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Psychogenic impotence

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Hello doctor I am 25 years old, I have masturbation habit, i usually masturbates twice in a week, yesterday when i was masturbating my penis suddenly got soft during masturbation, since then my penis is not getting hard. it is usually again got hard within a hour but its almost 18 hours from last masturbation but my penis is not getting hard at all.
( I want to mention here that during riding bike, the fuel tank of my bike hits my testicles, specially when road is not good, it collides a lot.) can you help me doctor, i am scared, very scared.

Category: Family Physician-GP

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Category: HIV- AIDS Specialist
 20 Doctors Online

Hello,

Thank you for choosing DoctorSpring.

This loss of erection can be due to a lot of reasons. But Sexually competent men who had no sexual problems until "one night when they could not perform" and thereafter become impotent invariably have psychogenic impotence. Same is with the case of masturbation.

So most likely it is your mind playing tricks. You need not worry about this now and can wait for few more days. Since you are otherwise asymptomatic and there are no obvious signs or symptoms - most likely there is nothing organic or serious.

Just keep things normal. Do not overly try to get stimulated sexually. Everything should be alright.


Hope this helps
Feel free to ask followups
Thank you


Patient replied :

thank you doctor for your valuable guidance. But as it is related to mind how could I overcome thorough it, what should be your suggestions for me? what is the cure?


Hello,

For now what you need to do is just keep your mind of this symptom. Do not worry or be bothered about it. Also regarding the bike riding make sure you are using some cushioning or something so that there is no constant pressure on your testes.

Avoid alcohol or cigarets if you have that habit. No medications are required now. Everything should be back to normal in a week, If not you may require some tests. Most likely this is a passing phase and you should not be overly concerned about this.

Hope this helps
Feel free to ask followups
Thank you


Patient replied :

Thank you very much doctor, I don't drink alcohol or smoke cigarette at all, I do exercise everyday and quit healthy person. Its a big relief that its a passing phase. I will definitely use cautions during riding bike. which kind of tests are required for this and what may be the reason behind it?
Last night when i was sleeping my penis got harder but not like previously (rock hard) hope its coming back to its normal stage.
Thank you !


Welcome back, last night is a good sign, it means you are improving. The tests required to be done are. 1) Serum testosterone level 2) Duplex Doppler Imaging.
You do not need to get the tests done right now, as you are showing signs of improvement. I would say, continue the healthy lifestyle, and wait and watch. Feel free to follow up.
Thankyou


Patient replied :

Thank you very much doctor, your support is very precious for me as i am too much scared because of this sudden incident, i could not even sleep properly because of it, hence thanks again for your support and encouragement. As i said in night I had that feeling, but during day time its not at all getting harder.As you said i am not trying to getting it harder and trying to live normal daily routine. Hope everything will be just fine.


Thanks for the appreciation, take care.

PS: If you feel no improvement in 2 weeks go to the physician and get the tests done as mentioned earlier.


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In-house Physician
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Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
Experience: 
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

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