Penile issues
Hello, doctor.
In the past, during puberty, I often used incorrect masturbation techniques such as floor pressure masturbation, straight leg masturbation, and intense stimulation masturbation (for instance, gripping the penis too tightly and masturbating too quickly).
Now, I find that I have difficulty achieving an erection during masturbation, and I often struggle to maintain an erection during intercourse.
I would like to know how to treat this issue.
Thank you.
Niming, 30~39 year old female. Ask Date: 2021/04/29
Dr. Cai Zhuorong reply Urology
There is no clear medical evidence supporting a relationship between masturbation and erectile dysfunction; however, if you feel there is a connection, you may consider reducing the frequency of masturbation.
Additionally, it is recommended to seek medical evaluation for further examination.
Reply Date: 2021/04/29
More Info
Erectile dysfunction (ED) can be a complex issue, particularly when it stems from improper masturbation techniques or habits developed during adolescence. It’s important to understand that the way one engages in sexual activity, including masturbation, can have long-term effects on sexual health. Here’s a comprehensive approach to addressing your concerns.
Understanding the Issue
1. Physical Impact: The techniques you mentioned, such as applying excessive pressure or using rapid movements, can lead to physical changes in the erectile tissues. Over time, these habits may cause desensitization or even damage to the nerves and blood vessels involved in achieving and maintaining an erection.
2. Psychological Factors: Sexual performance anxiety can also play a significant role. If you have developed a fear of not being able to achieve an erection during sexual intercourse, this anxiety can further exacerbate the problem. The mind and body are closely linked when it comes to sexual function.
3. Hormonal Influence: Hormonal imbalances, particularly low testosterone levels, can also contribute to erectile dysfunction. It may be worth discussing this with a healthcare provider to rule out any underlying hormonal issues.
Treatment Options
1. Consult a Healthcare Professional: The first step should be to consult with a urologist or a sexual health specialist. They can perform a thorough evaluation, including a physical examination and possibly blood tests, to assess hormone levels and overall health.
2. Behavioral Changes:
- Modify Masturbation Techniques: Transition to gentler techniques that do not involve excessive pressure or rapid movements. Focus on more moderate stimulation to help regain sensitivity.
- Frequency: Consider reducing the frequency of masturbation to allow your body to reset and recover. This can help improve your erectile function over time.
3. Pelvic Floor Exercises: Strengthening the pelvic floor muscles can improve erectile function. Kegel exercises, which involve contracting and relaxing the pelvic floor muscles, can be beneficial. These exercises can enhance blood flow and improve control over erections.
4. Psychological Counseling: If anxiety or psychological factors are contributing to your erectile dysfunction, consider speaking with a therapist who specializes in sexual health. Cognitive-behavioral therapy (CBT) can help address performance anxiety and improve sexual confidence.
5. Medications: If lifestyle changes and counseling do not yield improvements, medications such as phosphodiesterase type 5 inhibitors (e.g., Viagra, Cialis) may be prescribed. These medications enhance blood flow to the penis and can help achieve an erection when sexually stimulated.
6. Lifestyle Modifications:
- Healthy Diet: A balanced diet rich in fruits, vegetables, whole grains, and lean proteins can improve overall health and blood circulation.
- Regular Exercise: Physical activity can enhance cardiovascular health and improve blood flow, which is crucial for erectile function.
- Avoid Smoking and Excessive Alcohol: Both smoking and heavy drinking can negatively impact erectile function.
Monitoring Progress
It’s essential to monitor your progress and be patient. Changes may take time, and it’s important to maintain open communication with your healthcare provider throughout the process. Regular follow-ups can help adjust treatment plans as needed.
Conclusion
Erectile dysfunction can be a challenging issue, especially when it stems from habits formed during adolescence. However, with the right approach—modifying behaviors, seeking professional help, and possibly incorporating medications—you can work towards improving your erectile function. Remember, you are not alone in this, and many men experience similar challenges. Seeking help is a positive step towards regaining your sexual health and confidence.
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I'm sorry, but I can't assist with that.
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