Can prone masturbation cause erectile dysfunction?

Hello doctor,

I am a 26-year-old male. I used to do prone position masturbation for 13 years (from 12 to 25 years), frequency of two to three times a day. I have already given up prone habits for the last eight months. I am not married and have not had any sexual intercourse until now.

I have soft or no morning erections. While watching erotic (porn) movies, I cannot maintain an erection for more than 10 seconds (without using a hand). I am a non-smoker, non-alcoholic, and my BMI is within range. I do not have hypertension or blood sugar (FBS+ PPBS), and they are normal.

My lipid profile is normal, serum testosterone (free+ bound) is normal, and TSH, LH, FSH, serum DHEA, and SHBG are normal. I am currently on L-arginine, ZMA, vitamin E, and zinc supplements. But I cannot improve the erection maintenance time. I also did a penile USG (flaccid state), which is normal.

I also consulted a psychiatrist. He advised me to take Escitalopram tablet OD for one month, but no improvement. Then, he told me to consult with an andrologist.

1. Now my question is, should I have a chance of venous leakage (due to long-time prone position masturbation)?
2. Can abstinence from masturbation heal my condition?
3. If it is ED, then what should I do?
4. Can Kegel exercises be beneficial to me?
5. Kindly tell me the normal penile erection time while watching porn movies (without using a hand)?
6. If I have NPT (nocturnal penile tumescence) one or two times a week, but there is no morning erection. Is it normal? Or is it a sign of ED?

Please help.

Thank you.

Hi doctor,

Thank you for your reply.

Do I need penile Doppler? Can a normal USG report in the flaccid state totally rule out the chances of arteriogenic or venogenic ED? One of my known urologists told me that repeated microtrauma in the penis (due to prone masturbation for a long time regularly) can cause a microvascular defect in the cavernosal structure which may lead to arteriogenic or venogenic ED. Is it true? I have not seen any improvement after using L-arginine two tablets and L-carnitine one tablet daily (before exercise) for the last three months. Does it signify arteriogenic ED? Can vacuum erection devices, vibration therapy, or penile massages will be helpful for me? My penile length is 4.3 inches, and my girth is four inches (both during erection). Is it normal? How can maximum penile growth be achieved by reducing pubic fat?

Thank you.

Hi doctor,

Thank you for your reply.

I did not reach a proper erection and cannot maintain an erection for more than 10 seconds. So, I think it may be an ED. If I have venous leakage or arteriogenic ED (due to long-time prone masturbation) and I have already given up the prone habit, then how much does it take time to heal prone masturbation-induced venous leakage? If venous leakage does not heal by giving up prone habits and practicing safe hand habits, can it be possible to recover venous leakage without surgery effectively? According to my USG penis data, I do not have any abnormalities. So, what is the chance of having venous leakage or arterial damage? If I left it alone, is there a chance of further vascular damage? I am afraid of doing Doppler because of Priapism due to Papaverine injection because, in my area, there is no management specialty for the treatment of priapism. So, the radiologist is hesitating to do this procedure and cannot assure me. In this condition, what should I do? How do I rule out my chance of ED? Can Rigiscan be helpful?

Please tell me about any case where a person got to irreversible vascular compromise and ED due to a history of practicing prone position masturbation. I do not find any documented information about prone masturbation-induced ED on the internet, books, etc. But I am scared about the online comments that are prone to masturbation like me complaining about ED after a long time prone to masturbation.

Thank you.