My penis don't get hard, I have serious ed problem. All it started around 1.5 year ago, when I had masturbation after consuming alcohol, I stocked very very hard, after ejaculation ,next morning I found my penis has swell too much. After that ed started, also I am habitual of masturbation. My penis size also reduced, and hardness has gone. Now I am very depressed. Please help.

Dr. Rahul GuptaSexologist14yrs exp

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Hello- a young teenage boy starts to experience a surge of testosterone, which helps grow pubic and facial hair, increases sexual desires and powers an erection. Over masturbation depletes the body of necessary testosterone, nitric oxide, acetylcholine, serotonin and dopamine, sex hormones and neurotransmitters necessary for a healthy sexual function. The impotence caused by o.m. Is due to a lack of four chemicals: testosterone, dopamine, serotonin and acetylcholine. Think of testosterone as the desire chemical. Each time you crave sex, it?s the body showcasing an elevated level of testosterone. Dopamine and serotonin control your pleasure and satisfaction levels. Each time you experience pleasure and satisfaction, dopamine and serotonin are the driving forces. Meanwhile, acetylcholine provides that ?excitement? feeling before and after sex. O.m. Depletes each of these chemicals damaging the desire for sex, the pleasure and satisfaction you feel from touching your penis or ejaculating, and the blood flow to the penis. But o.m. Elevates another set of chemicals: prostaglandin e2 and cortisol. Prostaglandin e2 and cortisol are both stress hormones; prostaglandin helps relax the muscles while cortisol controls stress levels. Except too much of either chemical creates some unwanted effects: fatigue and impotence.  

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