Is Excessive Masturbation Leading to Erectile Dysfunction?

Has masturbation led to sexual dysfunction?

I have been engaging in masturbation since the fourth grade, which has been for about eight years now, and I do it three times a day.
Since high school, I have been going to bed very late.
Although my weight hasn't increased much, my physical fitness tests are worse than they were in middle school.
Recently, due to the upcoming exams and the pandemic, I've been stuck at home, and I've started to notice a gradual decrease in the hardness during masturbation, and I can no longer maintain the frequency of three times a day.
Am I experiencing organic erectile dysfunction? Please help me...

Wo hao wu zhu, 10~19 year old female. Ask Date: 2022/04/30

Dr. Li Xinyi reply Urology

The function of the testes, besides producing sperm, is to secrete hormones.
Misusing them can potentially disrupt hormonal balance, affect health, impact growth during puberty, and even lead to prostatitis, which can cause erectile dysfunction.
Abusing your body can lead to various issues.
Do not use it as a means to alleviate boredom or as an outlet for seeking stimulation.
At your age, once a day is sufficient, or perhaps every other day is even better.
The fundamental issue is that life should have focus and a healthy mindset to maintain a healthy body; your problems will naturally resolve.
If issues persist (and certainly not if you are engaging three times a day), consider consulting a urologist for further evaluation.

Reply Date: 2022/04/30

More Info

Excessive masturbation and its potential link to erectile dysfunction (ED) is a topic that has garnered significant attention and concern, particularly among younger individuals. To address your question, it is essential to understand the relationship between sexual behavior, psychological factors, and physiological responses.

First, it is important to clarify what constitutes "excessive" masturbation. While there is no universally accepted definition, behaviors that interfere with daily life, responsibilities, or relationships may be considered excessive. Masturbation itself is a normal sexual activity, and for many, it is a healthy part of sexual expression. However, when it becomes compulsive or is used as a coping mechanism for stress or anxiety, it can lead to negative consequences.

In your case, you mentioned that you have been masturbating frequently since the fourth grade, averaging three times a day. This frequency, especially if it has been consistent over many years, could potentially lead to physical and psychological effects. The body can become desensitized to sexual stimuli, which may result in difficulties achieving or maintaining an erection during sexual encounters. This phenomenon is sometimes referred to as "psychogenic erectile dysfunction," where psychological factors, including anxiety about performance or feelings of guilt associated with masturbation, play a significant role.

Moreover, the lifestyle changes you mentioned, such as late-night sleeping habits and decreased physical fitness, can also contribute to erectile dysfunction. Poor sleep patterns can lead to fatigue and hormonal imbalances, while a lack of physical activity can negatively impact cardiovascular health, which is crucial for erectile function. Stress and anxiety, particularly during significant life events like exams, can further exacerbate these issues.

It is also worth noting that erectile dysfunction can be multifactorial. While psychological factors are often at play, there can also be underlying medical conditions that contribute to ED, such as hormonal imbalances, vascular issues, or neurological conditions. Given that you have experienced a decrease in erectile hardness and the ability to maintain erections, it may be beneficial to consult with a healthcare professional. They can conduct a thorough evaluation, including a physical examination and possibly some laboratory tests, to rule out any underlying medical conditions.

In terms of management, there are several approaches you can consider:
1. Moderation: If you feel that your masturbation habits are excessive, consider reducing the frequency. This may help restore sensitivity and improve erectile function over time.

2. Healthy Lifestyle: Focus on improving your overall health through regular exercise, a balanced diet, and adequate sleep. These factors can significantly impact your sexual health.

3. Stress Management: Engage in stress-reducing activities such as mindfulness, meditation, or yoga. These practices can help alleviate anxiety and improve your overall well-being.

4. Professional Help: If your symptoms persist, seeking help from a healthcare provider or a mental health professional can provide you with tailored strategies and support.

5. Open Communication: If you are in a relationship, discussing your concerns with your partner can also alleviate some of the anxiety surrounding sexual performance.

In conclusion, while excessive masturbation can contribute to erectile dysfunction, it is essential to consider the broader context of your lifestyle and mental health. By addressing these factors holistically, you can work towards improving your sexual health and overall quality of life. Remember, seeking professional guidance is a crucial step in understanding and managing your concerns effectively.

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