Does PE help or worsen impotence (ED)?
I found TP after looking for solutions to occasional ED. Part of my ED problem may be that I let a surgeon clip a branch of the ilioinguinal nerve during a hernia re-repair, leaving numbness in the pubic area—and occasionally beyond. I belatedly learned to ask lots of questions when it comes to messing with my personal plumbing. I’ve doing a newbie routine for over three weeks now (basic stretching and jelqing). Following others’ advice, I’ve also been taking low dosages of Cialis every 72 hours the past couple weeks. So while erections have been good for sex and PE lately, I don’t know whether to attribute that to initial exercises or the medication.
Regardless of whether my own ED is caused by neurological or circulatory impairment (probably both), I still have hesitations about jelqing. And beyond anecdotal evidence, I’m trying to research the physiology of how different PE routines can help or worsen ED.
ED from Arterial Plaque
The penis needs good blood supply to get hard. So having an expanded tunica from PE is of no use if there is insufficient arterial blood supply. Fatty plaque not only contributes to heart attacks, but to ED as well, by lessening the blood supply through penile arteries if they have plaque. In that sense, I agree with Avocet8’s assumption that regular jelqing/pumping might break up the “gunk” that possibly hinders blood flow. However, most medical discussions I’ve read talk about plaque in arteries, not veins. (See the following threads)
Need Input ASAP! PE skeptic Emailed me :(
I wish I could find a physiological explanation to disprove or substantiate this.
Think about it. One of the side effects of PE is enlargement of the superficial veins. While I agree with some guys that this is aesthetically pleasing, one wonders how PE–jelqing in particular–is affecting the deeper, post-cavernous venuoles. As I understand it, these “venuoles” are the “first line of defense,” responsible to retain blood inside the corpus cavernosum during an erection. (See “Intracorporal circulation” under the Boston University article on “Male Genital Anatomy” http://www.bumc.bu.edu/Dept/Content…epartmentid=371) It seems logical to me that while you might want larger arteries to carry blood into the penis, you don’t want to compromise the penis’ vein system which is needed to inducing and sustaining erections. Having larger vein structure leading from the corpus cavernosum does not necessarily mean that they are “compromised.” This is why it would be helpful to understand more of the exact physiology of venous leak. Some—not all—veins have valves. Is this true of post-cavernous venuoles? If so, does intense PE (jelqing in particular) damage these valves? If they don’t have valves, how can these venuoles be otherwise weakened or compromised? Or is my assumption incorrect—does the venous leak occur in the larger veins that the venuoles empty in to? See:
I assume that stretching and hanging do not put damaging pressure on the interior walls of the post-cavernous venuoles or any valves, if there are any in the penis.
ED websites only discuss “vacuum erection devices” as a temporary solution when a restriction band is used with them; they never mention pumping as a therapy to permanently reverse ED. I have yet to try pumping, but it seems to me that (unless Avocet8’s urologist is correct), pumping focuses more on getting blood into the arteries and making them expand. What effect does the vacuum have on the venous system. Would pumping add undue stress to the venous system, or only when a cock ring or clamp is added to the routine? Some guys report that pumping and using a cock ring makes them dependent on both for a good, solid hardon. But is there physiological reasons to substantiate this? Does a cock ring make the veins “lazy?” What of pumping without using a cock ring?
If the venous structure is already compromised and “leaking,” it seems that the added pressure of jelqing on the venous system would only worsen the situation, though I have yet to find physiological research on this. If the arterial system is strengthened more than the venous system is weakened, then erections should still improve. But what routine would have this effect?
Physiology Behind the Anecdotes
I’ve read anecdotal evidence here at TP that PE increases erectile function and quality; there are also stories on this forum that PE can sabatoge erections. The complicating factor is that what may help one guy to get a hard on may make the next guy go limp, even if they’ve never struggled with ED. So what other threads/resources are there that deal with the physiology of PE and ED?
I want to thank Avocet8 for studying and addressing this issue, and sharing from his experience. Others of us would benefit from entering the discussion.