Erectile Dysfunction: Causes and Solutions for Reduced Sensitivity

Q: Erectile Dysfunction: Causes and Solutions for Reduced Sensitivity

A-Yuan： Stop masturbating for six months, engage in other exercises, and try not to focus on it too much!

The glans is not erect and there is a lack of sensation?

Hello doctor: One day I masturbated many times, and suddenly I felt a sharp pain in the lower left side of my abdomen, and I couldn't stop urinating.
After that, my erections became abnormal, and I no longer experienced morning erections.
My glans became less sensitive and I could only achieve an erection with manual stimulation, which was not very firm and would quickly go soft.
During erections, my glans is not as large or long as it used to be, and the erections are not lasting.
During ejaculation, my glans does not swell as it used to, and the force of ejaculation is weaker, with less sensation.
I also experience a lot of bloating in my abdomen.
This has been going on for a while.
What should I do? I'm very worried.

A Yuan, 20~29 year old female. Ask Date: 2014/07/17

Dr. Lin Hexing reply Urology

A-Yuan: Stop masturbating for six months, engage in other exercises, and try not to focus on it too much!

Reply Date: 2014/07/17

More Info

Erectile dysfunction (ED) and reduced sensitivity can be distressing issues, especially for young individuals. Based on your description, it seems that you are experiencing a combination of physical and possibly psychological factors that may be contributing to your symptoms. Let's break down the potential causes and solutions for your situation.

Understanding the Causes
1. Physical Factors:
- Nerve Damage or Irritation: The pain you experienced in your lower abdomen could indicate nerve irritation or damage, which can affect erectile function and sensitivity. Overstimulation during masturbation can lead to temporary desensitization.

- Hormonal Changes: Testosterone levels can fluctuate, especially in younger men, and low testosterone can lead to reduced libido and erectile issues.

- Circulatory Issues: Proper blood flow is essential for achieving and maintaining an erection. Any condition that affects circulation, such as anxiety or stress, can impact erectile function.

- Pelvic Floor Dysfunction: The pelvic floor muscles play a crucial role in sexual function. Tension or weakness in these muscles can lead to difficulties in achieving an erection.

2. Psychological Factors:
- Anxiety and Stress: Performance anxiety or stress related to sexual performance can significantly impact erectile function. The fear of not being able to perform can create a cycle of anxiety that exacerbates the problem.

- Depression: Mental health issues can also lead to decreased libido and erectile dysfunction.

3. Lifestyle Factors:
- Masturbation Habits: Frequent or aggressive masturbation can lead to temporary desensitization. If you are relying on strong stimulation to achieve orgasm, it may affect your sensitivity during sexual intercourse.

Solutions and Recommendations
1. Consult a Healthcare Professional: It is crucial to consult a urologist or a healthcare provider who specializes in sexual health. They can conduct a thorough evaluation, including hormone tests and possibly imaging studies, to rule out any underlying medical conditions.

2. Psychological Counseling: If anxiety or stress is a contributing factor, speaking with a mental health professional can be beneficial. Cognitive-behavioral therapy (CBT) can help address performance anxiety and improve sexual confidence.

3. Pelvic Floor Exercises: Strengthening the pelvic floor muscles through exercises like Kegels can improve erectile function. These exercises can help enhance blood flow and improve control over erections.

4. Gradual Desensitization: If you believe that your sensitivity has decreased due to overstimulation, consider reducing the frequency of masturbation and exploring gentler techniques. Allowing your body to reset may help restore sensitivity over time.

5. Healthy Lifestyle Choices: Maintain a balanced diet, regular exercise, and adequate sleep. These factors can improve overall health and sexual function. Avoid excessive alcohol consumption and smoking, as these can negatively impact erectile function.

6. Medication: In some cases, medications such as phosphodiesterase type 5 inhibitors (e.g., Viagra, Cialis) may be prescribed to help with erectile dysfunction. However, this should only be done under the guidance of a healthcare professional.

7. Open Communication: If you are in a relationship, discussing your concerns with your partner can alleviate some of the pressure you may be feeling. Open communication can foster understanding and support.

Conclusion
Erectile dysfunction and reduced sensitivity can stem from a variety of physical and psychological factors. It is essential to approach this issue holistically, considering both medical and emotional aspects. Seeking professional help is the best course of action to identify the underlying causes and develop an effective treatment plan. Remember, you are not alone in this, and many individuals experience similar challenges. With the right support and strategies, it is possible to regain confidence and improve your sexual health.

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