Had a history of masturbation, now experiencing erectile dysfunction and premature ejaculation. Please ask the doctor how to recover

Patient's question:

Erectile dysfunction, premature ejaculation, weak erection. Tired and weak upon waking up every day. It has been going on for several years. Used to have a history of masturbation, the condition is severe, 22 years old.

Doctor's answer:

If masturbation can harm the body, wouldn't sexual intercourse be even more damaging? Then God wouldn't have allowed people to experience such pleasure. Of course, anything shouldn't be done in excess—sexuality is no exception, neither is masturbation. There's no need to deliberately avoid masturbation as long as it's done moderately.
Issues with sexual function are influenced by many factors. At your age, it's likely not primarily a matter of physical constitution but more about mental and psychological factors, as well as self-confidence. If you haven't had actual sexual intercourse yet, it's best not to worry too much about performance.
If you're concerned about what's called a venous fistula, you can undergo imaging tests to rule it out. This condition is quite rare. It's better to wait until you've had actual sexual experience before focusing on such matters. Because the tension and stress you're experiencing now can affect your ability to get an erection.

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