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Suffering from erectile dysfunction and lack of ejaculation. What is the required treatment?

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Practicing since : 1995
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Yesterday during a heavy make out session/dry humping/rubbing(yes i know, how juvenile) with my girl i became extremely aroused(like normal) and after sometime my erection just vanished, it was gone as quick as it came. I don't remember feeling any abrupt pain or hearing any "popping" sounds at all, just a loss of erection and rather quickly at that. When I got home I tried to achieve an erection to "see if it still worked" so to speak and was unsuccessful at achieving an erection; this freaked me out. I did have a strong feeling of "extreme blue balls" and a general odd feeling in the area, but I attributed that to the lack of ejaculation. At the time my erection was maintained for quite awhile and was contained/restricted by my shorts and somewhat laid off/bent to the side when the incident occurred. I have a strong feeling a screwed something up "down there" . I have obv since Google "penis tear" and "broke penis" etc. and have read some rather frightening things regarding what I may be experiencing, even though my symptoms aren't fully inline with an aggressive tear. There is no bruising or misconfiguration and other than the fact I cannot get a boner right now, everything seems fine.

This morning I did have a morning erection, but it was nowhere near full as it usually is. This makes me feel a bit more at ease but still, this has me pretty freaked out. In the shower this morning I tried to see if "it worked" but still was unsuccessful. My gut tells me its all in my head and that I'm over thinking things but it's still rather concerning to me.

At the moment there is no real pain to speak of. I seem to be hanging a lot softer and smaller today and my scrotum closer to my body. Could I have experienced some sort of trama/bruising that subconsciously has me unable to achieve an erection due to the stress it was put under yesterday? How soon should I seek medical attention if things do not improve? This is obv an area of my body in which I do not want to mess around with, but on the other hand something tells me I could be overreacting a bit and the constant thinking/stressing over "what could be" is taking it's toll and not letting me "function".

Little background about myself:

28yrs old, all around pretty healthy with no underlying major healthy issues. Not overweight, eat well and I am extremely active. I have never had a problem achieving or maintaining an erection; it's never been a worry til now.

My very erect penis was bent sideways in my shorts and rubbed on very aggressively; it's entirely possible that I have a minor tear, even tho I didn't have actual intercourse. All the symptoms are there which have led me to believe I have definitely caused some sort of trauma to my penis. I have tried to achieve an erection a few times today, and while I can def feel a rush of blood going to my penis, and it starts to become erect, but then I get a dull ache and its instantly lost; almost like my brain/body wont let me get fully hard due to injury. My testicles are far more sensitive today and are slightly swollen as well. Mind you this happened some ~26 hours ago exactly.

My main worry is how soon should I seek medical attention if things do not seem to "fix" themselves? What should I be doing on my own to help things start to heal? Ice? anti-inflammatory?

This morning I tried to stimulate myself and achieve an erection and was able to start the process but as soon as a good amount of blood flowed i got a dull ache in my penis and the erection that started vanished immediately. I think I have something going wrong that is inhibiting myself from letting go both physically and mentally, like the associated pain and past trauma from the other day is still lingering. Should I hold off for on trying to achieve a full erection for a week or so just to let the area heal?
Posted Tue, 9 Oct 2012 in Erectile Dysfunction
Answered by Dr. V. Sasanka 44 minutes later
I think you are right - you could have sustained a minor trauma to the layers of penis (we call them tunicae) which normally help sustain the blood flow during erection) and thereby a leak could have developed causing your erect penis to lose blood quickly.
If that indeed is a cause, there is no reason for you to wait, and I suggest you get yourself examined at a medical center where a radiologist / sonologist can do what we term a 'Penile Doppler' examination. This should be able to pinpoint the site of leak, if any. This is a slightly invasive test in that you will have to receive a tiny injection to your phallus, but if you are not comfortable with that, there is an option of MRI of soft tissues of penis which also can show any defect in the covering layers. Depending on the finding of these tests, your next treatment could vary. Some tears may need surgical correction, while once in a while some patients have managed to do well with conservative treatment.
If the penile Doppler / MRI are OK or not conclusive, I would suggest you go easy regarding erections for a few days, and learn to de-stress yourself, and after 15 days or so, try and see if things are back to normal.
Either way, you need to get this examination, and I will be quite happy to advise once I know the results of the investigation.
Hope I have been able to help you.
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