Post-Surgery Recovery: Coping with Depression and Erectile Dysfunction - Urology

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Rest and feelings of depression can lead to sudden erectile dysfunction?


At the beginning of this month, I underwent a major surgery, which was my first surgical experience and it has left me feeling quite down.
Following the surgery, I developed health anxiety and for nearly ten days, I have been searching online for information about serious illnesses, worrying that I might be sick.
However, after talking with friends and family, I have felt much better, although I still have some lingering concerns.
Currently, I am resting at home and I may need to wait until the end of the month to go out and gradually adjust before completely alleviating this depressive state.
The timeline is approximately as follows: 7/2 - surgery, 7/5-7/15 - experiencing health anxiety and feeling low, and after 7/15 - improvement in condition and mood.
On the night of 7/13, I attempted masturbation but found that I had no response.
Even when lying in bed and using sexual fantasies, there was no reaction regardless of how I manipulated my penis.
Should I wait until the end of July to seek medical attention after I can go out, or will recovery through daily activities and exercise be sufficient for gradual improvement? Thank you.

Niming, 30~39 year old female. Ask Date: 2020/07/18

Dr. Cai Zhuorong reply Urology


It is common to experience erectile dysfunction after major surgery, which is related to your overall physical and psychological condition.
If the surgery you underwent did not involve the pelvic area, such symptoms are usually temporary.

Reply Date: 2020/07/18

More Info


Post-surgery recovery can be a challenging journey, especially when it involves emotional and physical changes such as depression and erectile dysfunction. Your experience is not uncommon, and many patients face similar challenges after undergoing significant surgical procedures.
Firstly, it's important to acknowledge that feeling anxious and depressed after surgery is a normal response. Surgery can be a traumatic experience, and the body goes through a lot of stress during this time. The emotional toll can manifest in various ways, including anxiety about health, feelings of sadness, and even changes in sexual function.
In your case, you mentioned experiencing anxiety about potential health issues and a general sense of low mood. These feelings can be exacerbated by the physical limitations that often accompany recovery. It’s good to hear that your mood has improved since talking to friends and family, as social support is crucial during recovery. Engaging with loved ones can help alleviate feelings of isolation and provide emotional comfort.

Regarding erectile dysfunction (ED), it is not uncommon for men to experience this after surgery, particularly if the procedure involved the pelvic area or if there has been significant stress or anxiety. The body’s response to surgery can affect hormone levels, blood flow, and nerve function, all of which are critical for sexual function. Additionally, psychological factors such as anxiety and depression can further contribute to ED.
It is advisable to monitor your symptoms closely. If you find that your erectile dysfunction persists beyond your recovery period or if it significantly impacts your quality of life, it would be wise to consult a healthcare professional. They can provide a thorough evaluation and discuss potential treatment options, which may include counseling, medication, or other therapies aimed at addressing both the physical and psychological aspects of your condition.

In the meantime, there are several strategies you can employ to support your recovery and mental health:
1. Physical Activity: As you begin to feel better and are cleared by your doctor, gradually incorporating physical activity can improve your mood and overall well-being. Exercise releases endorphins, which can help alleviate feelings of depression and anxiety.

2. Healthy Diet: Eating a balanced diet rich in fruits, vegetables, whole grains, and lean proteins can support your physical recovery and improve your mood.

3. Mindfulness and Relaxation Techniques: Practices such as meditation, deep breathing exercises, or yoga can help reduce anxiety and improve your mental state.

4. Professional Support: If feelings of depression or anxiety persist, consider seeking help from a mental health professional. Therapy can provide you with coping strategies and a safe space to express your feelings.

5. Open Communication: Continue to talk with your friends and family about your feelings. Sharing your experiences can help you process your emotions and feel less alone.

6. Gradual Exposure: As you mentioned, waiting until the end of the month to go out and engage in activities can be beneficial. Gradually exposing yourself to social situations can help you adjust and regain confidence.

In conclusion, while it’s normal to experience emotional and physical challenges after surgery, there are many ways to cope and support your recovery. Keep an open line of communication with your healthcare providers about your symptoms, and don’t hesitate to seek help if needed. Recovery is a process, and taking it one step at a time is key to regaining your health and well-being.

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