Need an, err, palm check

Dear LG--

I've read many many threads here on your board.  I began with a three-times-a-week porn and masturbation habit, ED (type II diabetes and High BP, both controlled by meds, also anti-depressants: lexapro and amitriptyline), and an inability to orgasm unless it was my own hand.  I've been doing No Mas for 33 days (you'll note I'm counting every, second, every hour), and my doc and I have cut my Lexapro dose in half.  Still take the amitriptyline and topamax for migraine prevention. BTW, the BP med is Nadolol, the diabetes med is Janumet.  It all works pretty well.  A couple of days ago I actually managed to come with a provider, although it wasn't during intercourse.  Still, it was great. I'd taken 200 mgs of Viagra, tried for intercourse but lost my erection once the condom was on. The provider was really super helpful and her oral ministrations got me back up and off.

Here's my question: I am dying to jerk off occasionally and can't get away from home, S.O., and work often enough to see a provider every week or even every two weeks.  Would an occasional wank really mess things up?  I think I'll end up hobbying about once a month, so there'll always be a pretty long dry stretch in there. I know it would be best not to masturbate at all, but I'm not sure I can do that and wonder if there are reasonable parameters. Please let me know your thoughts, and thank you for all you do for old duffers like me who, against all odds, still want to have a sex life