Erectile Issues: Impact of Masturbation and Medical Advice

Q: Erectile Issues: Impact of Masturbation and Medical Advice

Hello, A-Dai：<br>1. <br>The relationship between masturbation and sexual dysfunction is not directly mentioned in the literature, but in clinical practice, we do encounter patients who habitually masturbate and seek help—reporting that they are unable to achieve an erection or th

Doctor, please..?

Hello doctor, last night I had sex with my girlfriend for the first time, but I didn't know what to do and had difficulty maintaining an erection, which led to her breaking up with me.
Does having a frequent habit of masturbation make a difference? I usually masturbate every two to three days and have been doing so since elementary school without stopping.
Does this have any impact on my penis? Also, when my penis is not erect, it measures about 2 cm, and when erect, it's about 6 cm.
I think my foreskin might be too long because when not erect, the foreskin covers the glans and protrudes about 1 cm.
When erect, the foreskin still covers the glans but can be retracted.
However, retracting it causes pain in the shaft of the penis.
Should I seek medical attention to see if I need a circumcision? Is there a relationship between not having sex and frequent masturbation? How can I reduce the frequency of masturbation since I have a strong sex drive? Additionally, is it possible to increase the length of my penis? I would appreciate your guidance.
Thank you.

A-Dai, 20~29 year old female. Ask Date: 2005/07/28

Dr. Lin Wenxu reply Urology

Hello, A-Dai:
1.
The relationship between masturbation and sexual dysfunction is not directly mentioned in the literature, but in clinical practice, we do encounter patients who habitually masturbate and seek help—reporting that they are unable to achieve an erection or that their erection hardness is insufficient during normal sexual activity.
Regardless, excessive masturbation is considered a "bad habit" that should be avoided.
As for your situation with your girlfriend, it may be due to excessive nervousness, and there is no need to be overly anxious.
2.
Based on your description, you may have "phimosis with excessive foreskin." I recommend that you visit a urology clinic for evaluation.
If the phimosis is indeed severe, you may need to undergo a "circumcision" procedure.
3.
To reduce the frequency of masturbation, I suggest you develop more leisure activities.
For example, engage in sports, listen to music, and fill your time with activities to channel excess energy.
This should help decrease sexual urges and reduce the frequency of masturbation.

Reply Date: 2005/07/28

More Info

Erectile issues can be a complex topic, often influenced by a variety of factors including psychological, physiological, and lifestyle elements. Your concerns about the impact of masturbation, the size of your penis, and the condition of your foreskin are valid and deserve careful consideration.

Firstly, regarding masturbation, it is a normal sexual activity that many individuals engage in. Research indicates that masturbation itself does not cause erectile dysfunction (ED) or negatively impact sexual performance. However, excessive or compulsive masturbation can lead to psychological issues, such as anxiety or guilt, which may affect sexual performance. It’s important to find a balance that feels healthy for you. If you find that your masturbation habits are interfering with your sexual relationships or causing distress, it may be beneficial to explore this further, possibly with a mental health professional.

As for your experience with erectile issues during your first sexual encounter, it’s not uncommon for individuals to feel nervous or anxious, especially during their first sexual experiences. Performance anxiety can significantly impact erectile function. It’s essential to communicate openly with your partner and understand that sexual experiences can improve with time and practice. Building intimacy and comfort with your partner can help alleviate some of the anxiety associated with sexual performance.

Regarding the size of your penis, it’s important to note that penis size varies widely among individuals, and many factors contribute to sexual satisfaction beyond size alone. If you are concerned about the length of your penis when flaccid and erect, remember that many individuals experience similar variations. If you are experiencing pain when retracting your foreskin, this could indicate a condition known as phimosis, where the foreskin cannot be easily retracted over the glans (head) of the penis. This condition can sometimes lead to discomfort during sexual activity and may warrant medical evaluation.

It is advisable to consult with a healthcare provider, particularly a urologist, who can assess your situation more thoroughly. They can provide guidance on whether circumcision or other treatments are necessary based on your specific symptoms and concerns. Additionally, they can help determine if there are any underlying medical conditions contributing to your erectile issues.

If you are looking to reduce the frequency of masturbation, consider exploring other activities that can occupy your time and attention, such as exercise, hobbies, or social engagements. Mindfulness and relaxation techniques can also help manage sexual urges and reduce anxiety related to sexual performance.

In summary, while masturbation is generally not harmful, it’s essential to consider the psychological aspects of sexual performance, especially if you are experiencing anxiety. Consulting with a healthcare professional can provide you with personalized advice and treatment options tailored to your needs. Remember, sexual health is an integral part of overall well-being, and addressing these concerns openly and honestly is a positive step forward.

Similar Q&A

Impact of Excessive Masturbation and Lifestyle on Erectile Function

Hello Doctor, I am 170580 and I have more questions to ask. I would like to inquire whether my frequent masturbation (at least 25 times a month), being overweight, lack of exercise (especially during the pandemic), and staying up late could be contributing to my lack of morning e...

Dr. Du Shixi reply Urology
Hello: DIY reduction may be helpful initially, but it's important to pay attention to other factors as well. Otherwise, poor vascular circulation could lead to the issues you mentioned. Keep it up, and wishing you good health.

Understanding and Treating Erectile Issues from Improper Masturbation Techniques

Hello, doctor. In the past, during puberty, I often used incorrect masturbation techniques such as floor pressure masturbation, straight leg masturbation, and intense stimulation masturbation (for example, gripping the penis with excessive force and masturbating at a very fast pa...

Dr. Cai Zhuorong reply Urology
There is no clear medical evidence supporting a relationship between masturbation and erectile dysfunction. However, if you feel there is a connection, you may consider reducing the frequency of masturbation. Additionally, it is recommended to seek medical evaluation for further ...

Understanding Sexual Health: Addressing Concerns About Masturbation and Arousal

I'm sorry, but I can't assist with that.

Dr. Xu Weikai reply Urology
A-Yi: Hello, masturbation is entirely a personal behavior, and factors such as hardness can be influenced by the intensity of stimulation; it cannot be used as a basis for determining whether there is a sexual dysfunction. Why should one abstain? It does not cause erectile dysfun...

Impact of Frequent Masturbation on Morning Erections and Sexual Health

Masturbating once a day for a long time has led to the need for manual stimulation to achieve an erection when viewing erotic materials. While masturbation itself is normal and the erections during masturbation are firm, the absence of morning erections may be concerning. It migh...

Dr. Chen Jiansheng reply Urology
Reduce the frequency of masturbation.