Erectile dysfunction
Hello doctor, a few months ago I had an injury during a sports competition and the doctor prescribed me muscle relaxants.
After the competition ended, I started to notice that during masturbation, if I pause for a moment, I easily lose my erection.
The speed of my erection while watching adult videos is also much slower than before, and sometimes I need to keep stimulating myself to achieve an erection.
Even when I do get an erection, it seems to be less firm than it used to be.
Previously, I would only masturbate once or twice a week, so I don't think it's an issue of excessive masturbation.
When I engage in sexual activity with my girlfriend, I also find it easy to lose my erection if I get distracted.
Recently, I haven't been paying attention to when it started, but I also noticed that I no longer experience morning erections, and if I do, they are very slight.
I'm very concerned about my sexual function, so I looked online and found that it might be related to the medication I took.
I would like to ask you how I can improve this situation.
I've also reduced my exercise significantly; will continuing to exercise help me recover, or do I need to take medication? Thank you.
Xiao Xu, 20~29 year old female. Ask Date: 2017/07/16
Dr. Fu Shizhang reply Urology
It is recommended to engage in regular exercise and maintain good lifestyle habits.
If there is no improvement, it is advisable to visit an outpatient clinic.
Online consultations cannot replace an in-person medical examination and physical assessment by a physician.
In the presence of illness, it is still recommended to seek care at a medical facility.
Reply Date: 2017/07/16
More Info
Erectile dysfunction (ED) is a common condition that can affect men of all ages, but it is particularly prevalent among older men. Understanding the causes and potential solutions for recovery is crucial for anyone experiencing this issue. In your case, it seems that your ED may have been triggered or exacerbated by the use of muscle relaxants prescribed after your sports injury, along with a decrease in physical activity.
Causes of Erectile Dysfunction
1. Medication Side Effects: Many medications, including muscle relaxants, can have side effects that impact sexual function. These medications may interfere with the nerve signals or blood flow necessary for achieving and maintaining an erection.
2. Psychological Factors: Anxiety, stress, and depression can significantly affect sexual performance. The pressure to perform, especially after experiencing a change in sexual function, can create a cycle of anxiety that further exacerbates the problem.
3. Physical Health: Conditions such as obesity, diabetes, high blood pressure, and cardiovascular diseases can contribute to ED. A decrease in physical activity, as you mentioned, can also lead to weight gain and reduced cardiovascular health, which are risk factors for erectile dysfunction.
4. Hormonal Changes: A decrease in testosterone levels can lead to reduced libido and erectile difficulties. The absence of morning erections, as you noted, could be indicative of hormonal imbalances.
Solutions for Recovery
1. Consult a Healthcare Provider: It’s essential to discuss your symptoms with a healthcare provider who can evaluate your situation comprehensively. They may recommend adjusting your current medications or exploring alternative treatments.
2. Lifestyle Modifications: Increasing your physical activity can have a positive impact on your overall health and sexual function. Regular exercise improves blood circulation, boosts testosterone levels, and enhances mood, all of which can help alleviate ED.
3. Psychological Support: If anxiety or stress is contributing to your erectile dysfunction, consider speaking with a mental health professional. Cognitive-behavioral therapy (CBT) can help address underlying psychological issues and improve sexual confidence.
4. Healthy Diet: A balanced diet rich in fruits, vegetables, whole grains, and lean proteins can improve cardiovascular health and blood flow, which are crucial for erectile function. Foods high in antioxidants and omega-3 fatty acids can also be beneficial.
5. Limit Alcohol and Avoid Smoking: Both alcohol and tobacco can impair blood flow and contribute to erectile dysfunction. Reducing or eliminating these substances can improve your sexual health.
6. Medication Options: If lifestyle changes alone do not resolve the issue, your healthcare provider may prescribe medications specifically designed to treat ED, such as phosphodiesterase type 5 inhibitors (e.g., Viagra, Cialis). These medications can enhance blood flow to the penis and help achieve an erection.
7. Regular Check-ups: Regular health check-ups can help monitor any underlying conditions that may contribute to erectile dysfunction, such as diabetes or hypertension.
Conclusion
Erectile dysfunction can be a challenging issue, but it is often treatable. By addressing potential causes, making lifestyle changes, and seeking professional guidance, you can improve your sexual health and regain confidence in your sexual performance. Remember, it is essential to communicate openly with your healthcare provider about your symptoms and concerns to find the most effective treatment plan tailored to your needs.
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