Erectile Dysfunction After Delayed Ejaculation: Causes and Solutions

Q: Erectile Dysfunction After Delayed Ejaculation: Causes and Solutions

Hello： You are overthinking it. <br>Don't masturbate too often. <br>If you do masturbate, just let ejaculation happen naturally to avoid any subsequent worries. <br>There's no need to take any medication; there's nothing to be afraid of at a young age. <br>Wishing you good health

Refraining from ejaculation during masturbation can lead to erectile issues?

Hello Doctor: In September, I was masturbating more frequently.
In mid-September, during one session, I held back and did not ejaculate, which led to a feeling of looseness in my penis.
After that, my penis began to shrink and I experienced persistent urges to urinate, along with abdominal pain and bloating.
Subsequently, I had difficulty achieving an erection or my erections were not firm enough, and I felt weak urination, although it was not painful.
This condition lasted for about a week.
When I did achieve an erection, the glans did not swell significantly and would quickly deflate.
It required a lot of effort to achieve a firmer erection, and my abdomen would feel sore.
The glans, which used to be pink, now appears dull, but there are no signs of redness, swelling, or lumps.
Generally, there has been no improvement.

Doctor, could you tell me what might be injured that is causing these erectile issues? Even if I recover, will my erectile function be affected? The main issue is that it takes a lot of effort to achieve a firm erection, the glans does not swell much, and my abdomen feels bloated during erections.
I have weak urination but no pain, although I do feel pain if I exert even a little force while urinating.
I consulted a doctor who prescribed me Pentop 400 mg and Mesyrel 50 mg, which have helped a bit, but the glans only swells slightly, the base is firm, and my abdomen still feels bloated.
It has been about two months now, but my erections are still significantly affected, and I am really worried.

A Yuan, 20~29 year old female. Ask Date: 2013/12/01

Dr. Lin Hexing reply Urology

Hello: You are overthinking it.
Don't masturbate too often.
If you do masturbate, just let ejaculation happen naturally to avoid any subsequent worries.
There's no need to take any medication; there's nothing to be afraid of at a young age.
Wishing you good health.

Reply Date: 2013/12/01

More Info

Erectile dysfunction (ED) following delayed ejaculation can be a complex issue, often involving both physical and psychological factors. Based on your description, it seems you have experienced a series of symptoms that have led to significant concern regarding your erectile function and overall urogenital health.

Understanding the Symptoms
1. Delayed Ejaculation: This condition can lead to frustration and anxiety, which may contribute to erectile dysfunction. The inability to ejaculate can create a cycle of performance anxiety, further exacerbating the issue.

2. Physical Symptoms: The sensations of a "loose" penis, reduced size during erection, and difficulty achieving a firm erection can indicate a potential vascular issue or nerve involvement. The feeling of abdominal pressure and discomfort during urination may suggest that there is some underlying pelvic floor dysfunction or urinary tract involvement.

3. Psychological Factors: Stress, anxiety, and depression can significantly impact sexual performance. The psychological burden of worrying about erectile function can create a feedback loop that makes the situation worse.

Possible Causes
- Nerve Damage: Frequent masturbation, especially if done aggressively, can sometimes lead to temporary nerve irritation or damage, affecting erectile function.

- Vascular Issues: Erectile function is heavily reliant on proper blood flow. If there are issues with blood vessels or circulation, this can lead to difficulties in achieving or maintaining an erection.

- Hormonal Factors: Changes in hormone levels, particularly testosterone, can also affect libido and erectile function.

- Psychological Factors: Anxiety about sexual performance can lead to a cycle of dysfunction. The mind plays a crucial role in sexual arousal and performance.

Solutions and Recommendations
1. Medical Evaluation: It is crucial to follow up with a healthcare provider who specializes in sexual health or urology. They can conduct a thorough evaluation, including blood tests to check hormone levels, and possibly imaging studies to assess blood flow.

2. Medication: The medications you mentioned, such as PENTOP (which is likely a phosphodiesterase type 5 inhibitor) and MESYREL (an antidepressant), can help improve erectile function. It’s essential to follow your doctor’s guidance on these medications and report any side effects.

3. Pelvic Floor Exercises: Engaging in pelvic floor exercises (Kegel exercises) can strengthen the muscles involved in erection and ejaculation. This can improve control and function over time.

4. Counseling: If anxiety or psychological factors are contributing to your ED, speaking with a therapist or counselor who specializes in sexual health can be beneficial. Cognitive-behavioral therapy (CBT) can help address performance anxiety and improve sexual confidence.

5. Lifestyle Changes: Maintaining a healthy lifestyle can improve overall sexual health. This includes regular exercise, a balanced diet, avoiding excessive alcohol and smoking, and managing stress.

6. Follow-Up: Since you have been experiencing these symptoms for about two months, it is important to have regular follow-ups with your healthcare provider to monitor progress and make necessary adjustments to your treatment plan.

Prognosis
The prognosis for erectile dysfunction following delayed ejaculation can vary widely based on the underlying causes. Many individuals experience improvement with appropriate treatment and lifestyle changes. However, it is essential to address both the physical and psychological aspects of the condition for the best outcomes.

In conclusion, while your symptoms are concerning, they are not uncommon, and with the right approach, many individuals can regain their erectile function and improve their sexual health. It is vital to maintain open communication with your healthcare provider and to seek support from mental health professionals if needed.

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