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Can lack of intimacy cause erectile dysfunction?

It showed that men who reported having sexual intercourse less than once a week were twice as likely to develop ED. The less frequent the sex, the greater the risk for ED.

webmd.com - Erections: Use It or Lose It? - WebMD

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Men who have trouble getting erections have sex less often than men with normal sexual function, several studies have shown. But can a long sexual dry spell actually cause erectile dysfunction (ED)? And can men cut their risk for ED by having sex (or masturbating) on a regular basis?

What the Research Says European scientists caused a stir in 2008 when they published results of a study -- believed to be the only one of its kind -- purporting to show that infrequent sex can lead to erectile dysfunction. But many urologists remain skeptical. The study, published in the July 2008 issue of the American Journal of Medicine, tracked 989 men in their 50s, 60s, and 70s for five years. It showed that men who reported having sexual intercourse less than once a week were twice as likely to develop ED. The less frequent the sex, the greater the risk for ED. “The result indicated that regular sexual activity preserves potency in a similar fashion as physical exercise maintains functional capacity,” the scientists concluded. The study didn’t address the question of whether masturbation helps preserve male sexual function. But it probably does help, says Juha Koskimaki, MD, PhD, a urologist at Tampere University Hospital in Tampere, Finland, and one of the authors of the study. Both forms of sexual activity seem to protect nerve fibers and blood vessels responsible for erectile function and prevent scarring of the chambers inside the penis that fill with blood to form an erection, Koskimaki says. Not So Fast Other urologists tell WebMD that that while infrequent sex is clearly associated with ED, it’s unclear that it causes ED. And it’s premature to conclude that frequent sex or masturbation can help men stave off ED, they say. “Having sex is good, masturbating is good, but the concept that men have to go out and have sex to preserve erectile function is bogus,” says Irwin Goldstein, MD, director of sexual medicine at Alvarado Hospital in San Diego.

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Does elevated PSA mean cancer?

There is no specific normal or abnormal level of PSA in the blood. In the past, PSA levels of 4.0 ng/mL and lower were considered normal. However, some individuals with PSA levels below 4.0 ng/mL have prostate cancer and many with higher PSA levels between 4 and 10 ng/mL do not have prostate cancer (1).

cancer.gov - Prostate-Specific Antigen (PSA) Test - NCI

Prostate-specific antigen, or PSA, is a protein produced by normal, as well as malignant, cells of the prostate gland. The PSA test measures the level of PSA in the blood. For this test, a blood sample is sent to a laboratory for analysis. The results are usually reported as nanograms of PSA per milliliter (ng/mL) of blood. The blood level of PSA is often elevated in people with prostate cancer, and the PSA test was originally approved by the FDA in 1986 to monitor the progression of prostate cancer in men who had already been diagnosed with the disease. In 1994, FDA approved the PSA test to be used in conjunction with a digital rectal exam (DRE) to aid in the detection of prostate cancer in men 50 years and older. Until about 2008, many doctors and professional organizations had encouraged yearly PSA screening for prostate cancer beginning at age 50. PSA testing (along with a DRE) is also often used by health care providers for individuals who report prostate symptoms to help determine the nature of the problem. In addition to prostate cancer, several benign (not cancerous) conditions can cause a person’s PSA level to rise, particularly prostatitis (inflammation of the prostate) and benign prostatic hyperplasia (BPH) (enlargement of the prostate). There is no evidence that either condition leads to prostate cancer, but someone can have one or both of these conditions and develop prostate cancer as well.

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