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What could be the reason for erectile dysfunction?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I used to masturbate excessively for around three years. Now, my penis has become weak, and I am experiencing complete erectile dysfunction. My wedding is in 13 days, and I am extremely worried. Please suggest some ready-made medicine or solution that is easily available.

Please help me.

Thank you.

Answered by Dr. Madhav Tiwari

Education:

MBBS

Professional Bio:

Dr. Madhav Tiwari is a skilled Urologist and General Surgeon who is an expert and has a special interest in urological oncology. He specialises in performing complex robotic and minimally invasive surgeries. He is renowned for his precise surgical techniques and a patient-first approach that prioritizes both effective treatment and patient comfort. He is dedicated to providing high-quality care for a range of urological and surgical conditions. He has treated thousands of patients and remains committed to delivering personalized, compassionate care and exceptional outcomes.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to iCliniq.com.

I read your query and understood it.

I understand that you are feeling anxious, especially with your wedding coming up so soon. Let me reassure you, what you are going through is more common than you think, and most cases like yours are fully reversible.

Based on your query, here is what may be happening and how we can address it quickly and safely:

What is likely happening: This sounds like psychogenic erectile dysfunction, which is very common in young men, especially when linked to:

  1. Anxiety or overthinking about performance.

  2. Guilt or shame around past habits like masturbation.

  3. Loss of confidence from a few failed attempts.

The good news is: your body and nerves are very likely normal. This issue is most often functional and temporary, and with the right support, it can be corrected quickly.

What you can do now:

Medication:

  1. You can take a low-dose PDE5 inhibitor to help regain confidence and function.

  2. Tablet Tadalafil 10 mg. Take one tablet two to three hours before intercourse. Works for up to 36 hours. Do not take more than once in 48 hours. Available under many brands (e.g., Megalis, Cialis). This medicine is safe, non-addictive, and often restores function and confidence quickly. Consult your specialist doctor, discuss with them, and take the medication with their consent.

Psychological reassurance:

  1. Avoid negative thoughts like “my penis is damaged”, it is not. Excessive masturbation does not permanently harm erectile function.

  2. Stop monitoring every erection or over-checking; this increases anxiety and worsens the cycle.

  3. Trust that your body will respond once the mental pressure is reduced.

Basic supportive measures:

  1. Sleep seven to eight hours daily.

  2. Avoid smoking and alcohol.

  3. Try breathing exercises or meditation daily (even ten minutes helps).

You are young and healthy, and your situation is very treatable. This is not permanent. With the right mindset and short-term support, you will most likely be fine by your wedding. If symptoms persist long-term, I would suggest getting a penile Doppler test, but at this stage, confidence, relaxation, and Tadalafil should be enough. I wish you a happy and stress-free start to this new phase of life!

I hope this has helped you.

Kindly follow up if you have more doubts.

Thank you.

Medically reviewed by iCliniq medical review team
Published At July 6, 2025
Reviewed At July 6, 2025

Education:

MBBS

Professional Bio:

Dr. Madhav Tiwari is a skilled Urologist and General Surgeon who is an expert and has a special interest in urological oncology. He specialises in performing complex robotic and minimally invasive surgeries. He is renowned for his precise surgical techniques and a patient-first approach that prioritizes both effective treatment and patient comfort. He is dedicated to providing high-quality care for a range of urological and surgical conditions. He has treated thousands of patients and remains committed to delivering personalized, compassionate care and exceptional outcomes.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Madhav Tiwari is a skilled Urologist and General Surgeon who is an expert and has a special interest in urological oncology. He specialises in performing complex robotic and minimally invasive surgeries. He is renowned for his precise surgical techniques and a patient-first approach that prioritizes both effective treatment and patient comfort. He is dedicated to providing high-quality care for a range of urological and surgical conditions. He has treated thousands of patients and remains committed to delivering personalized, compassionate care and exceptional outcomes.

This doctor is not available for online consultations on the platform anymore.

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