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Erectile dysfunction
I am suffering from erectile dysfunction since 4-5 years or more than that on and off.
I also have a history of long term prone masturbation.
I went to urologist twice ,once in 2022 and the other time 2026.I also went through penile Doppler tests and am sharing the report.
One time I got tested after taking 40 mg tab tazzle after 45 mins in 2022 and other time in 2026 after taking Tab Tedup 10 mg after 45 mins.
In 2022, my PSV base line reading was - 15.3 cm/sec and in 2026 PSV base line - 11 cm / sec.
I also don't get morning erections most of the time and also don't get hard erection during masturbation .
I am attaching both the reports .Kindly help me .I feel very low due to this.
Answers (6)
No worries Get the testosterone checked.
Send me your proper medical history thn can reach to the accurate diagnose, as only prone masturbation couldn't be the cause,there are other causes also.
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You should get your testosterone levels checked once. Stop prone masturbation all together. Start mastrubating in normal way. Seek help after getting testosterone levels checked.
Next Steps
Get Total serum testosterone checked
Health Tips
Most cases of ED in your age are due to anxiety. if you are too much anxious you may not get morning directions also because of that.
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Ur current report level is certainly lower side...
It can be due to several reasons...
It can be increased and u will be sexually fit completely...
Erection will be hard..
...
Take herbal supplements...
Next Steps
consult for prescription and guidance
Health Tips
avoid smoking
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●𝗬𝗲𝘀 𝗶𝘁 𝗰𝗮𝗻 𝗯𝗲 𝗽𝗲𝗿𝗺𝗮𝗻𝗲𝗻𝘁𝗹𝘆 𝗰𝘂𝗿𝗲𝗱 𝘄𝗶𝘁𝗵 𝗛𝗼𝗺𝗲𝗼𝗽𝗮𝘁𝗵𝘆 𝗧𝗿𝗲𝗮𝘁𝗺𝗲𝗻𝘁 .
●𝗩𝗲𝗿𝘆 𝗲𝗳𝗳𝗲𝗰𝘁𝗶𝘃𝗲 𝗺𝗲𝗱𝗶𝗰𝗶𝗻𝗲𝘀 𝗮𝗿𝗲 𝘁𝗵𝗲𝗿𝗲 𝗶𝗻 𝗛𝗼𝗺𝗲𝗼𝗽𝗮𝘁𝗵𝗶𝗰
●𝗪𝗶𝘁𝗵 𝗺𝘆 𝘁𝗿𝗲𝗮𝘁𝗺𝗲𝗻𝘁 𝗼𝗳 1.5 𝗺𝗼𝗻𝘁𝗵 𝘆𝗼𝘂 𝘄𝗶𝗹𝗹 𝗴𝗲𝘁 𝗽𝗲𝗿𝗺𝗮𝗻𝗲𝗻𝘁 𝗿𝗲𝗹𝗶𝗲𝗳.
●𝗪𝗶𝗹𝗹 𝗽𝗿𝗲𝘀𝗰𝗿𝗶𝗯𝗲 𝘁𝗵𝗲 𝗰𝗼𝗺𝗽𝗹𝗲𝘁𝗲 𝘁𝗿𝗲𝗮𝘁𝗺𝗲𝗻𝘁.
●𝗬𝗼𝘂 𝗰𝗮𝗻 𝗰𝗼𝗻𝘀𝘂𝗹𝘁 𝗺𝗲 𝗻𝗼𝘄 𝘁𝗵𝗿𝗼𝘂𝗴𝗵 𝗼𝗻𝗹𝗶𝗻𝗲 𝗪𝗮𝗿𝗺 𝗿𝗲𝗴𝗮𝗿𝗱𝘀.
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I understand why this is making you feel low, especially after dealing with the problem for several years. A normal penile Doppler is reassuring and makes a significant arterial blood-flow problem or classical venous-leak pattern much less likely. For dynamic penile Doppler, a peak systolic velocity (PSV) above about 30 cm/s and end-diastolic velocity (EDV) below about 3 cm/s are generally considered normal. Importantly, the baseline PSV values you mentioned (â15.3 and â11 cm/s) are not the values used to diagnose arterial erectile dysfunction; interpretation should focus on the post-stimulation/post-medication erection measurements, particularly PSV, EDV and resistance index.
Your long history of prone masturbation does not mean that you have permanently damaged your penis. Difficulty getting a firm erection during masturbation, absence of morning erections and fluctuating erections can have multiple contributors, including psychological/conditioning factors, sleep quality, obesity/metabolic health, hormones and medicationsânot simply penile blood flow.
Next Steps
Because you have had ED for 4â5 years and your Dopplers have reportedly been normal, I would not jump toward penile implant or any irreversible procedure. The next step should be a systematic evaluation for potentially reversible causes. Current guidelines recommend assessing cardiovascular/metabolic risk factors and obtaining an early-morning total testosterone; additional hormonal assessment can be considered when clinically indicated. It would also be useful to review your sexual history, sleep, stress/anxiety, masturbation technique, pornography use and response to previous ED medicines. If you are able to obtain erections under some circumstances but not others, that information is particularly valuable. A normal Doppler does not mean that your symptoms are imaginaryâit means that a major penile vascular abnormality is less likely. For better treatment and personalised guidance, you may connect with us at 9 3 1 5 6 6 1 5 6 5 for proper treatment and guidance.
Health Tips
Do not repeatedly test your erection or Doppler values, as monitoring firmness can itself increase performance anxiety. Give yourself time to develop erections naturally rather than repeatedly checking whether you are âhard enough.â Regular exercise, weight management, adequate sleep, limiting alcohol/tobacco and addressing stress can significantly support erectile function. Lifestyle and risk-factor modification are specifically recommended as part of ED management. Also, irregular morning erections alone do not prove physical ED. Morning erections vary with sleep quality and sleep-stage timing, and not noticing one does not necessarily mean that you did not have one during the night. Most importantly: based on a reportedly normal Doppler, your history does not automatically point toward venous leakage or permanent penile damage. There are several reversible avenues to explore before anything invasive is considered. Thank you
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