Is it possible that I "broke" my prostate? + supplement advice needed

[smoltwerp]

Hello! I'm turning 23 this year, and for the past 2 years I have been struggling with an ED issue ( I think) that was caused by me which I will absolutely regard as the stupidest decision in my whole life, until I die.

Okay, so context. Ever since I've self discovered masturbation, it's become a part of my life as it has with many of you I'm sure. Back then I have always been a fast cummer, even moreso if I use soap, oil, basically any other liquids that could get my dick wet and slippery. Of course I had my concerns, but I thought it was because I was still young and it would probably get better by the time I grew into an adult.

It didn't. Even to this day I am still a fast cummer. So 2 years ago, the global pandemic had made everyone stay in their homes and with nothing much to do (I was still studying in college), I turned to masturbation as a routine to kill time and relieve stress.

I have never been that addicted to masturbation. Usually it's around 2-3 times a week, with the most being 4 times (very seldom).
Being a person with very low self esteem, acceptance, and self love, I once again became very paranoid with how my dick is underperforming. I'm skinny, and my dick is only about 9 centimeters. The least I could do is crank up the game, is what I thought back then.

So after a reading thru a bunch of articles et cetera, I went on Reddit and tried asking for some tips. Mostly common ones I got, like kegel, edging and whatnot. There was this one guy though that suggested I try pressing the perineum when I feel the urge to cum. That one was new, so I was excited to try it out.

I was in the shower and I was fapping so hard eager to test this theory. When I felt the urge to cum, I pressed my perineum and lo and behold, it decreased the urge just like that Redditor said! "I can't believe that worked!"
So I did it for a few times again. When I really felt like I couldn't hold it in anymore, I pressed it even harder.

And everything goes downhill from there. I would usually cum a lot, over quite a far distance (even though my penis is minuscule!) but that time I cummed nothing. Nothing came out. The delicious orgasm that I had expected to envelop my lower body wasn't there anymore. My penis instantly went limp and cold. I was shocked, confused on what was going on. I thought it was weird but maybe it's just a one time thing I presumed.

No. It lasted even to this day. My penis has become limper, colder, the usual warmth isn't there anymore. It's become more difficult to get and maintain an erection, and it's fair to say that my penis has become numb to sensation. I don't feel orgasm anymore, except from the sheer pleasure of ejaculating. I still shoot a lot, but my cum isn't as thick and white as it used to be. I think my libido has severely decreased as well compared to before the incident, and it's been a long time since I last got a morning wood or a wet dream.

I didn't dare to go to an urologist because I was still living w/ my parents (and doing so would reveal to them that their son loves masturbating which isn't necessarily good for a christian family...)

I went to a supposedly senior urologist yesterday (because I have moved to a different city) and he told me that it was just a psychological issue. There's nothing wrong with my prostate or whatever, and that I should just stop worrying, stop masturbating, and exercise. He insisted on not doing any kinds of tests because he "could just tell" and that "you're still very young , no need for tests or meds"

I don't believe him. I genuinely think that there's something wrong with me. It's such a drastic change that no one could chalk it up to me as "you're just thinking too much", bullshit. I'm planning to go to another urologist this week to hear what they have to say. Any help or suggestions from you guys would be very appreciated. Idk where else to go.

I'm also planning to buy some pygeum ,saw palmetto, and l arginine supplements but since such things are quite expensive (I have the money, I just don't want to waste it), can you share your stories of your experience with said supplements, possible side effects (this one I'm really afraid since I am traumatized by some meds a psychiatrist gave me), and overall some advice on usage and good brands? Thanks a lot!

 

[jaegerhusk]

I think I'd be feeling the same as you, especially if I felt my urologist was dismissive over my symptoms. For any man, it can be very distressing to have this sort of experience but it's especially tough for guys your age.

I do think it is unlikely that you've damaged your prostate. If you had a prostate exam then you'll know first hand how difficult it is to actually get to it so I think it is unlikely you've done something to your prostate by pressing on your taint. The perineal muscles do influence our sexual function as well as bladder control so if everything else is OK, like you're not having any other symptoms like bleeding or problems urinating, I think it is less likely that you've damaged your muscles.

When I worked as a hypnotherapist, I would occasionally have men, sometimes quite young men, come to me who have had issues with getting or maintaining an erection so I have seen first hand how distressing this is for guys. The idea that this is "just" a psychological issue can feel really dismissive but the truth is that mind can have a really powerful impact over matter. If we're worried about not getting an erection or not having a good enough time or are anticipating problems then it is likely that this would have its own impact which is something I worked on with the guys who came to see me. When they were able to stop worrying about things "working" they were able to actually do what they wanted to do.

If you're thinking about supplements, I found that pygeum was the only one that had any noticeable effect and it seemed to make me precum a lot more than usual. Please make sure that, if you do take supplements, you get them from respectable suppliers but also take into account that the supplements you talked about would do nothing to affect a perineal injury. If you do masturbate less, or practice edging where you deny yourself that climax, you will eventually find yourself having more semen and being more stimulated.

If you've had a traumatic experience with medication from a psychiatrist, it is worth noting that if you are currently taking any medication for your mental health, sometimes side effects can be problems with sexual functions. Side effects with medication can bizarrely come and go so if it is something you've never experienced before, that doesn't mean it isn't the onset of a side effect and it also doesn't mean that it won't pass.

My advice would be to try to forget about it for a while. Focus on other things. Every time you masturbate, you're focusing on what your dick isn't doing and this pressure will certainly be inhibiting any enjoyment you can take from that experience regardless on whether or not you're having any physical issues as well. Take supplements if you want but do so in consultation with your doctor especially if you're taking other medication.

 

[neintynein]

Hello! I'm turning 23 this year, and for the past 2 years I have been struggling with an ED issue ( I think) that was caused by me which I will absolutely regard as the stupidest decision in my whole life, until I die.

Okay, so context. Ever since I've self discovered masturbation, it's become a part of my life as it has with many of you I'm sure. Back then I have always been a fast cummer, even moreso if I use soap, oil, basically any other liquids that could get my dick wet and slippery. Of course I had my concerns, but I thought it was because I was still young and it would probably get better by the time I grew into an adult.

It didn't. Even to this day I am still a fast cummer. So 2 years ago, the global pandemic had made everyone stay in their homes and with nothing much to do (I was still studying in college), I turned to masturbation as a routine to kill time and relieve stress.

I have never been that addicted to masturbation. Usually it's around 2-3 times a week, with the most being 4 times (very seldom).
Being a person with very low self esteem, acceptance, and self love, I once again became very paranoid with how my dick is underperforming. I'm skinny, and my dick is only about 9 centimeters. The least I could do is crank up the game, is what I thought back then.

So after a reading thru a bunch of articles et cetera, I went on Reddit and tried asking for some tips. Mostly common ones I got, like kegel, edging and whatnot. There was this one guy though that suggested I try pressing the perineum when I feel the urge to cum. That one was new, so I was excited to try it out.

I was in the shower and I was fapping so hard eager to test this theory. When I felt the urge to cum, I pressed my perineum and lo and behold, it decreased the urge just like that Redditor said! "I can't believe that worked!"
So I did it for a few times again. When I really felt like I couldn't hold it in anymore, I pressed it even harder.

And everything goes downhill from there. I would usually cum a lot, over quite a far distance (even though my penis is minuscule!) but that time I cummed nothing. Nothing came out. The delicious orgasm that I had expected to envelop my lower body wasn't there anymore. My penis instantly went limp and cold. I was shocked, confused on what was going on. I thought it was weird but maybe it's just a one time thing I presumed.

No. It lasted even to this day. My penis has become limper, colder, the usual warmth isn't there anymore. It's become more difficult to get and maintain an erection, and it's fair to say that my penis has become numb to sensation. I don't feel orgasm anymore, except from the sheer pleasure of ejaculating. I still shoot a lot, but my cum isn't as thick and white as it used to be. I think my libido has severely decreased as well compared to before the incident, and it's been a long time since I last got a morning wood or a wet dream.

I didn't dare to go to an urologist because I was still living w/ my parents (and doing so would reveal to them that their son loves masturbating which isn't necessarily good for a christian family...)

I went to a supposedly senior urologist yesterday (because I have moved to a different city) and he told me that it was just a psychological issue. There's nothing wrong with my prostate or whatever, and that I should just stop worrying, stop masturbating, and exercise. He insisted on not doing any kinds of tests because he "could just tell" and that "you're still very young , no need for tests or meds"

I don't believe him. I genuinely think that there's something wrong with me. It's such a drastic change that no one could chalk it up to me as "you're just thinking too much", bullshit. I'm planning to go to another urologist this week to hear what they have to say. Any help or suggestions from you guys would be very appreciated. Idk where else to go.

I'm also planning to buy some pygeum ,saw palmetto, and l arginine supplements but since such things are quite expensive (I have the money, I just don't want to waste it), can you share your stories of your experience with said supplements, possible side effects (this one I'm really afraid since I am traumatized by some meds a psychiatrist gave me), and overall some advice on usage and good brands? Thanks a lot!

See a different urologist. Get an ultrasound. I don't think it's your prostate but have your whole anatomy checked. Damage to the vas deferens?

Disclosure: I AM NOT A DOCTOR, I AM SOME GUY WHO SENT YOU A SUGGESTION ON A PORN/PERVERSION SITE. But still. If you can go to a university research hospital that's the ideal choice. Expertise. Get checked out. Tell them specifically that you are concerned by the last doctor's dismissal, and by the fact that by the sound of it some time elapsed between when this started happening and when you were first able to seek medical attention.

As for a regular doctor in your new destination, get an internist, not a general practitioner. They have a lot more training, know all the body's systems well and can coordinate with whatever specialists you need. If you can, find a sex-positive clinic and practitioner. You might try any clinic that specifically calls out that they have a practice that's LGBTQ+ friendly. Those doctors won't blink at whatever comes through the door. They will have seen much stranger things than you, and won't judge, you can speak freely. They could refer you to the urologist.

 

[4_men]

You should definitely see another doctor. I don’t think it’s something to do with prostate. I agree with @neintynein

when it comes to supplement, I used Now Foods: Pegyum saw palmento supplement and it was giving me a lot of precum but again I don’t believe it’s related to prostate. Please see a doctor and try not to turn this into a psychological trauma

 

[Hairylegs]

Morning, Captain. First, a second opinion is rarely a bad thing. I'm not certain how you did it, but you are having "retrograde ejaculations". The pressure you are putting on your prostate is forcing your cum to shoot backwards into your bladder. You are jerking off to orgasm, you feel the orgasm, but rather than squirting into your urethra and out of your dick, you are shooting the other way. You will see the melted cum when you pee. No, you did not "break" your prostate. You couldn't, and even if you could, it would hurt like hell! You didn't tell us how long it take you from the start of your jerking your penis until you cum. I'm convinced everyone has his own set rate, and it's pretty rare for a determined guy to last more than 2 minutes. If you watch amateur porn of young guys jerking off, time them from limp dick to dick snot, most of them take about a minute and a half. True premature ejaculation is a matter of seconds, frequently without any touching of the penis. If it is still a worry, ask your doctor for viagra or similar meds. It won't stop your premature ejaculation, but it should keep you hard enough to easily go for a second round, either by yourself, fucking a girl, or messing around with a guy. Your not alone, you aren't the only one this happens to, just try to relax, and just enjoy yourself. By the way, your dad still jerks off also, you just don't know about it. We all do, even after getting married! Best wishes.

 

[neintynein]

By the way, your dad still jerks off also, you just don't know about it. We all do, even after getting married! Best wishes.

LOL!!!

 

[smoltwerp]

Thanks for the replies guys!!

Update: I went for online teleconsultations (because my mom is visiting) with 2 more urologists and they gave me the same answer: live healthily, workout, eat well, et cetera. So again what they have concluded is that it's more likely to be a psychological problem. I'm still not 100% buying this whole mind crap thing but I guess it won't hurt to try doing their advice. So I went and bought some foods like dark chocolate, nuts, coconut water, anything the internet say could have the potential to boost my performance.

If you guys have any suggestions or recommendations on what food, snacks that have proved to be effective, that would be awesome!

P.S one of the doctors mentioned the possibility of me experiencing what seems to be varicocele. It's like the blood vessels inside your balls are swollen or something and it might be affecting my penis.

 

[smoltwerp]

Morning, Captain. First, a second opinion is rarely a bad thing. I'm not certain how you did it, but you are having "retrograde ejaculations". The pressure you are putting on your prostate is forcing your cum to shoot backwards into your bladder. You are jerking off to orgasm, you feel the orgasm, but rather than squirting into your urethra and out of your dick, you are shooting the other way. You will see the melted cum when you pee. No, you did not "break" your prostate. You couldn't, and even if you could, it would hurt like hell!

Thanks for the insight, I haven't even heard of retrogade ejaculations before! But the "cumming but no cum" thing just happened the first time I tinkered with my perineum. All subsequent ejaculations, even to this day, has me shooting cum (albeit it does have a more runny consistency and not that thick nor white compared to my cum 2 years ago)

Also I really appreciate you trying to lift me up! I'm very insecure because I see all those dudes jerking up and they can last quite a long time

 

[smoltwerp]

If you're thinking about supplements, I found that pygeum was the only one that had any noticeable effect and it seemed to make me precum a lot more than usual. Please make sure that, if you do take supplements, you get them from respectable suppliers but also take into account that the supplements you talked about would do nothing to affect a perineal injury.

What brand did you use if I may ask? Word of mouth is always a priority to me.

My advice would be to try to forget about it for a while. Focus on other things. Every time you masturbate, you're focusing on what your dick isn't doing and this pressure will certainly be inhibiting any enjoyment you can take from that experience regardless on whether or not you're having any physical issues as well. Take supplements if you want but do so in consultation with your doctor especially if you're taking other medication.

This is exactly what one of my doctors said! I'll try my best not to think about it

 

[smoltwerp]

See a different urologist. Get an ultrasound. I don't think it's your prostate but have your whole anatomy checked. Damage to the vas deferens?

I'm definitely going to get an ultrasound later on! Thanks for the advice!

 

[Hairylegs]

Again, damage to the vas is going to hurt like hell. He isn't hurting! Varicoceles are varicose/swollen veins around the the plumbing that goes from behind the testicle into the abdomen. Bad ones look like a sack of worms just hanging out in your scrotum/sac. They feel like a sack of worms, only they don't move. They can be completely asymptomatic to ouch! they hurt! As for supplements, please, please don't make yourself crazy, don't waste your money. THEY DO NOT WORK! Worst of all, 99% come out of China, where there is no quality control as to what goes into the "supplement", nor how much toxic lead and heavy metal you are consuming. All are worthless, many are potentially toxic. As for the Captain's cum consistency, the more hydrated you are or the longer you have been stimulating yourself with edging, the more watery and the greater the volume of cum you will be delivering. Thick, sticky, drop or two, is still normal, and usually what you see with frequent ejaculations, like daily or several times a day. It doesn't mean anything. When you do a semen analysis, you need to abstain from ejaculating for 3 days, and normal volume is 3-5 ml, less than a teaspoons. To my insecure friend who sees those good looking boys producing deciliters of thick, rich, white semen, it's fake. What matters Captain is that your dick gets stiff, it responds quickly and properly to being pumped either by hand, mouth, pussy, or butt, you squirt out the messy fun stuff, and that it feels good. The rest is your imagination! Have fun guys, and please lay off the supplements!

 

[nhguy78]

Before you worry too much, make sure you are taking care of yourself. Get the appropriate amount of water. Water can seriously affect every part of your body especially cum volume. Start there.

 

[Acratopotes]

To understand what may be going on here, I think it would be useful to see some pictures of the relevant anatomy. This picture shows this from a urinary perspective, i.e. it omits the reproductive bits, but is a good starting point:

The things to here are the location of the prostate gland and the pair of sphincters both immediately upstream and downstream of it. The upstream one, just at the point where the bladder neck becomes the urethra, and called the internal urethral sphincter, is involuntary, i.e. you cannot consciously control it. It is normally closed but opens automatically when you need to pee.

The downstream one, called the external urethral sphincter can be conciously controlled. It is this you use if you need to pee but want to delay it because you aren't somewhere suitable.

Now to add in the reproductive function, look at this:

Sperm make their way from the end of the epididymis up the vas defrens. As far as I know that isn't limited to ejaculation but happens all the time, which is why you need time after a vasectomy to be clear of sperm because, at the time of the op, some are already up inside the body ready for ejaculation.

When we ejaculate, the sperm are joined by fluid from the seminal vesicles, then that mixture is joined by yet more fluid from the prostate gland. All of this ends up in the bit of the urethra that is inside the prostate gland, between the two sphincters I already mentioned. Assembling the semen there is called the emission phase of ejaculation. You can actually feel that happening before anything spurts out and it feels good.

At that point the internal sphincter will be closed*, to direct the semen outwards and not into the bladder, and the external one will be open to allow it out. Finally muscular contractions push the semen down the urethra and out of the penis.

Pressing on your taint while cumming will have had the effect of blocking the urethra downstream of the external sphincter, much as you can cut off the flow in a garden hose by pinching it. The muscular contractions still happen to a piece of the urethra now closed at both ends: by the internal sphincter at the upstream end and the blockage from the pressure on your taint at the downstream end, so the pressure inside will increase. Something has got to give and what usually happens is that the internal sphincter leaks and the semen ends up in the bladder. That is the retrograde ejaculation referred to earlier.

What is not clear is why that happening as a one off should cause things to malfunction thereafter. Because the internal sphincter is involuntary, I can't see how you could strain the muscle involved. But is there another way it could be damaged so that subsequent ejaculations are also retrograde and end up in the bladder? I don't know? I am not a urologist. I know some people do this thing of pressing on the taint regularly and seem to get away with it, others warn against it. It does seem hard to believe that the whole load would go upstream through a slightly damaged or malfunctioning internal sphincter when the downstream route is clear, unless that sphincter is wide open.

As for a physical cause, there is no point in considering anything upstream of the seminal vesicles as those and the prostate gland make up most of the volume.

* The ejaculation reflex taking over the internal sphincter is why we can't pee when highly aroused and close to cumming. It can also take a few seconds to return to normal afterwards.

 

[Adrian69702006]

I'd say it was worth seeing a Urologist who was prepared to do a physical examination. Even if he finds nothing amiss, it's worth it just to be reassured. At your age things should still work reasonably well, although there will come a time when things start to head south and performance becomes unreliable. Are you still weeing okay? If urological function is normal, I'd inclined to not be too worried.

 

[678wsb]

This definitely sounds psychological.

 

[smoltwerp]

I'd say it was worth seeing a Urologist who was prepared to do a physical examination. Even if he finds nothing amiss, it's worth it just to be reassured. At your age things should still work reasonably well, although there will come a time when things start to head south and performance becomes unreliable. Are you still weeing okay? If urological function is normal, I'd inclined to not be too worried.

I am still urinating as usual. No pain or anything. Ejaculation still works and I usually shoot out a lot provided I do some edging beforehand.. it's just that the orgasm and erection have both decreased in quality..

Sometimes I experience a stinging pain near the scrotum - perineum part though. But it happens like only 7% and very randomly without any cause whatsoever.

 

[smoltwerp]

What is not clear is why that happening as a one off should cause things to malfunction thereafter. Because the internal sphincter is involuntary, I can't see how you could strain the muscle involved. But is there another way it could be damaged so that subsequent ejaculations are also retrograde and end up in the bladder? I don't know? I am not a urologist. I know some people do this thing of pressing on the taint regularly and seem to get away with it, others warn against it. It does seem hard to believe that the whole load would go upstream through a slightly damaged or malfunctioning internal sphincter when the downstream route is clear, unless that sphincter is wide open.

As for a physical cause, there is no point in considering anything upstream of the seminal vesicles as those and the prostate gland make up most of the volume.

Thank you, I very much appreciate your detailed analysis on this. I don't think it's a case of retrograde ejaculation though (maybe the first time , it was) since to this day I am still cumming normally...

At this point I still don't know what's happening to me, but I'm trying to enhance erection, orgasm, and produce quality by doing kegels, eating aphrodisiac foods and taking my supps. Hope it'll work!

 

[deleted6604081]

I think I'd be feeling the same as you, especially if I felt my urologist was dismissive over my symptoms. For any man, it can be very distressing to have this sort of experience but it's especially tough for guys your age.

I do think it is unlikely that you've damaged your prostate. If you had a prostate exam then you'll know first hand how difficult it is to actually get to it so I think it is unlikely you've done something to your prostate by pressing on your taint. The perineal muscles do influence our sexual function as well as bladder control so if everything else is OK, like you're not having any other symptoms like bleeding or problems urinating, I think it is less likely that you've damaged your muscles.

When I worked as a hypnotherapist, I would occasionally have men, sometimes quite young men, come to me who have had issues with getting or maintaining an erection so I have seen first hand how distressing this is for guys. The idea that this is "just" a psychological issue can feel really dismissive but the truth is that mind can have a really powerful impact over matter. If we're worried about not getting an erection or not having a good enough time or are anticipating problems then it is likely that this would have its own impact which is something I worked on with the guys who came to see me. When they were able to stop worrying about things "working" they were able to actually do what they wanted to do.

If you're thinking about supplements, I found that pygeum was the only one that had any noticeable effect and it seemed to make me precum a lot more than usual. Please make sure that, if you do take supplements, you get them from respectable suppliers but also take into account that the supplements you talked about would do nothing to affect a perineal injury. If you do masturbate less, or practice edging where you deny yourself that climax, you will eventually find yourself having more semen and being more stimulated.

If you've had a traumatic experience with medication from a psychiatrist, it is worth noting that if you are currently taking any medication for your mental health, sometimes side effects can be problems with sexual functions. Side effects with medication can bizarrely come and go so if it is something you've never experienced before, that doesn't mean it isn't the onset of a side effect and it also doesn't mean that it won't pass.

My advice would be to try to forget about it for a while. Focus on other things. Every time you masturbate, you're focusing on what your dick isn't doing and this pressure will certainly be inhibiting any enjoyment you can take from that experience regardless on whether or not you're having any physical issues as well. Take supplements if you want but do so in consultation with your doctor especially if you're taking other medication.

Quite possibly the most sensible, thoughtful and intelligent response. Well done.

 

[Habbbbooooo]

Take 4000 micrograms/day of Vitamin D for 1 month. Also start taking 1 capsule of Stinging Nettle Root for 1 month. You will live.

 

[smoltwerp]

Take 4000 micrograms/day of Vitamin D for 1 month. Also start taking 1 capsule of Stinging Nettle Root for 1 month. You will live.

I'm taking multivitamins as well as celery seed (as I've heard that it increases precum production) and if I'm not mistaken it gives the same effects as stinging nettle root based on what I read online about it