I am male 25 year. When I watch porn, I get my dick harder. When with any girl also I get harder dick. But when I try to masturbate without any porn my dick is not getting hard, I am worried if I have erectile dysfunction. Is it?

Dr. Rahul GuptaSexologist15yrs exp

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Hello- think of your sexual energy as a water bottle. Its capacity is limited. Drink enough water in a short period of time, and the bottle will run out of its contents. Now think of neurochemicals, i.e. Testosterone, estrogen, nitric oxide, dopamine and serotonin, as the molecules that make up the water. Each time you engage in sex, you deplete the reserve of neurochemicals. Men who watch excessive porn elevate their dopamine and serotonin levels to consistently high level. The body begins to crave the same levels of the neurochemicals to satisfy its urges. Meanwhile, too much masturbation further depletes the reserve of testosterone, dopamine and serotonin while weakening the parasympathetic nerves, endocrine and immune systems. Too much masturbation results in the depletion of essential hormones and neurotransmitters. To counterbalance the low levels of neurochemicals, the body produces cortisol and prostaglandin e-2, stress hormones that inflames the body and stymie the production of neurochemicals. Without the necessary ingredients for sex, you experience impotence.  

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Dr. M S HaqueSexologist38yrs exp

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There's no singular cause for erectile dysfunction. Instead, erection issues can be caused by a range of different factors, from physical ones like cardiovascular health issues, to psychological ones like performance anxiety, depression or potentially even overuse of pornography. Most cases of ed are caused by physical problems alone or in combination with emotional ones. Just about any medical condition that affects your nerves or blood vessels could hurt your ability to have erections. High blood pressure, heart disease, multiple sclerosis, kidney disease, and diabetes can all lead to ed.  

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