An article appeared in “The good men project”. This article addressed porn and masturbation and the affect they have on ED, if any. In this, the author lays down three steps which according to him can help the individuals come out or at least improve the porn-induced erectile difficulties. In this article, the specific agenda was frequent masturbation to porn. This article, however, is not for people who have any underlying reasons for Erectile Dysfunction such as Obesity, Blood pressure, other heart issues, COPD, Diabetes, these are more common in early or mid-forties and in such cases a medical intervention is a must. Also, people who have not had an erection since early days or have been watching porn since long and then getting stiff, there might be a need for a sex therapist.

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Here it is discussed about males who jerk off at least 5 times a week (while watching porn mostly) and have been doing so for last 6 months. This here is a resultant of muscle memory, by doing the same exercise over and over, you have trained your muscles and this movement of muscles leads to the erection. Mentioned below are three steps to reverse the effects of masturbation (not full proof though) on your erection.

  • Abstinence! Allow your body to unlearn what it had learned. Engage yourself elsewhere and fight the addiction, this will help you masturbate less. If you have been a frequent watcher and jerk off often, you need to give yourself at least a month’s break so that your body resets the system and you can get back in the game. You can continue to have sex with your female partner just don’t have it with yourself for some time.

  • After a month’s gap, you can, if you feel like a start to jerk but keep a check on the activity. Maintain some three to four days gap and do it once, don’t overdo it else there can be the relapse. This time do not use porn, use your imagination itself and that with real life incidences. Use your sense of touch and not the sense of sight. This may take time, you might feel that only some of the fantasies are leading to erection but it is important for you to stick to these and make your body learn the sense of touch. Motion creates the build-up for orgasm, sex requires the motility of hips whereas masturbation involves a movement of hands, try to inculcate this habit. You have to stop and improvise after two weeks and try to retain your erection by leaving it mid-way. It is a gradual process and this step can take up to 3 weeks. If you find it working you can refer to the article.

  • If you have been following the first two steps then you may improvise a bit more. Try something new, a change of position(sit, lie down, stand etc.). Use props like condoms like you would do in real life, this way you will train your memory to get used to real life situation and that may help you perform.

Management of ED with Sildenafil Citrate: 

Sildenafil Citrate came into being in 1998 and since then has been extensively used for the management of erectile dysfunction. This drug came as a boon for males suffering from ED or Impotence and helps them manage their condition effectively by offering a massive erection that lingered around for longer than usual. This product brought a paradigm shift in how ED was looked at and how it was treated. Sildenafil Citrate is an FDA approved compound that is used for the provided indication and is used in prominent brand names like Viagra.

Sildenafil Citrate is a cGMP specific PDE-5 inhibitor category medication. This drug stops the functioning of this enzyme PDE-5 as it disintegrates a chemical known as cGMP which is important for erection as it enhances the blood flow by expanding the blood vessels in the penile zone. The increased blood flow leads to an erection.

Sildenafil Citrate is accessible in variable dosing strengths of 25, 50, 100, 150 and 200mg. The most preferred dose for the initiation of therapy for the management of ED is 25mg, the dose strengths can be taken upwards keeping in mind the safety profile and response required. Take one tablet about 60 minutes before involving yourself in lovemaking. The second tablet needs to be taken after finishing 24 hours as benefits of this medicine stay in the body for 4 hours. This needs to take with water.

Sildenafil has a good tolerability profile though it does affect a few of the users with some side effects. Some side effects that may affect a few of the users are an unclear vision, heartburn, headache, vomiting, back pain, light-headedness, muscle aches, nasal blocking, redness of the face, or extended or painful erection.

Precautions that can help make the therapy more conducive:

Do not take Sildenafil Citrate concomitantly with Nitrate medications which are used for the management of Angina, this can make way for sudden and severe hypotension. In some this medication induces dizziness and lightheadedness, do not drive or engage in possibly unsafe tasks till you know how you react to this drug. It is very important to tell your doctor if protracted erection remains for 4 hours.

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