I do prone masturbation for a long, and now I am unable to maintain an erection. Will Kegel exercise help?

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 already give up prone habit for the last eight months. I am not married and did not go through any sexual intercourse until now. I have a soft or no morning erections. While watching erotic (porn) movies, I cannot maintain an erection for more than 10 seconds (without using a hand). And with using hand not more than 1 minute. I am a non-smoker, non-alcoholic, and BMI within range. I do not have hypertension, blood sugar (FBS+ PPBS) and they are normal. My lipid profile is normal, serum testosterone (free+ bound) is normal, TSH, LH, FSH, serum DHEA, SHBG are normal. I am currently on L-arginine, ZMA, Vitamin E, and Zinc supplement. But I cannot improve erection maintenance time. I also did 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. Now my question is, Should I have a chance of venous leakage (due to long time prone position masturbation)? Can abstinence from masturbation heal my condition? If it is ED, then what should I do? Can Kegel exercise be beneficial to me? Kindly tell me the normal penile erection time during watching porn movies (without using a hand)? 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 doctor,

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 urologist told me that due to repeated microtrauma in the penis (due to prone masturbation for a long time regularly), it can cause a microvascular defect in the cavernosal structure, so that it may lead to arteriogenic or venogenic ED. Is it true? I do not see 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 message will be helpful for me? My penile length is 4.3 inches and girth is 4 inches (both during erection). Is it normal? How can much maximum penile growth be attended through reducing pubic fat?

Thank you doctor,

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 as I already give up the prone habit, then how much it takes 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 effectively recover venous leakage without surgery? 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 Piaprism due to Papaverine injection, because in my area, there is no management specialty of treatment of Priapism. So, the radiologist is hesitating to do this procedure and cannot assure me. In this condition, what should I do? How I rule out my chance of ED? Can Rigiscan be helpful? Please tell me 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 much prone masturbation like me complaining about ED after a long time prone masturbation.