The Doctor is In!

prostate health vs ED

By rick on Nov 14, 2012 at 10:53 PM

many prostate health articles recommends that men ejaculate 3-5 times a week. Yet an article about how to to help ED issues states that you should limit masterbation to only say once a week. Do you have to pick between intercourse and prostate health?


3 replies

Madeleine Castellanos, M.D. | Dec 4, 2012 at 3:00 PM | Reply | Report

I agree with having regular ejaculations to maintain prostate health. The difficulty is that as men get older, their refractory periods get longer and longer. If you recently masturbated (that same day or a few hours previously) then it may affect your erection. I do not think that masturbating is unhealthy, but instead, it promotes good blood flow to the area (use it or lose it). Keep in mind, though, that if you masturbate very vigorously, you could desensitize yourself to the stimulation of intercourse. Some men find that this can negatively impact their erections. Are you actually having problems with your erection?

rick | Dec 6, 2012 at 11:02 PM | Reply | Report

Somewhat..but think its more psychological ED than anything. Im 55 and in excellent health. With age I need more stimulation. My wife is not very engaged, just kinda lays there and never initiates. Shes fine with a few times a month even though she orgasms 95% of the time (not intercourse). She's had problems with painful sex for years so any odd noise or movement and I'll start to loose it. Her GYN recently had us try olive oil as a lube which fixed the pain issue but not the mental aspect.

I wake up with an erection 5+ days a week & have no problem with masterbation. I get hard during foreplay but can start to loose it during insertion. I can regain my erection but create a confidence problem. Rear entry works best but she likes missionary but I need to stay hard for it to work. Cock-rings do help but Ive wondered if I should try Cialis as a confidence builder but this could also create a dependency.

WD | Dec 18, 2012 at 3:51 PM | Reply | Report

Rick you have a number of questions and issues in your post. What stands out to me is your wife's pain issues. Been there, dealt with that. Losing your erection in a situation where you are anticpating possible pain in your partner is pretty understandable. You two will just have to experiment with any "boner pills" to see if that can overcome any fear of hurting her during missionary. Of course there are estrogen creams a MD could Rx that might be acceptable to her as they are very low dose. Have you two ever considered a sex toy to get her started and then finish off with P in V sex? What does her Gyn about her vaginal atrophy, thinning vaginal walls, etc? Can she please you orally? Hand job? Maybe those two as substitutes for intercourse a couple more times a week than you have intercourse. As Dr Castellanos says, be wary of desensitizing your penis with death grip masturbation. Overall you and wife need to work out what works. Her libido may just be a lot lower than yours.

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