¿Por qué tengo una erección débil y menos placer aunque el urólogo dijo que todo está normal?

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

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.

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Este patrón (erecciones débiles, eyaculación rápida, placer plano y esa breve sensación casi-orgásmica) es muy común tras años de consumo intenso de pornografía y masturbación frecuente solo en el glande, lo que provoca desensibilización; la mayoría de los hombres experimentan una gran mejora al hacer un reinicio completo de la pornografía, reduciendo la masturbación a un máximo de 1-2 veces por semana, utilizando solo el tacto de todo el pene sin pornografía ni ayudas visuales, y dándole de 6 a 12 semanas para restablecerse.

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