Q. I am facing ED and delayed ejection. Can phimosis be the cause?

Answered by
Dr. Ramchandra Lamba
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Apr 02, 2020 and last reviewed on: Apr 11, 2020

Hello doctor,

I am 30 years old. I am a healthy individual with no signs of BP or heart issues. I have done a healthy heart screening where they checked heart plus blood flow in legs, lipid profile, liver function test, vitamin D and everything is normal. My morning erections frequency is fine, (not every morning I get it) sometimes during afternoon sleep. I have a phimosis issue. Recently last three attempts I had an issue with erections and unable to maintain it. I am worried and piling up stress.

Another issue is ejaculation. I feel I have delayed ejaculation as I am not able to ejaculate. When I masturbate I can ejaculate in the normal interval, I am not able to understand if phimosis causing delayed ejaculation and ED issue? Apart from the last three instances, I had this issue for a few months and then it resolved, I got erections for the next 10-12 sexual instances.

In addition, I do not have diabetes, I used to masturbate a lot by watching porn (kind of addicted) a few years ago then the frequency reduced as I became more mature. I am worried if this is the reason for ED? When I start sex all my attention goes to whether I am getting erections or not. I eat a healthy diet and do cardio three times a week. Please guide.



Welcome to

I have gone through your query and find that you are physically active and healthy. You have phimosis but that is not causing you much problem.

For the last few occasions you have erection problems and delayed ejaculation, it can occur because of many issues including the stress or performance or time hurry. Once you had one episode of ED (erectile dysfunction) or delayed ejaculation it can cause you anxiety and that can lead to ED for the next sexual activity.

If the issue is not affecting you regularly or at least 50 percent of your sexual activity then it is not required any medical treatment. Just continue your cardio workout and take healthy food and take adequate sleep.

Thank you doctor,

It is not yet 50% but I would say 25% of time for ED and for delayed ejaculation its about 50%. I can say as it is maybe because of phimosis. I am not able to get that sensation. But when I masturbate always I ejaculate. Last few episodes of soft erections I had a few months ago too. Do you think it is something wrong about nerves or is that venous leak issue? Can ED medication help me to gain that confidence?



Welcome back to

It is unlikely that ED or delayed ejaculation is caused by phimosis. If your phimosis is causing you problems then it can be corrected by surgery. It is unlikely a case of venous leak or nerve damage because it is not regular and in your age the most common cause is stress or anxiety or psychological in nature.

ED medicine such as Sildenafil or Tadalafil can help you to manage your ED and that can boost your confidence. You can give a trial of Sildenafil 50 mg and see the response.

Thank you doctor,

Does this medicine make me dependent on that? Why I am not getting morning erections every day? Do you think I have any other physical issues that can happen due to excessive masturbation? In addition, when I did other tests my blood circulation in legs were normal so what is causing less blood flow to the penis that affecting erection? I am trying to find out if anything wrong with my system? Delayed ejaculation also caused by stress or ED?



Welcome back to

No these medicines do not make you dependent. Morning erection does not occur daily in all men. It may occur daily in few men while it may occur once in a week in few men, so it is a normal variation. Masturbation per se does not cause any problem.

Normal blood flow to legs indicates that you have normal flow in your artery and vein. It may indicate that your penis artery and vein are normal probably. It does not indicate any problems. So just relax.

So it is unlikely that you have a physical cause of your problem, it is most likely psychological in nature. So just do regular exercise and take a healthy diet and avoid alcohol or tobacco products.

Delay ejaculation can be caused by stress and by some drugs like anti-hypertensive drugs or antidepressant drugs.

Just relax and give sufficient time. Do regular exercise. Take a healthy diet. Manage your stress effectively. Spend enough time in foreplay.

I hope this helps.

Was this answer helpful?


Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
Is erectile dysfunction related to my thyroid disease?

With regards to erectile dysfunction, the most common cause at this age would be psychogenic ... I feel a strong sexual urge but then there is that ...   Read full

I have phimosis, yellow urine, knee pain, and constipation. Please help.

And also I cannot pull my foreskin back to the tip ...   Read full

I have phimosis. Will sex be a problem for me?

Phimosis is a condition where the foreskin is tight around the glans penis or the soft tip of the  ... Your partner will have no problem, but you may not get all the pleasure, as the skin or foreski...   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

Tomato Fever - Causes, Symptoms, Diagnosis, Treatment, and Prevention
Tomato fever is an unidentified and fast-spreading type of viral infection seen in young children. Scroll down to know m...  Read more»
Histrionic Personality Disorder - Causes, Signs, Symptoms, Diagnosis and Treatment
Histrionic personality disorder causes variations in the thinking ability of a person. Read this article to know more.  Read more»
Nighttime Skin Routine for Clear Skin
A skin that gets all the attention during the day requires a chance to repair, rejuvenate and replenish from day damage ...  Read more»

Ask your health query to a doctor online?

Ask a Sexologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.