Hello Doctor,
I am 25 years old. For the past few months I have been experiencing erectile dysfunction and usually need sildenafil to get and maintain an erection. Without medication, erections are weak.
I have been masturbating since around the age of 10. For many years the frequency has been very high (around 4–5 times daily). I have also watched a lot of porn regularly and used a very tight grip during masturbation.
Currently, even with sildenafil, I am able to get an erection with my partner, but I am not able to reach climax or ejaculate during intercourse. I feel reduced sensitivity and stimulation compared to masturbation.
I am worried whether long-term frequent masturbation, heavy porn use, tight grip, or psychological factors could be causing this problem.
I would like guidance on:
Whether using sildenafil once a week is safe for me
Whether this condition is reversible
What tests I should get done (
testosterone, blood
sugar,
thyroid, etc.)
What treatment, lifestyle changes