Erectile Dysfunction: Causes and Solutions for Men

Erectile dysfunction

Hello doctor, I usually have a habit of masturbation.
I can quickly achieve an erection when I fantasize or watch adult films, and the hardness is very sufficient.
However, since I masturbated early last Saturday (5/28), I haven't experienced morning erections until Wednesday.
I don't get an erection from watching adult films or seeing attractive women, although there is some enlargement.
I need to stimulate myself manually to achieve an erection, but it is not as firm as before.
The angle is not the same as it used to be; if I get distracted or there is no stimulation, my penis loses its rigidity immediately.
After ejaculation, it doesn't remain firm like it used to; it softens right away.
Unlike before Saturday, when I could regain rigidity quickly after pressure, now I need to exert effort to achieve that.
However, by Thursday, I had an erection once throughout the day, but the hardness was not the same as before (even when I exert effort, it still slowly softens).
On Friday afternoon (6/3), while talking on the phone with my girlfriend (who is studying and working in mainland China, and we usually engage in phone intimacy), it spontaneously became erect.
It felt like both the hardness and angle returned to what they were before.
That night, I fantasized again, but it was still the same—only enlargement without an erection.
I wonder if this is related to the one-hour masturbation session I had last Saturday (5/28) (I took a break in between to change videos, but I maintained the hardness throughout).
Or could it be due to other reasons? I smoke, usually go to bed around one or two in the morning, and wake up at six-thirty.
On weekends, I tend to sleep a bit later.

Ty, 20~29 year old female. Ask Date: 2022/06/04

Dr. Chen Jiansheng reply Urology

Please quit smoking.

Reply Date: 2022/06/04

More Info

Erectile dysfunction (ED) is a common issue that can affect men of all ages, and it can be caused by a variety of factors, both physical and psychological. Based on your description, it seems that you are experiencing a temporary episode of erectile dysfunction, which can be influenced by several factors, including lifestyle habits, psychological stress, and physical health.

Causes of Erectile Dysfunction
1. Physical Factors:
- Hormonal Imbalances: Testosterone levels play a crucial role in sexual function. Low testosterone can lead to decreased libido and erectile difficulties.

- Circulatory Issues: Conditions that affect blood flow, such as hypertension, high cholesterol, and diabetes, can impair the ability to achieve or maintain an erection.

- Nerve Damage: Injuries or conditions that affect the nerves, such as diabetes or multiple sclerosis, can lead to erectile dysfunction.

- Substance Use: Smoking and excessive alcohol consumption can negatively impact erectile function. Nicotine constricts blood vessels, reducing blood flow to the penis.

2. Psychological Factors:
- Stress and Anxiety: High levels of stress or anxiety, whether from work, relationships, or other life circumstances, can significantly impact sexual performance.

- Depression: Mental health issues can lead to a decrease in sexual desire and erectile function.

- Performance Anxiety: Worrying about sexual performance can create a cycle of anxiety that further exacerbates erectile dysfunction.

3. Lifestyle Factors:
- Sleep Patterns: Poor sleep quality and irregular sleep patterns can affect hormone levels and overall health, contributing to erectile dysfunction.

- Physical Activity: Regular exercise is important for maintaining good circulation and overall health. A sedentary lifestyle can contribute to ED.

Solutions and Recommendations
1. Lifestyle Modifications:
- Quit Smoking: If you smoke, consider quitting. Smoking cessation can improve blood flow and overall health.

- Limit Alcohol: Reducing alcohol intake can help improve erectile function.

- Regular Exercise: Engage in regular physical activity to improve circulation and reduce stress. Aim for at least 150 minutes of moderate aerobic activity each week.

- Healthy Diet: A balanced diet rich in fruits, vegetables, whole grains, and lean proteins can support overall health and improve erectile function.

2. Sleep Hygiene:
- Aim for 7-9 hours of quality sleep each night. Establish a regular sleep schedule and create a restful environment to improve sleep quality.

3. Stress Management:
- Practice relaxation techniques such as deep breathing, meditation, or yoga to manage stress and anxiety.

- Consider talking to a therapist or counselor if you feel that psychological factors are contributing to your erectile dysfunction.

4. Medical Consultation:
- If erectile dysfunction persists, it is important to consult a healthcare professional. They can evaluate for underlying medical conditions and discuss potential treatments, which may include medications, therapy, or lifestyle changes.

5. Avoid Overstimulation:
- It’s important to be mindful of the frequency and intensity of sexual stimulation, including masturbation. Overstimulation can lead to temporary changes in erectile function. Allowing time for recovery can help restore normal function.

Conclusion
Erectile dysfunction can be a complex issue influenced by various factors. It’s important to approach this condition holistically, considering both physical and psychological aspects. If you continue to experience difficulties, seeking professional advice is crucial for proper diagnosis and treatment. Remember, many men experience similar issues, and with the right support and lifestyle changes, erectile function can often be restored.

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