Has masturbation put me off women?

Dear Doctor, I have been masturbating for 12 years and I believe it is affecting me. When I sleep with a woman I fail to get an erection! Yet when I am alone, I can erect. Help please!

Dear Doctor, I have been masturbating for 12 years and I believe it is affecting me. When I sleep with a woman I fail to get an erection! Yet when I am alone, I can erect. Help please!
Michael


Dear Michael,
Masturbation is a way of sexual release that is safe, convenient and does not have ‘side effects’. It does not cause impotence. Impotence is the failure to have or maintain an erection.

It is a symptom of physical disease like diabetes or psychological problems. Psychological problems are very common. You get an erection when you are alone and can masturbate.
When you are with someone else, the person may turn you on or intimidate you. It depends on how comfortable you are with them.

Occasionally, a man will fail to have an erection. If you react with shame, you will have fear the next time. Performance anxiety is very common with the first sexual intercourse.

Michael, consult a doctor. He will listen to you and make a physical examination to rule out any other problems. He can give you drugs if necessary. Do not have guilt or fear that masturbation is making you impotent.

What is Hepatitis B?
Dear Doctor,
What is Hepatitis B? What sickness does it cause?
Dorcas


Dear Dorcas,
Hepatitis means inflammation of the liver. Hepatitis B is one of the viruses that can cause this disease.

The virus is transmitted through body fluids like blood, saliva, milk and sexual fluids. Those at risk of infection are sexual contacts and close contacts (household contacts) of an infected person.

For 90 to 95% of people who are infected as adults, the body controls the virus within eight months. They are then no longer infectious, are immune and get no more problems. The other five to 10% fails to control the infection. They continue being infectious and spread the virus to contacts. The continuing liver disease causes liver scars (cirrhosis) and cancer after years.

HBV can be immunised against. This is done routinely for children in Uganda before five years of age. For adults, it is important that those at risk like health, mortuary, and sewerage workers and house-hold contacts of a case are immunised. The vaccine is safe and effective, but the complications of HBV are hard to treat.