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Erection problems and lack of sexual desire

Hello,

I currently have a somewhat uncomfortable problem, namely a type of erectile dysfunction.

About me: I am 28 years old, a non-smoker, I do not take any medication other than iodine tablets for hypothyroidism (which I have been taking for years). I am also severely overweight (over 100 kg at 1.65 m). Otherwise, no known illnesses.

I am still a male virgin. Nevertheless, since my youth, I have always had a desire for sex, which is why I have regularly masturbated (quite a lot, sometimes 3 times a day). That's why I am so surprised by my current problem.

On Wednesday evening, during the usual masturbation, I noticed that I was having difficulties. My erection seemed to decrease and I did not feel the "pressure" as usual. I did reach completion, but I had to make a real effort, it was very difficult.

At first, I didn't think much of it. I thought it might be due to lack of concentration or simply because it took too long (I prolonged the act quite a bit by browsing for new erotic images on my phone). Then I thought, maybe I just overdid it the days before (as I said, 3 times a day), so my penis might be overwhelmed.

Well, on Thursday, I didn't touch myself. And all day on Friday, either. I was very surprised at how easy it was for me. I felt no desire or lust to masturbate. Which is unusual, because usually even after one day of rest I am totally aroused, and at the latest after the second day, I end the "break" because I can't bear it any longer and simply feel too much desire. But this time was different. It was effortless.

On Friday evening, I did it again - not out of desire, but rather to test if everything was back to normal. But it wasn't. I looked at erotic pictures, found them very attractive in my mind, got an erection, but not 100%. It felt more like 80%. It didn't get completely hard. I did reach completion again, quite quickly, but the "soft erection" worries me.

I then researched possible causes, both physical and psychological. The physical causes scare me the most, because I cannot imagine that it is psychological in my case. Especially since I found the erotic photos quite sexy, but simply did not get a proper erection. It seemed more physical to me.

I am now terribly afraid that I might have a serious or dangerous illness, such as a tumor. And since it is the weekend, I cannot go to the doctor, but I am just so worried that it is already driving me crazy. That's why I am asking here.

What do you think? Does my description lean more towards a psychological problem or a physical one? Are my worries justified or am I overreacting? What should I do?

Dr. med. Frauke Gehring

Good day,

An erectile dysfunction (with an "r"), as you describe it, is when it occurs alone, neither a sign of a tumor nor a serious illness.

You have had a quite high frequency of masturbation so far, and at some point the body becomes desensitized (similar to when you eat or drink too much for a while; often the body then loses its appetite for what was previously desired). Therefore, taking a week off will likely work wonders.

Other reasons could be that life has suddenly become more interesting (one masturbates more when bored), or if one is fighting a simple viral infection.

I wouldn't worry and then go to the doctor if you still have problems after a week off.

Warm regards, Dr. Höllering

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Experte für General medicine

Dr. med. Frauke Gehring

Dr. med. Frauke Gehring

Arnsberg

Staatsexamen 1984 in Kiel, seit 1992 in eigener Praxis niedergelassen. Onlineberatung seit 2001 bei Almeda, Focus (als ärztliche Leiterin), Onmeda, Bild der Frau. Moderatorin, Dozentin für medizinische Themen.

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