Erectile Issues: Causes, Symptoms, and Concerns

Penile issues

In recent days, although I can still achieve an erection, I have noticed that I feel less sensation while masturbating in a seated position, especially the feeling of congestion in my back is not as strong as before.
When standing, I sometimes experience a loss of rigidity.
After ejaculation, I also feel less sensation in the dorsal area of the penis, and it becomes flaccid quickly.
What could be the reason for this? I have been staying up late until 3 or 4 AM since last week, and I wonder if this is related to decreased hormone secretion or possibly overexerting myself during ejaculation.
Additionally, a few days ago, after ejaculating and feeling flaccid, I exerted force on my penis and experienced a sharp pain.
Could this have damaged the blood vessels and caused venous leakage? I read online that venous leakage is irreversible, which has made me quite anxious.
I apologize if my questions seem strange, but they have been causing me significant anxiety, especially regarding the issue of venous leakage.
Thank you, doctor, for taking the time to read and respond to my concerns; I truly appreciate it and am eager for answers.
Thank you again!

Shítou, 10~19 year old female. Ask Date: 2022/05/13

Dr. Chen Jiansheng reply Urology

Rest

Reply Date: 2022/05/13

More Info

Erectile issues can be a source of significant concern for many individuals, and your experience highlights a range of symptoms that can be distressing. Understanding the causes, symptoms, and potential concerns associated with erectile dysfunction (ED) is crucial for addressing these issues effectively.

Firstly, it's important to recognize that erectile dysfunction can stem from a variety of factors, including psychological, physiological, and lifestyle-related influences. In your case, the recent changes in your sexual response, such as reduced sensation during masturbation and difficulty maintaining an erection while sitting, could be linked to several underlying causes.

1. Psychological Factors: Stress, anxiety, and depression can significantly impact sexual performance. The anxiety surrounding your erectile issues may create a cycle of performance anxiety, which can further exacerbate the problem. It’s common for individuals to feel anxious about their sexual performance, especially when they notice changes in their body’s response.

2. Physiological Factors: Hormonal imbalances, particularly involving testosterone, can affect libido and erectile function. You mentioned staying up late and possibly experiencing reduced hormone secretion, which could contribute to your symptoms. Sleep is essential for hormonal balance, and chronic sleep deprivation can lead to decreased testosterone levels, impacting sexual function.

3. Lifestyle Factors: Factors such as diet, exercise, and substance use (including alcohol and recreational drugs) can influence erectile function. Poor lifestyle choices can lead to vascular issues, which are critical for achieving and maintaining an erection. If you have been experiencing fatigue and stress due to late nights, this could also play a role in your symptoms.

4. Physical Health: Conditions such as diabetes, hypertension, and cardiovascular diseases can affect blood flow and nerve function, leading to erectile dysfunction. If you have any underlying health conditions, it’s important to manage them effectively.

Regarding your concern about potential injury to the blood vessels or the risk of "venous leakage," it’s understandable to feel anxious about this. Venous leakage occurs when the veins in the penis do not constrict properly during an erection, leading to difficulty maintaining firmness. While it is a legitimate concern, it is also important to note that not all instances of erectile issues are indicative of severe underlying problems.
If you are experiencing pain or discomfort during erections or after ejaculation, it is advisable to consult a healthcare professional. They can conduct a thorough evaluation to rule out any serious conditions and provide guidance tailored to your specific situation.
In the meantime, consider adopting healthier lifestyle habits, such as regular exercise, a balanced diet, and adequate sleep. Reducing stress through relaxation techniques, such as mindfulness or meditation, can also be beneficial.
Lastly, it’s essential to communicate openly with your partner about your feelings and experiences. This can alleviate some of the anxiety associated with performance and help foster a supportive environment for both of you.

In conclusion, while your symptoms are concerning, they are not uncommon, and many factors can contribute to erectile dysfunction. Seeking professional advice will provide you with the clarity and support needed to address these issues effectively. Remember, you are not alone in this, and there are effective treatments available.

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