Question:
Hi,

I am 35 years old make. A couple of months back, I was under a lot of stress and my sleep was disturbed due to that and at the same time I was also thinking about sex but due to my stressful situation, I was trying to take my attention away from sex. However as you know when you try to avoid something, it hits you back hard, so my penis was rock hard but I avoid masturburating for 3 months, infact even touching my penis and at the same time stress was there and my sleep disturbance i.e. my biological clock automatically adjusted to waking up after 4 hours of sleep and then one hour of NO sleep and then sleep ( Infact for a couple of days I got only a few hours of sleep) Also when I was not able to sleep I used to sit on the bed for 2 hours and then go to sleep.
One fine day the same thing was happening my Penis was Rock hard in the morning and afternoon but all of a sudden in the evening I felt something in my testicles, a feeling of shrinking or something . I thought it will go away but next morning I noticed that I was NOT able to get erection. I thought it will go away but it continued for few days. A few days later I started feeling very strong pain in testicles and I went to Doctor. He ordered a doppler effect which came back fine. HOwever the erection problem did not go away. At the same time I also started getting a feeling of gas which never passed away (This problem went away after I stopped sitting on the bed when I woke up during night, so can be XXXXXXX to my sitting position also). I was worried about prostate and doctor ordered Ultrasound on my request which came back Normal. (However I have read on the internet that sometimes ultrasound cannot detect prostate Cancer and you need MRI, so I am a bit worried). Anyhow, I am a big fan of natural recovery and had heard that fasting can solve some problems so I fasted completely for 3 days and then I went to a very low calorie diet for next 6 days. Meanwhile I was still worrried about erection, so doctor ordered hormones test for FSH, LH, Testosterone, Prolactin and thyroid, LFT and Kidney function Test and CBC+ESR. CBC, ESR, LFT, Kidney Function test were normal. Urinalysis was normal. LH was 1.77 mIU/mL which was in normal range as per lab, FSH 3.2 mIU/mL which was in normal range. LH/FSH ratio was 0.55. Procalactin was 4.22 ng/mL and TSH was 0.68 uIU/mL. Total Testosterone was 375.53 which although in normal range I beleive is NOT normal for my age . Free Testosterone was very low 2.93. One thing to note is that I had only four hours of sleep that day when I went for Test and as mentioned was still on a very low calorie diet since last 7 days

Worried about the results I started masturburating now assuming that this will fix the issue. Although the sexual excitement is there(less then before ) , Erection is still missing and I don't get the strong jerks which you get on climax. I also increased my diet. I am going to get another testosterone and hormone test to see if the things have improved now but there is still no Erection.

My worry is lets say if there is a prostate Cancer and since I am unmarried, is there a way to treat the same without effecting the reproductive life. The ultrasound I had for prostate 6 weeks back was normal but it was not an MRI of the prostate.

Regards

Hi ,


I have not got any PSA done yet. I am worried about getting it done. I had an Ultrasound done as you can see in my original question but I read somewhere that Ultrasound is NOT enough to detect Prostate Cancer and MRI is more accurate

Also my Testosterone levels especially my Free Testosterone levels are veryyy LOW as you can see for a 35 years old.

My Erectile dysfunction is still there after 2 months and I do not get strong jerks while masturburating.

Thanks Doctor,

My question then is what can cause SUDDEN Erectile Dysfunction. In the morning I had Rock hard penis and was dying to mastuburate and was controlling it somehow and the same evening my Penis went down like anything, never to come back again even nocturnal erections are not there.

The only thing is that I have been controlling my mastuburation since last 3 months and also was under stress.

So what causes such a sudden Erectile dysfunction where you have Rock Hard penis in the morning and completely down in the evening

Regards

Thanks a Lot Doctor, One Quick question please

Ok, SO What you are suggesting is that sudden erectile dysfunction in Penis can be caused by problems with Penis. Lets say the doppler effect of Penis also comes NORMAl, then what will you suspect next.

Given the fact that I took myself out of the stress state and have been watching laughter shows and mastuburating also now, so if this was a Psycological problem, wouldn't it would have been rectified by now

One more thing I would like to mention is that in the month of May 2014 due to some other reason ( I was having twiching in my scrotum), I went for Scrotal ULTRASOUND and it was normal and the doppler effect this time on 26th October was also normal but there is difference in Testes size and Volume between these 2 studies. In May 2014 My Right Testis on Ultrasound measured 47X30X25mm (volume(18.2 cc) and left 43X27X25mm (Volume 15.4 cc). This time when I went for Doppler, my Right Testis measured 46X32X21 (Volume 15.0 cc). The radiologist performing this mentioned that this was normal an differences can come between readings. Please remember that this time I went for Doppler study as my Testes were paining a lot after Erectile Dysfunction, although the pain went away the same day when I went for Doppler.