Post-Ejaculation Softening: Is It Normal or a Sign of ED? - Urology

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Penile flaccidity?


Hello, Dr.
Hsu.
You mentioned that there is a refractory period after ejaculation.
I've been masturbating for four years, and recently, in the last year or two, I find that I immediately become flaccid after ejaculation.
In the first couple of years, it didn't happen that quickly.
Is this normal? If this is a sign of erectile dysfunction, is there a way to treat it? Please advise.

Lun Lun, 10~19 year old female. Ask Date: 2015/08/05

Dr. Xu Weikai reply Urology


Lunlun: After ejaculation, the hardness of the penis decreases, and the extent of this decrease is related to the level of arousal during the erection.
If the erection was very exciting, it may retain some hardness.
As for whether this is normal, it is advisable to use professional equipment for a penile erection test for a more objective assessment.
It is not possible to determine normalcy based solely on this description.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Answers found online should only be used as a reference; if necessary, it is best to seek medical attention at a healthcare facility.
The Ministry of Health and Welfare Taitung Hospital cares about you.

Reply Date: 2015/08/05

More Info


Post-ejaculation softening, or the phenomenon where the penis becomes flaccid shortly after ejaculation, is a normal physiological response. This process is part of the body's natural sexual response cycle, which includes excitement, plateau, orgasm, and resolution. During the resolution phase, the body returns to its pre-arousal state, which typically involves the penis becoming soft after ejaculation.
In your case, experiencing a quicker return to a flaccid state after ejaculation compared to earlier years can be influenced by several factors. These may include changes in hormonal levels, psychological factors, frequency of sexual activity, and overall health. It's important to note that sexual function can vary significantly over time and can be affected by stress, anxiety, fatigue, and even lifestyle choices such as diet and exercise.

If you have been engaging in masturbation frequently over the past few years, it's possible that your body has adapted to this pattern, leading to a quicker resolution phase. This is not necessarily a sign of erectile dysfunction (ED). ED is characterized by the persistent inability to achieve or maintain an erection sufficient for satisfactory sexual performance. If you are still able to achieve an erection prior to ejaculation and are experiencing normal sexual arousal, it may not indicate a problem.

However, if you are concerned about the changes in your sexual response, or if you notice other symptoms such as difficulty achieving an erection, decreased libido, or anxiety related to sexual performance, it may be beneficial to consult with a healthcare professional. They can help assess your situation more thoroughly, considering both physical and psychological factors.

In terms of treatment, if it is determined that you are experiencing ED, there are several options available. These may include lifestyle modifications, such as improving diet and exercise, reducing stress, and avoiding smoking or excessive alcohol consumption. Additionally, there are medical treatments available, including oral medications like phosphodiesterase type 5 inhibitors (e.g., Viagra, Cialis), vacuum erection devices, and in some cases, injections or penile implants.

It's also worth mentioning that psychological factors can play a significant role in sexual performance. If anxiety or stress is contributing to your concerns, speaking with a mental health professional or a sex therapist may be beneficial. They can provide strategies to manage anxiety and improve sexual confidence.

In summary, experiencing post-ejaculation softening is a normal part of the sexual response cycle. Changes in this response can occur over time due to various factors. If you have concerns about erectile dysfunction or other sexual health issues, seeking professional advice can provide clarity and potential treatment options. Remember, open communication with healthcare providers is key to addressing any sexual health concerns you may have.

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