Is it ED if you can't get erect?

Patient's question:

It's just not getting hard anymore, and when it does, it's not as hard as it used to be. Is it because I often masturbate?

Doctor's answer:

Hello, excessive masturbation can lead to premature ejaculation, nocturnal emissions, erectile dysfunction, and prostatitis, but it does not cause genital shrinkage. Pruritus ani, erectile dysfunction, and lower back pain may be related to prostatitis. A definitive diagnosis requires tests such as prostatic fluid and urine analysis. It is recommended to first visit a hospital for a prostate examination. If your penis and testicles are indeed smaller, you can consider penile elongation surgery, which can extend by 3-5 cm. It is crucial to relax and avoid worsening the condition due to psychological factors.

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