Decreased libido, what should I do now?

Patient's question:

Doctor, hello, I am a university student from Sichuan Agricultural University. Since I started masturbating at the age of 17 until now, I have had this bad habit. It may be due to the long duration, but I have noticed that my libido has decreased, and it seems that the feeling of ejaculation is not as exciting as before. I also feel that the work pressure is quite high. Considering sexual behavior after marriage, I feel that the penis also needs stimulation to get erect, and the hardness of the erection has also decreased. Morning erections also occur occasionally. Now, I am most worried about premature ejaculation and suspect that I might have erectile dysfunction. Moreover, I have frequent nighttime urination, urgency, and sediment in the urine. What should I do now? What kind of approach should I take?

Doctor's answer:

Hello: Based on your situation, there is no need to have excessive psychological pressure. Pay attention to rest and nutrition.
The dangers of frequent masturbation include:
First, it keeps the sexual organs in a state of frequent congestion, which can easily lead to conditions like prostatitis and cause symptoms such as lower back and sacral pain, heaviness, and discomfort.
Second, excessive masturbation can result in physical exhaustion, excessive fatigue, and psychological stress, leading to feelings of emptiness and guilt.
Third, long-term frequent masturbation may disrupt the central nervous system responsible for erection and ejaculation, shifting from excitement to inhibition, potentially causing sexual dysfunction or an inability to orgasm.
Therefore, you need to break the habit of masturbation.
To quit masturbation, follow these steps:
(1) Cultivate sufficient perseverance and confidence in your mind to make a firm decision to quit.
(2) Pay attention to a regular lifestyle—maintain a consistent sleep and wake schedule, avoid overthinking, and do not overeat at dinner. Avoid foods and do not consume pornography. Before bed, it may help to wash your feet with warm water to aid sleep. When sleeping, avoid tight pants, overly warm bedding, heavy blankets, and sleeping on your stomach. If you experience sexual urges after falling asleep and cannot sleep, try sitting quietly to calm your mind. Once the urges subside, you can return to sleep.
(3) During free time outside of study, engage in more physical exercise and group activities, such as long-distance running, Tai Chi, or swimming. Focus on forgetting about masturbation. If you feel tired during the day, it will be easier to sleep at night. This not only strengthens your body but also alleviates mental tension while also building willpower and perseverance.
(4) Develop noble character, care about the collective, and love life. Establish a correct perspective on love, marriage, and family. Take relationships, marriage, and family issues seriously and with solemnity.

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