Erectile Dysfunction: Causes and Concerns During Masturbation

Q: Erectile Dysfunction: Causes and Concerns During Masturbation

Hello, Ah Hai： 1. <br>It is normal for feelings of excitement and pleasure to decrease with age! There is no need to worry about nerve conduction being impaired. <br>2. <br>The blood vessels are not leaking! They are simply becoming weaker. <br>The more you worry, the more diffic

Sexual dysfunction

Hello doctor, I often take a long time to feel pleasure and reach orgasm during masturbation, usually over half an hour.
Often, my penis becomes numb during the process, leading to it becoming flaccid before I can climax.
The skin on my penis also gets a bit injured from prolonged friction, and the blood vessels in my penis feel noticeably prominent.
This is very concerning for me.

I would like to ask, why do I experience a lack of excitement and feel that the normal processes of erection, orgasm, and ejaculation are not functioning properly? Sometimes I have erections while sleeping, and when I touch it, it feels firm, but during the day when I masturbate, it doesn’t perform well.
Sometimes it’s hard to get an erection, or it becomes soft shortly after, requiring continuous stimulation to maintain some firmness.
I am also concerned about the possibility of vascular leakage; is that possible?
1.
Why has the feeling of excitement and pleasure during masturbation diminished, requiring a long time to gradually start feeling something? Could this be due to nerve conduction issues?
2.
Why does my penis feel relatively firm when lying down but not as firm as it used to be, and why does it become soft more easily when standing? Could there be a problem with the blood vessels, such as leakage?

A Hai, 30~39 year old female. Ask Date: 2024/01/28

Dr. Sun Hongshun reply Urology

Hello, Ah Hai: 1.
It is normal for feelings of excitement and pleasure to decrease with age! There is no need to worry about nerve conduction being impaired.
2.
The blood vessels are not leaking! They are simply becoming weaker.
The more you worry, the more difficult it becomes, similar to how the more seriously you prepare for something, the more likely the outcome may be the opposite.
Maintaining a calm mindset often yields better results.

Reply Date: 2024/01/28

More Info

Erectile dysfunction (ED) is a complex condition that can stem from various physical and psychological factors. Your concerns about experiencing diminished pleasure and prolonged time to achieve orgasm during masturbation, along with the feelings of numbness and discomfort, warrant a thorough understanding of the underlying causes and potential solutions.

1. Understanding the Symptoms: The symptoms you describe—difficulty achieving orgasm, prolonged time to climax, and a sense of numbness—can be indicative of several issues. It’s important to note that sexual arousal and orgasm are influenced by a combination of physical, psychological, and emotional factors. The fact that you experience erections during sleep (nocturnal penile tumescence) suggests that your physiological ability to achieve an erection is intact, which points towards a possible psychological or situational factor affecting your arousal during the day.

2. Potential Causes:
- Psychological Factors: Anxiety, stress, and depression can significantly impact sexual performance and pleasure. If you are feeling anxious about your sexual performance or have negative thoughts surrounding masturbation, this could lead to a decrease in arousal and pleasure.

- Physical Factors: Conditions such as diabetes, hypertension, or hormonal imbalances can affect blood flow and nerve function, leading to erectile dysfunction. The sensation of numbness and the feeling of your penis being less responsive could be related to nerve sensitivity or blood flow issues.

- Overstimulation or Desensitization: Frequent masturbation or the use of certain techniques may lead to desensitization, making it harder to achieve pleasure. This can create a cycle where you need more stimulation to feel aroused, which can be frustrating and lead to feelings of inadequacy.

3. Concerns About Blood Flow: You mentioned the possibility of "blood vessel leakage." While conditions like venous leak can contribute to erectile dysfunction, it is less common. If you are experiencing significant changes in your ability to maintain an erection, it is advisable to consult a healthcare professional for a thorough evaluation. They may conduct tests to assess blood flow and vascular health.

4. Recommendations:
- Consult a Specialist: It would be beneficial to see a urologist or a sexual health specialist who can provide a comprehensive evaluation. They may suggest tests to rule out any physical conditions that could be contributing to your symptoms.

- Psychological Support: If psychological factors are suspected, consider speaking with a mental health professional. Therapy can help address anxiety, stress, or any underlying emotional issues that may be affecting your sexual health.

- Lifestyle Modifications: Regular exercise, a balanced diet, and reducing alcohol and tobacco use can improve overall health and potentially enhance sexual function. Additionally, practicing relaxation techniques such as mindfulness or meditation may help reduce anxiety related to sexual performance.

5. Communication and Education: Educating yourself about sexual health and maintaining open communication with partners can also alleviate some of the pressure you may feel during sexual activities. Understanding that fluctuations in sexual performance are common can help normalize your experiences.

In summary, the issues you are experiencing during masturbation could be multifactorial, involving both psychological and physical components. It is crucial to approach this matter holistically, considering both aspects and seeking professional guidance to address your concerns effectively. Remember, you are not alone in this, and many individuals experience similar challenges at some point in their lives.

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