brief period to recover. This is particularly true if you are experiencing any physical discomfort or fatigue.

4. Hormonal Factors: Testosterone levels can also play a role in sexual function. If you have concerns about your libido or energy levels, it might be worth discussing this with a healthcare provider, as hormonal imbalances can affect sexual performance.

5. Health Conditions: Conditions such as diabetes, hypertension, or cardiovascular issues can also lead to erectile dysfunction. Given your lifestyle factors, it may be beneficial to have a comprehensive health check-up to rule out any underlying conditions.


Recommendations:
1. Consult a Healthcare Provider: While it may feel daunting, speaking with a healthcare professional can provide you with the reassurance and guidance you need. They can perform necessary tests to rule out any underlying health issues and discuss treatment options if needed.

2. Lifestyle Modifications: Consider making some lifestyle changes. Reducing smoking, increasing physical activity, and improving your diet can have a positive impact on your overall health and sexual function. Aim for at least 150 minutes of moderate aerobic activity each week.

3. Manage Stress and Anxiety: Techniques such as mindfulness, meditation, or talking to a therapist can help manage anxiety related to sexual performance. Understanding that fluctuations in sexual performance are normal can also alleviate some of the pressure you may be feeling.

4. Take Breaks: If you feel that your masturbation frequency is excessive, consider taking a break to allow your body to recover. This can help reset your sexual response.

5. Stay Hydrated and Rested: Ensure you are drinking enough water and getting adequate sleep, as both are essential for overall health and can impact sexual function.

In conclusion, while it’s natural to be concerned about changes in your sexual health, many factors can contribute to these changes, and they are often reversible with appropriate lifestyle adjustments and medical guidance. Please consider reaching out to a healthcare professional who can provide personalized advice and support.

Take care, and I wish you the best in addressing your concerns.

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