HomeAnswersUrologyexcessive masturbationMy penile head slopes downward during erection. Is this due to damaged penile ligament?

I masturbate a lot and now I am getting mild penile pain and erectile dysfunction. Why?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Vinodhini J.

Published At February 25, 2020
Reviewed AtNovember 30, 2023

Patient's Query

Hello doctor,

I am a 27-year-old male. For the past six months I do not do any physical activities, no exercise, I work only on my laptop and drink very less amount of water. I masturbate almost daily for the past 10 years. I never had sex with any girl. I never used any kind of contaminated stuff with my penis. I never had erection problems in my life in fact, I got erection any time I wanted (except when I was extremely stressed). And I always used to have morning erection (until I started research on internet). I usually wear tight briefs, and often while wearing tight briefs when I got erection, the tight fitting underwear tries to restrict the erected penis inside. And due to tight fitting brief my penis bend (where shaft meets the penis head) inside the underwear. And I firmly believe this caused the injury to my penis. When I urinate sometimes some drops of urine are left in my penis head, which comes out later after a minute when I walk back to my room. For the last two months, I have been suffering from very high levels of stress, depression, anxiety, anger related to my job, health, relations, past, and future. And I am severely constipated for the last two months may be due to these stress. I do not have frequent urination.

Last month, I thought I should ask a doctor about this extra skin on my unerected penis (see attached photos). I started research on the internet. At this time I do not have any erectile problems and I was not aware of any kind of terrifying disease that can happen to the penis. Everything was alright. But then, I started reading about the bend I have in my penis (see attached photos) and I read about all these terrifying diseases (Peyronie's disease, prostate, etc.). Since then I am extremely terrified, stressed, depressed, hopeless, more constipated, like someone is holding my stomach tightly. And I also breathe very slowly when I think about these things. I cannot take my mind off these problems. I am terrified like I may have one of these untreatable diseases. After this internet research, I cannot think about porn and stuff which I used to think for erection and masturbation. And even if I watch porn or try to think about porn, all these queries and worries are running into the back of my head all the time and I cannot get erection. Yesterday, I masturbated with a fully erected penis. And I am able to get full length erection (if somehow I draw my attention off these terrifying things).

I am having very mild pain in my penis on erection. It is like a muscular pain inside the penis and had premature ejaculation (this particularly started after internet research). What is the cause of this pain? Are pain and premature ejaculation related? What can be done to solve these problems? I am suffering from erectile dysfunction (problem in maintaining an erection). It does not get hard for more than a few seconds. What is the cause? I noticed a darker patch of skin located on my penis shaft. More specifically it is located on the very bottom of the shaft, starting where the shaft meets the scrotum and traveling up towards the head little ways. It is oval in shape. The color is a bit darker than my usual skin tone. What and why is this black skin on the lower side of my penis shaft? What can be done for this extra skin on my unerected penis (see attached photos)? Is my penis shape normal or not? Why is my penis head bends downward? Is this normal? Why is the head of my penis is large (in length)? And it often remains less hard (spongy) on erection while shaft gets very hard? Why not my penis erection is not parallel to the floor (which it used to be)? It always slopes downward. Is this damaged suspensory penile ligament? Because tight briefs forcefully restricted the erect penis in a downward direction.

Answered by Dr. Mohammad Aamir

Hello,

Welcome to icliniq.com.

I have seen every picture you have uploaded and I understand your concern. (attachment removed to protect patient identity). Premature ejaculation is when you discharge within 30 seconds of masturbation or doing intercourse. Do you ejaculate before 30 seconds when you do masturbation? The pain you are having is because you are doing excessive masturbation. You should reduce your masturbation habit to two times a week otherwise you will have a lot of problems when you will be married. If you are having early morning erections then you are fine. It is your stress which is causing premature ejaculation. You have to understand that premature ejaculation can be diagnosed when you really do sex with someone. It is normal to have dark areas in penis like you have in the Indian population. You are comparing yourself with people in porn movies. My advice to you is that you must reduce watching porn movies because it will affect your sexual life when you start doing sex with your partner. People in porn movies take drugs thats why they have a longer duration for doing sex and also you will expect your partner to be like the women you watch in these movies which will also spoil your relationship with your partner.

The extra skin can be reduced by doing circumcision. But it should be done if you are having a problem in rollback on your skin when your penis is in erect form or if you have a problem in doing sex with someone, in your case since you are a virgin we can say anything for now. And yes, the shape of your penis is normal. You are taking too much tension. The only thing which you really need to do is to reduce doing masturbation. If you do not you will have a lot of problems in the future. Take vitamin E tablets for 15 days once daily.

I hope this helps.

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

Dr. Mohammad Aamir
Dr. Mohammad Aamir

Internal Medicine

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