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Can masturbation lead to erectile dysfunction at 40?

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

Patient's Query

Hello doctor,

I am 40 years old. My sexual life was good but due to hysterotomy performed on my wife due to fetus complication, I am not able to have sex with her till date.

In the event of this, I have been masturbating three to four times a week to relieve my urge for sexual excitement. However, lately, I have noticed that while masturbating my erections are not that rock hard like a couple of months back and even the force by which I used to ejaculate has drastically reduced and my sperm does not come out in force but just dribbles out of my penis on orgasm.

I have no sort of medical problem or diseases and lead a normal diet without any medicines. My wife's gynecologist had once prescribed CoQ LC and Fertisure M medicines for me. However, I need your advice as to which medicines I should take and the dosage to overcome my problem and even get ready to make my wife conceive naturally.

Answered by Dr. Vidya Ramasamy

Education:

MS

Professional Bio:

Dr. Vidya Ramasamy is an Obstetrician and Gynecologist specializing in infertility treatment. Her skills include managing complex infertility cases, performing assisted reproductive techniques such as IVF and IUI, evaluating hormonal and reproductive health, and providing preconception counseling. She is also experienced in managing high-risk pregnancies, gynecological surgeries, menstrual disorders, and hormonal therapies, offering personalized care to support women’s reproductive health and fertility goals.

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

Hi,

Welcome to iclinq.com.

I can understand your concern. As such nothing much to worry about. Erections may not be the same every time, these would settle down as you enter your sexual life again. Generally the following hysterotomy, sex life can be started after six months but here the main thing is the psychological part, the women is going through. Spend value time with your wife which would help her get back to her old sex life.

If you are worried about your fertility profile get a semen analysis done and look for the concentration and motility of sperms. And also get a random blood sugar done. The very fact that your wife has conceived spontaneously rules out both male and female factors of infertility, so just relax. The possibility of erectile dysfunction with your complaints is less considering past history. Have a trying time for five to six months. If pregnancy is delayed then consult a fertility specialist.

I hope this helps.

The Probable causes

Psychological.

Investigations to be done

Semen analysis, RBS (random blood sugar).

Probable diagnosis

Psychological.

Treatment plan

Reassurance.

Preventive measures

Increase the value time for each other.
Medically reviewed by Dr. Vinodhini J.
Published At May 17, 2020
Reviewed At August 8, 2025

Education:

MS

Professional Bio:

Dr. Vidya Ramasamy is an Obstetrician and Gynecologist specializing in infertility treatment. Her skills include managing complex infertility cases, performing assisted reproductive techniques such as IVF and IUI, evaluating hormonal and reproductive health, and providing preconception counseling. She is also experienced in managing high-risk pregnancies, gynecological surgeries, menstrual disorders, and hormonal therapies, offering personalized care to support women’s reproductive health and fertility goals.

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

Education:

BDS

Professional Bio:

Dr. Vinodhini J. is a Dental Surgeon with extensive years of clinical experience. She specializes in the diagnosis, prevention, and treatment of dental and oral health issues, including restorative, surgical, and cosmetic procedures. With a patient-centered approach, she focuses on maintaining oral health, alleviating discomfort, and enhancing smiles. Her expertise ensures comprehensive care tailored to each patient’s dental needs and overall wellbeing.

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:

MS

Professional Bio:

Dr. Vidya Ramasamy is an Obstetrician and Gynecologist specializing in infertility treatment. Her skills include managing complex infertility cases, performing assisted reproductive techniques such as IVF and IUI, evaluating hormonal and reproductive health, and providing preconception counseling. She is also experienced in managing high-risk pregnancies, gynecological surgeries, menstrual disorders, and hormonal therapies, offering personalized care to support women’s reproductive health and fertility goals.

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

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