Changes in Erectile Sensation and Ejaculation Difficulties - Urology

More Info

---

It sounds like you're experiencing a significant change in your sexual function, particularly regarding erectile sensation and ejaculation. This can be concerning and may stem from various factors, both physical and psychological. Let's break down some potential causes and considerations.


Possible Causes of Changes in Erectile Sensation and Ejaculation Difficulties
1. Physical Factors:
- Nerve Damage: If there has been any trauma or injury to the pelvic area, it could affect the nerves responsible for sensation and erection.

- Circulatory Issues: Erectile function is heavily reliant on proper blood flow. Conditions such as diabetes, hypertension, or cardiovascular diseases can impair circulation, leading to difficulties in achieving or maintaining an erection.

- Hormonal Changes: Testosterone levels play a crucial role in sexual function. Low testosterone can lead to decreased libido and erectile difficulties. A blood test can help determine if your hormone levels are within a normal range.

2. Psychological Factors:
- Anxiety and Stress: Performance anxiety or stress can significantly impact sexual function. If you are worried about your ability to perform, this can create a cycle of anxiety that further exacerbates the issue.

- Depression: Mental health conditions can affect libido and sexual function. If you are feeling down or unmotivated, this could translate into difficulties during sexual activity.

3. Behavioral Factors:
- Changes in Stimulation: If your method of stimulation has changed, it may take time for your body to adjust. Over time, the body can become desensitized to certain types of stimulation, which might explain the need for more vigorous or prolonged stimulation to achieve orgasm.

- Technique Adjustments: The use of abdominal breathing techniques to control ejaculation can sometimes lead to a disconnect between the brain and the genital response. If this technique was used excessively, it might have contributed to the changes you’re experiencing.


Recommendations
1. Consult a Healthcare Professional: It is essential to discuss these changes with a healthcare provider, preferably a urologist or a sexual health specialist. They can conduct a thorough evaluation, including physical exams and possibly blood tests, to rule out any underlying medical conditions.

2. Mental Health Support: If anxiety or stress is a contributing factor, consider speaking with a mental health professional. Therapy can help address performance anxiety and improve your overall mental well-being.

3. Avoid Self-Diagnosis: While it’s tempting to try to diagnose yourself based on symptoms, it’s crucial to get a professional opinion. Self-diagnosing can lead to unnecessary worry or mismanagement of the situation.

4. Healthy Lifestyle Choices: Engage in regular physical activity, maintain a balanced diet, and avoid excessive alcohol or substance use. These lifestyle factors can significantly impact sexual health.

5. Open Communication: If you have a partner, discussing your feelings and experiences can help alleviate some of the pressure you may be feeling. Open communication can foster intimacy and understanding.


Conclusion
Changes in erectile sensation and ejaculation difficulties can be distressing, but they are not uncommon. Various factors can contribute to these changes, and understanding them is the first step toward addressing the issue. Seeking professional help is crucial to ensure that any underlying conditions are identified and treated appropriately. Remember, sexual health is an integral part of overall well-being, and addressing these concerns can lead to improved quality of life.