Erection Quality: Common Concerns and Definitions - Urology

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I'm not sure if there is an issue with my erection?


1.
Is it normal for the erection to not be as firm when only watching adult films without any additional stimulation compared to masturbation plus watching adult films or during premature ejaculation?
2.
It seems that the hardness of the penis is classified into four levels, and the assessment of the level is based on whether it can be compressed.
Could you please clarify what is meant by "compression"? For a level four erection, does pressing down on it feel like a rock and not move at all, or does it move slightly but just bounce back?

Sorry,, 10~19 year old female. Ask Date: 2021/08/11

Dr. Du Shixi reply Urology


Hello:
1.
Is it normal that watching adult films alone without any additional stimulation results in less firmness compared to masturbation combined with watching adult films or during premature ejaculation? --> Yes, it is normal; there can be variations at different times.
2.
It seems that the hardness of the penis can be classified into four levels, and the assessment of the penis's level seems to depend on whether it can be compressed.
Could you please clarify the definition of "compression"? When a level four firmness is compressed, does it feel as hard as a rock and does not move at all? Or does it move slightly but just bounces back? --> When erect, the penis forms an angle with the abdomen that is difficult to change.
At this point, it can be considered similar to a cucumber in firmness.
Avoid applying too much pressure to prevent discomfort.
Wishing you good health.

Reply Date: 2021/08/11

More Info


Understanding erection quality is an important aspect of sexual health, and it can often lead to various concerns and questions. Let's address the common concerns raised in your question regarding the quality of erections and the definitions associated with it.

1. Erection Quality and Stimulation: It is completely normal for individuals to experience variations in erection quality based on the type of stimulation they are receiving. Watching adult films (often referred to as "porn") can elicit different responses compared to physical stimulation such as masturbation. The brain plays a crucial role in sexual arousal, and the type of stimuli can significantly affect how aroused a person feels. When someone watches porn, they may experience a strong visual stimulus that can lead to a firm erection. However, when combining masturbation with watching porn, the physical stimulation can enhance arousal, potentially leading to a harder erection. If you find that your erection is not as firm when watching porn alone compared to when you are also physically stimulating yourself, this is generally considered normal. Factors such as anxiety, mood, and overall health can also influence erection quality.

2. Erection Hardness Levels: Erection hardness is often classified into four grades, which help in assessing erectile function. These grades are typically defined as follows:
- Grade 1: The penis is not hard and cannot penetrate.

- Grade 2: The penis is somewhat hard but not hard enough for penetration.

- Grade 3: The penis is hard enough for penetration but not completely rigid.

- Grade 4: The penis is fully rigid and can maintain an erection suitable for penetration.

The concept of "pressing down" on the penis to determine its hardness is subjective and can vary from person to person. When we refer to a Grade 4 erection, it is expected to be very firm, akin to a solid object. If you were to press down on it, it should not easily deform or yield under pressure, similar to pressing on a firm cucumber or a rock. However, it is important to note that some slight movement or "give" may occur, but it should not be significant. The key indicator is that the penis should feel very firm and maintain its shape without significant pressure causing it to bend or lose rigidity.

In conclusion, variations in erection quality are normal and can be influenced by multiple factors, including the type of stimulation and individual health. Understanding the grading of erection hardness can help in assessing erectile function, but it is essential to remember that individual experiences may vary. If there are ongoing concerns about erectile quality or sexual health, consulting a healthcare professional can provide personalized insights and guidance.

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