Does frequent masturbation lead to impotence?

Patient's question:

My sexual habits have been long-standing, and I often masturbate. Does frequent masturbation lead to premature ejaculation?

Doctor's answer:

Excessive and frequent sexual intercourse can lead to prolonged congestion in the urinary system, resulting in a decline in local immunity, which in turn causes urethritis and prostatitis. At the same time, frequent sexual activity keeps the central nervous system in a prolonged state of excitement. The sexual nerves remain in a state of prolonged stimulation without proper rest, leading to sexual nerve fatigue and a decrease in libido. This series of comprehensive effects can result in sexual dysfunctions such as premature ejaculation.

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