Question: Hello doctor I am 27 year old XXXXXXX male, i have always had weak erections from the start. I attributed it to a short frenulum due to which i was not able to retract my foreskin completely. One year back i had frenulum lenghthening surgery after which my erections improved. I feel my frenulum is still short and i need another surgery. Because I am not able to retract it completely in erect state.
Also i am not able to get erections without physical stimulation. I get little stronger erection while watching porn and stimulating continuous and tend to loose the erection a soon as i stop shaking the fore skin. I dont remember getting any morning erection recently. Although i had a spontaneous erection recently without any physical stimulation.
I have never had intercourse so I cant comment on what will happen while i am with a girl.
My masturbation habits for longest time of my life have been different. I used to masturbate and ejaculate in flaccid state by holding the tip of my foreskin and rubbing it continuously. I also used to lie on my stomach and rubbed my penis on the matress or floor in my teens. For few years I have stopped them completely and masturbated normally in erected state. Now I am worried about my ED because I am about to get married. I have been always avoiding the possibilty of having a sexual intercourse with someone due to my tight frenulum and unabilty to achieve hard erections. Kindly advise on what should i do?? Does my habit of masturbating has caused damage to my penile veins or since i have been ejaculating in flaccide state for years and not tried to achieve erections for years of my teenage. Also my penis has a slight down and left curvature.

1. How long you are facing this problem (ED) ?
Never had full erections from the start of puberty. Best erections that i have had was after frenuloplasty last year. I used bad masturbation techniques as explained in the question which might have damaged the penis. My erections are weaker at base and my penis bends downwards and falls down fast. Only able to get erection while masturbating which dont last for long. Spontaneous erections are very very rare. I still have short frenulum and looking for another frenuloplasty.

2. How the problem started whether it was sudden in onset or build up slowly over the months or years?

It has been the case throughout but i never worried about it much until recently.

3. Frequency of the problem in a week/month ? Are you able to have some successful sexual intercourse/masturbation?

Never had intercourse but can masturbate successfully, able to achieve 60-70 % erection while masturbating. But while masturbating to porn erections get stronger. In both cases erection dont last for long.

4. In a typical month out of what number of sexual interactions/masturbation do not achieve success?
I am able to masturabate and ejaculate even without strong erections.


5. What are the factors that increase the problem ?
Recent stress and lack of proper sleep has affected more i guess.

6. Factors that relieve the problem- thoughts, situations, partner, place etc.

Watching porn while masturbating increases the quality of erection

7. Do you get early morning erection?

I cant remember waking upto an erection for a long time.

8. If yes how frequent and how intense?

None recently. Even from when i remember long time ago, were not very intense.

9. What is the frequency of spontaneous erections?
Very rare although i got a spontaneous erection last week half asleep in a train.

10. Effect on your health so far due to problem

It has given me more stress

11. Details of medical illness, like duration, any complications, treatment received till date.

Had frenuloplasty once last tear, frenulum is still tight, looking for another surgery
Suffering from androgenic hairloss

12. Medications you are receiving currently, if any including ayurvedic homeopathic or any other

Multivitamin for hairloss

13. Medication you received in past and their effect?

None regularly

14. Do you have any psychiatric illness (like anxiety, depression, fear)?

I have been feeling stress and some kind of depression for last 2-3 months due to relationship issues, family loss and hairloss. Not able to have a sound satisfying sleep. I work in rotating shifts so do not have a same sleep schedule throughout the week.

15. Investigations done till date and reports of most latest investigations- serum testosterone, TSH, T3, T4 and any other?

Checked thyroid 3 years back was normal
Never had testosterone checked

Thanks doctor,
I have some more queries.
Can these tests be done without a written consultation from a doctor?Specially the doppler test. What would be the approx cost for the tests?
Should i consult a urologist first physically?
Should i go through second frenuloplasty before doppler ultrasound to get better accurate results? Also this thread is going to close soon. How can i contact you later when i get reports or if i need consultation in future.

Thanks doctor last thing I want to ask if these tests are to be done fasting and are all of them readily available in small towns in XXXXXXX I will have blood tests and then visit a urologist. Thanks