Erectile Dysfunction: When to Seek Urology Help - Urology

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Hello, doctor. I have a question to ask?


About a year ago, I experienced several instances where I became aroused after watching adult films but did not masturbate.
I know this sounds strange, but since then, my sexual performance has not been as good as it used to be.
I even experience erectile dysfunction, premature ejaculation, and an overwhelming urge to ejaculate, along with involuntary contractions in my lower body.
My physical stamina has also significantly decreased despite my young age.
This issue has been very troubling for me.
I do not smoke or drink alcohol.
I hope the doctor can provide a comprehensive answer and advise whether I should seek medical attention.

Xiao Wei, 20~29 year old female. Ask Date: 2006/10/12

Dr. Lin Hexing reply Urology


Hello, Xiao Wei: Youth is an asset, but a lack of experience combined with curiosity, especially when unmarried, makes moderate masturbation a natural behavior that aligns with physiological needs.
Don't worry; feeling shame from watching adult films and then masturbating can lead to psychological stress, which may result in sexual dysfunction.
I suggest engaging in beneficial physical activities and mental wellness practices to help alleviate your current youthful exuberance.
At your age and in your situation, there is no need to seek treatment from a urologist, but you can consider consulting a psychiatrist or a school counselor for psychological support.

Reply Date: 2006/10/12

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 physical and psychological factors. Your experience of changes in sexual function, including difficulty achieving or maintaining an erection, as well as the sensation of wanting to ejaculate without the ability to do so, can be distressing and may indicate an underlying issue that warrants further investigation.

Firstly, it’s important to understand that erectile dysfunction can stem from both physical and psychological causes. Physical causes may include hormonal imbalances, cardiovascular issues, diabetes, neurological disorders, or side effects from medications. Psychological factors can include stress, anxiety, depression, or relationship issues. Given that you mentioned a significant change in your sexual function after watching adult films, it’s possible that psychological factors, such as performance anxiety or unrealistic expectations, could be contributing to your symptoms.

You mentioned that you do not smoke or drink alcohol, which is positive as these habits can exacerbate erectile dysfunction. However, other lifestyle factors, such as lack of exercise, poor diet, and stress, can also play a role in sexual health. It’s essential to maintain a healthy lifestyle, including regular physical activity and a balanced diet, to support overall well-being.

In your case, since you have been experiencing these symptoms for about a year, it would be advisable to seek help from a urologist or a healthcare provider specializing in sexual health. A thorough evaluation can help determine the underlying cause of your erectile dysfunction. During your visit, the doctor may conduct a physical examination, review your medical history, and possibly order blood tests to check hormone levels, blood sugar, and cholesterol levels. They may also assess your psychological health, as mental well-being is crucial for sexual function.

If the evaluation reveals no significant physical issues, the doctor may recommend counseling or therapy to address any psychological factors contributing to your erectile dysfunction. Cognitive-behavioral therapy (CBT) can be particularly effective in helping individuals manage anxiety and improve sexual performance.

In addition to seeking professional help, there are several self-care strategies you can implement to improve your sexual health. These include:
1. Regular Exercise: Engaging in physical activity can improve blood flow, reduce stress, and enhance overall health, which can positively impact erectile function.

2. Healthy Diet: A diet rich in fruits, vegetables, whole grains, and lean proteins can support cardiovascular health and hormone balance.

3. Stress Management: Practicing relaxation techniques such as meditation, yoga, or deep breathing exercises can help reduce anxiety and improve your mental state.

4. Open Communication: If you are in a relationship, discussing your concerns with your partner can alleviate anxiety and foster intimacy.

5. Avoiding Pornography: Reducing or eliminating the consumption of pornography may help recalibrate your sexual responses and expectations.

In conclusion, it is essential to take your symptoms seriously and seek medical advice. Erectile dysfunction is a common issue, and with the right support and treatment, many men can regain their sexual function and improve their quality of life. Don’t hesitate to reach out to a healthcare professional who can guide you through this process and help you find the best solutions for your situation.

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