Impact of Excessive Masturbation and Lifestyle on Erectile Function - Urology

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Hello Doctor, I am 170580 and I have more questions to ask.
I would like to inquire whether my frequent masturbation (at least 25 times a month), being overweight, lack of exercise (especially during the pandemic), and staying up late could be contributing to my lack of morning erections and difficulty achieving full rigidity during erections.
I've noticed that after an erection, I have to apply pressure to the glans to avoid wrinkles, and I can't maintain the erection for too long.
Can I try abstaining from masturbation (I am currently undergoing treatment for a urinary tract infection and will be taking antibiotics for a month) to see if there is any improvement? I have not masturbated for three days and I have noticed that my erections are somewhat firmer.
Thank you, Doctor, for your continued assistance.

Niming, 20~29 year old female. Ask Date: 2021/07/12

Dr. Du Shixi reply Urology


Hello: DIY reduction may be helpful initially, but it's important to pay attention to other factors as well.
Otherwise, poor vascular circulation could lead to the issues you mentioned.
Keep it up, and wishing you good health.

Reply Date: 2021/07/12

More Info


Excessive masturbation and lifestyle choices can significantly impact erectile function, and it’s commendable that you are seeking to understand the relationship between these factors. Let's break down the various elements involved.


1. Masturbation Frequency
Masturbation is a normal sexual activity, and while there is no universally accepted "normal" frequency, excessive masturbation (such as 25 times a month) can lead to temporary changes in sexual function. Some individuals report experiencing decreased sensitivity or difficulty achieving erections after frequent masturbation, particularly if it becomes a compulsive behavior. However, it’s essential to note that occasional masturbation is generally not harmful and does not typically lead to long-term erectile dysfunction (ED).


2. Lifestyle Factors
Your lifestyle choices, including being overweight, lack of exercise, and poor sleep habits, can significantly affect erectile function. Here’s how:
- Obesity: Excess weight can lead to hormonal imbalances, particularly lower testosterone levels, which are crucial for sexual function. Additionally, obesity is associated with conditions like diabetes and cardiovascular disease, both of which can impair blood flow and lead to ED.

- Lack of Exercise: Regular physical activity improves blood circulation and can enhance sexual performance. Exercise also helps in weight management and can boost testosterone levels, which are beneficial for erectile function.

- Sleep Patterns: Poor sleep quality and irregular sleep patterns can lead to fatigue and hormonal imbalances, which may negatively impact libido and erectile function. Sleep is crucial for the regulation of hormones, including testosterone.


3. Psychological Factors
Psychological aspects, including anxiety about sexual performance or guilt associated with masturbation, can also contribute to erectile difficulties. Stress and anxiety can lead to a cycle where the fear of not being able to achieve an erection exacerbates the problem.


4. Antibiotic Treatment
You mentioned that you are currently undergoing treatment for a urinary tract infection (UTI) with antibiotics. While antibiotics themselves typically do not directly affect erectile function, the underlying infection and associated discomfort can impact your sexual performance. It’s also worth noting that some medications can have side effects that influence sexual health.


5. Trial Period of Abstinence
Taking a break from masturbation, especially during your treatment, may help you assess any changes in your erectile function. As you noted, after three days of abstaining, you observed some improvement in the hardness of your erections. This could be a positive sign that your body is responding to the change in behavior.

6. Recommendations
- Moderation: Consider moderating your masturbation frequency to see if it positively impacts your erectile function.

- Exercise: Incorporate regular physical activity into your routine. Aim for at least 150 minutes of moderate aerobic exercise each week.

- Weight Management: If overweight, consider a balanced diet and exercise plan to help reduce weight.

- Sleep Hygiene: Prioritize good sleep hygiene by establishing a regular sleep schedule and creating a restful environment.

- Consultation: If erectile issues persist, it may be beneficial to consult a healthcare professional for a comprehensive evaluation. They can help rule out any underlying medical conditions and provide tailored advice.

In conclusion, while excessive masturbation may have a temporary impact on erectile function, lifestyle factors such as obesity, lack of exercise, and poor sleep are likely more significant contributors. By making positive lifestyle changes and monitoring your sexual health, you can work towards improving your erectile function.

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