I'm a 28 y.o. guy who's having ED problems (even with sildenafil) and my urologist suggested going no PM. I've been regularly masturbating to porn since 14 y.o. My ED has been with me since I first started out attempting to have sex. After four failed attempts I started using sildenafil, and it solved the problem for the last ten years of my life. However, during this last year my erections have started to become unreliable even with sildenafil and tadalafil. I recently met a new girl and had four failed attempts at sex with her, using the drugs. That's when I booked a consultation with a urologist, who told me to go no PM. I found this website and you guys are talking about PMO. Just wondering. Is the "O" in PMO really necessary? I mean, my goal is simply to improve my erection during sex. Whats wrong with attempting/having sex along the way? Does that really hold back my progress? I mean, I can't really think of a better replacement activity for PM than actually sex. Also, what about just light touching/caressing of the soft penis/balls/perineum? I do this a lot at home, while I'm doing other things. For example while reading, I might lightly touch my soft penis/balls/perineum for a few seconds every now and again. Maybe once every five minutes or so. I'm not masturbating, just touching. Often by sort of squeezing the glans between two fingers until it slips out of the grip, or by lightly caressing the perineum back and forth or gripping my balls with one hand.