Men use various techniques of masturbation, which may interfere with their sexual function (e.g., masturbation in prone position, using very intensive strokes, pressing, folding, or touching their penis in a particular way). These masturbatory habits sometimes result in sexual dysfunction (e.g., ED, delayed ejaculation, reduced desire and sexual dissatisfaction). Therefore, it is important for physicians and therapists to take a detailed sexual history.

ED occurs when a man cannot get or keep an erection firm enough for intercourse. Causes can be physical, psychological, or both. Here are some examples :

• Poor blood flow to the penis
• Nerve damage
• Hormonal issues
• Medication side effects
• Peyronie’s disease
• Psychological and emotional problems.

Certain conditions, such as diabetes, and medications, such as certain anti-depressants, can also cause erectile dysfunction.

Other factors that can prevent a men from getting or maintaining an erection include lack of attraction to a partner, a negative body image, a lack of self-esteem, problems in relationships, or using alcohol or other drugs. Sometimes just being tired or not in the mood for sex can prevent a men from getting or maintaining an erection.

While masturbation does not cause ED directly, research suggests a connection for men who view pornography. Masturbating while watching porn can lead to over stimulation and, in turn, changes in brain chemistry. When this happens, a man might find that he has trouble getting an erection when he is with an actual partner. Or, he might need the level of stimulation provided by pornography (which a partner might not be able to provide) to get an erection.

It’s important for men and their partners to accept occasional erection problems as a normal part of their sex lives and not become so anxious that it makes having sex less pleasurable and more difficult. It’s also important to talk with your health care provider if erectile dysfunction becomes an ongoing and unrelieved problem.