Erectile Dysfunction: Impact of Long-Term Abstinence and Masturbation

Q: Erectile Dysfunction: Impact of Long-Term Abstinence and Masturbation

Rui Rui： Hello. 1. Masturbation will not affect future erections. 2. Moderate-intensity exercise can enhance sexual function. It is best to engage in this exercise more than three times a week, with each session lasting over 30 minutes. The heart rate shou

Erectile dysfunction

Hello, Dr.
Hsu: I would like to ask if long-term absence of sexual activity can lead to erectile dysfunction.
I used to have a habit of masturbation, during which I noticed that the hardness of my erections was not very firm.
I gradually stopped this habit, and recently the hardness has somewhat returned to normal.
However, due to time constraints, I have been masturbating about once a month, but I have noticed that the hardness of my erections is worse than when I was masturbating frequently, and even morning erections have decreased.
During this time, I have not engaged in any harmful habits, and my daily routine is normal.
The only change has been a decrease in sexual activity and ejaculation.
I would like to know what to do about the insufficient hardness of my erections, whether I masturbate frequently or not.
Thank you.

Rui Rui, 20~29 year old female. Ask Date: 2011/11/14

Dr. Xu Weikai reply Urology

Rui Rui: Hello.
1.
Masturbation will not affect future erections.
2.
Moderate-intensity exercise can enhance sexual function.
It is best to engage in this exercise more than three times a week, with each session lasting over 30 minutes.
The heart rate should exceed 130 beats per minute; if you are in good physical condition, it is recommended to aim for 150 beats per minute.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
This message is from the Department of Urology, Director Hsu Wei-Kai, Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2011/11/14

More Info

Erectile dysfunction (ED) is a complex issue that can be influenced by various factors, including psychological, physiological, and lifestyle elements. Your question about the impact of long-term abstinence and masturbation on erectile function is quite relevant, especially considering the changes you've experienced in your sexual health.

Firstly, it's important to understand that erectile function is influenced by a combination of physical and psychological factors. Long-term abstinence from sexual activity can lead to changes in sexual response and arousal. When sexual stimulation is infrequent, the body may become less responsive to sexual cues, which can affect the quality of erections. This phenomenon is sometimes referred to as "use it or lose it," where regular sexual activity helps maintain erectile function.

Masturbation, on the other hand, is a normal sexual activity that can help maintain erectile function by promoting blood flow to the penis and keeping the erectile tissues healthy. However, excessive or compulsive masturbation can lead to temporary changes in erectile function, such as decreased sensitivity or difficulty achieving a strong erection. This is often due to psychological factors, such as performance anxiety or unrealistic expectations based on previous experiences.

In your case, you mentioned that after reducing your masturbation frequency, you noticed a decline in erection hardness and a decrease in morning erections. This could be attributed to several factors:
1. Psychological Factors: Anxiety about sexual performance or concerns regarding erectile function can create a cycle of stress that further exacerbates the problem. The mind plays a significant role in sexual arousal, and any anxiety can hinder the physiological processes necessary for an erection.

2. Physiological Changes: With less frequent sexual activity, your body may adapt to the lower levels of sexual stimulation, which can lead to reduced erectile response. The body requires regular stimulation to maintain optimal erectile function.

3. Hormonal Fluctuations: Sexual activity can influence hormone levels, including testosterone, which plays a crucial role in sexual desire and erectile function. A decrease in sexual activity may lead to fluctuations in these hormones, potentially affecting your libido and erectile quality.

4. Lifestyle Factors: While you mentioned that your lifestyle is normal, factors such as stress, diet, exercise, and sleep can significantly impact erectile function. Ensuring a healthy lifestyle can help improve overall sexual health.

To address your concerns, consider the following steps:
- Consult a Healthcare Professional: It may be beneficial to speak with a urologist or a sexual health specialist who can provide a thorough evaluation and discuss potential underlying causes of your erectile difficulties.

- Manage Anxiety: If performance anxiety is a concern, consider techniques such as mindfulness, relaxation exercises, or cognitive-behavioral therapy to help reduce stress and improve sexual confidence.

- Regular Sexual Activity: Whether through masturbation or partnered sex, regular sexual activity can help maintain erectile function. If you feel comfortable, gradually increasing sexual stimulation may help improve your erectile response.

- Healthy Lifestyle Choices: Focus on maintaining a balanced diet, regular exercise, and adequate sleep. These factors can significantly influence hormonal balance and overall sexual health.

In conclusion, while long-term abstinence and changes in masturbation habits can impact erectile function, it's essential to consider the multifaceted nature of sexual health. Addressing psychological factors, maintaining a healthy lifestyle, and seeking professional guidance can help you navigate these changes and improve your erectile function over time.

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