Urological Issues: Concerns About Ejaculation and Erectile Dysfunction - Urology

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It sounds like you're experiencing a complex set of symptoms related to ejaculation and erectile function, which can understandably be concerning. Let's break down your situation and address your concerns.

From what you've described, it seems that you are practicing a technique during masturbation where you intentionally stop stimulation to prevent ejaculation. This method, often referred to as "edging," can sometimes lead to a disconnect between sexual arousal and physical response. When you stop stimulation abruptly, it may cause the body to respond differently, leading to a lack of orgasmic sensation and potentially reduced ejaculate volume. This can be frustrating and may contribute to feelings of anxiety regarding sexual performance.

The fact that you are experiencing difficulties with erections, sensation, and ejaculation in the weeks following this practice could indicate a few things. First, it's important to note that psychological factors, such as anxiety or stress about sexual performance, can significantly impact erectile function and sexual satisfaction. If you are worried about your ability to perform sexually, this anxiety can create a cycle of dysfunction.
Additionally, physical factors could also be at play. The body’s response to sexual stimulation involves a complex interplay of hormones, blood flow, and nerve function. If there has been any trauma or excessive strain during your practice, it could lead to temporary changes in erectile function. However, it is unlikely that this behavior has caused any permanent damage to your organs.

Regarding the medications prescribed to you, antibiotics and medications like Viagra (sildenafil) are typically used to address specific conditions. Antibiotics are prescribed if there is a suspicion of an infection, while Viagra is used to help with erectile dysfunction. If these medications have not addressed your concerns, it may be beneficial to seek a second opinion or consult a specialist in sexual health or urology.
In terms of recovery, many individuals experience fluctuations in sexual function, and these can often resolve with time and appropriate management. Here are some steps you can consider:
1. Consult a Specialist: A urologist or a sexual health specialist can provide a more in-depth evaluation of your symptoms and may offer treatments tailored to your specific situation.

2. Psychological Support: If anxiety or stress is a factor, speaking with a mental health professional who specializes in sexual health can be beneficial. Cognitive-behavioral therapy (CBT) has been shown to help with performance anxiety.

3. Healthy Lifestyle: Maintaining a healthy lifestyle, including regular exercise, a balanced diet, and adequate sleep, can improve overall sexual health. Avoiding excessive alcohol and smoking can also be beneficial.

4. Communication: If you are in a relationship, communicating openly with your partner about your experiences and feelings can help alleviate some of the pressure you may be feeling.

5. Gradual Approach: If you choose to continue practicing masturbation, consider a more gradual approach. Allowing yourself to experience pleasure without the pressure of performance can help re-establish a positive connection with your sexual response.

In conclusion, while your symptoms are concerning, they are not necessarily indicative of permanent damage. With the right support and management, many individuals can regain their sexual function and satisfaction. It's important to advocate for your health and seek the appropriate care to address your concerns.