Can prone masturbation cause premature ejaculation and ED?

Question

Hello doctor,

I have a problem with early or premature ejaculation. Initially, my sexual endurance would last for 25 to 30 minutes. But now, my endurance has decreased, and I can sustain the act of sex for only one or two minutes. As soon as I place my penis inside my partner’s vagina, I ejaculate in a couple of seconds.

It is a very stressful situation for both my partner and me. I am very much concerned with the matter.

Furthermore, I have trouble getting an erection in a natural manner. I am able to get an erection only through the same posture of prone masturbation, which I have gotten used to for a long time.

Kindly help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and understood your concern.

The condition you are describing is actually seen quite commonly in men who have practiced masturbation for a long time. The body can become conditioned to a very specific type of pressure and stimulation, making it harder to respond normally during intercourse or regular hand stimulation.

This can lead to difficulty getting erections naturally, reduced erection sustainability, and rapid ejaculation during penetration. The good thing is that this is usually functional and improvable, not permanent damage. Your history is consistent with premature ejaculation along with conditioning-related erectile difficulty.

The most important step is to completely stop prone masturbation and avoid rubbing against the bed because continuing it reinforces the same stimulation pattern. Gradually retrain yourself with gentler manual stimulation only, without excessive pressure or pornography.

At first, they could be weak or irregular; however, many males develop a strong response after weeks or months due to normalization of sensitivity and arousal patterns.

It is highly recommended to do regular physical activities, get enough sleep, lower stress levels, perform pelvic floor exercises moderately, and refrain from constant erectile testing.

Techniques such as pacing, pause-and-start, condom usage for decreased sensitivity, and reduced focus on the act itself during sex could be applied.

I hope it helps.

For further queries, you can consult me.

Thank you.