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Since there are no findings on imaging studies and if there were no findings on exam, the most likely cause of these symptoms would be from mental health issues, such as anxiety or depression. Anxiety or depression are the most common causes of erection difficulties in a 21 year old, and since there is no evidence of other causes, that would support that it is from a mental health issue.
Treatment can be by medicines or counseling, and you can discuss with your doctor about treatment options.
If I can provide any additional information, please let me know.
It is not typical for a hormonal imbalance to cause shaking and rib pain with masturbation.
Yes, treatment with counseling can help many people. Some people also need medicines, but between counseling and medicines, the vast majority of people do well and sexual function will return to normal.
Celiac disease would typically not cause these symptoms with masturbation. They can usually get a sufficient view with the braces to exclude worrisome conditions, but that is up to your doctor to decide whether the view was sufficient. Since your doctor did not order another test, it is likely that the view was sufficient.
It would only be a disease of the brain, not of the frontal lobe, but if they got a sufficient view, then you obviously do not have any such disease.
Yes, assuming that there were no findings on exam.
The anxiety and depression would be there all the time, but the precipitation of symptoms occurs with stimulation.
This is completely normal.
The ultrasound can only detect significant stenosis. It cannot differentiate between none and insignificant stenosis. But since the only concern is significant stenosis, this is normal.,
Vascular disease in the chest would not cause symptoms precipitated by masturbation.
Yes, it is common for blood pressure to increase slightly during orgasm.