Patient's question:
Is it common to experience impotence after not achieving ejaculation frequently?Doctor's answer:
Hello: According to the situation you described, it is generally not likely to cause erectile dysfunction. Many men cannot determine whether they have erectile dysfunction, but in fact, they can judge the nature of erectile dysfunction based on the nocturnal penile erection. Normal men of all ages can experience reflexive penile erection during sleep. During adolescence, there are about 6 erections per night on average, each lasting 20-30 minutes; young and middle-aged adults have about 4 erections per night on average; and healthy elderly people over 65 years old can still have a total of 1-1.5 hours of erection time per night. Even children often experience penile erections during sleep.Clearly, nocturnal reflexive penile erection is unrelated to sexual stimulation and is not affected by psychological factors. Therefore, it can be used to distinguish whether erectile dysfunction is caused by psychological factors or by medical factors. If an erectile dysfunction patient has no nocturnal erections or if the degree of erection is below the normal range for their age group, it may indicate a medical factor, requiring further investigation to identify the root cause. If an erectile dysfunction patient has normal nocturnal erections, it is unlikely to be caused by medical factors but rather by psychological and mental factors. Here are several methods for self-assessing nocturnal penile erections:
(1) Stamp Test: Use four stamps to surround the penis, stick the overlapping parts together to form a ring, and then go to sleep. In the morning, check if the stamp has torn. If it has, it indicates nocturnal erections. If the overlapping part has come loose, it is not meaningful.
(2) Penile Circumference Measurement: There is a commercially available tape measure (usually paper-based) with one end connected to a square buckle. Before going to sleep, wrap it around the penis, and one end...