Why is my erection weak and pleasure reduced even though the urologist said everything is normal?

Sexual health
1

I am a 34-year-old man and I have been experiencing several changes in my sexual function for some time now. Here is a clear summary of my symptoms:

  • When I watch porn, I get a very brief feeling (only 3–5 seconds) like something is about to come out from my penis (like the start of ejaculation or orgasm), but nothing actually comes out and the feeling disappears quickly.

  • I masturbate very frequently, and I mostly stimulate only the head (glans) of my penis instead of using the whole shaft.

  • My erection quality has decreased significantly. I currently only get about 60% hardness naturally, even when aroused.

  • I ejaculate much faster (10-20 sec)

  • Sexual pleasure and sensation have become much weaker. I don’t feel the strong, special pleasure I used to feel during masturbation or when aroused. Everything feels less enjoyable and almost “flat.”

I visited a urologist who examined me and said there is no physical problem with my penis. I tried Viagra for 2 days and my erection became 100% strong during those days, but everything returned to the previous weak state (60% erection, quick ejaculation, low pleasure) as soon as I stopped.

I am worried because these changes are affecting my confidence and enjoyment. I suspect my heavy porn use and the way I masturbate (only the head, very frequently) may be contributing to desensitization or changed responses.

I don’t think it’s just anxiety. Something feels wrong with the sensitivity and response of my penis.

What could be causing this? i’m suffering since 3 years

2

Do you get 60% erection without contact? And do you wake up with an erection? If any of the previous two questions are true you don’t have erectile dysfunction. This means you watch porn too much and your brain is desensitized.

1 Like
4

this pattern (weak erections, fast finish, flat pleasure, and that brief almost-orgasm feeling) is very common from years of heavy porn + glans-only frequent masturbation causing desensitization; most guys see big improvement by doing a full porn reboot, dropping to 1-2x/week max masturbation using only full-shaft touch with no porn or visual aids, and giving it 6-12 weeks to reset.

5

Do you exercise? Working out is important to have strong erections, especially cardio