Overcoming Erectile Dysfunction: Tips for Restoring Sexual Health - Urology

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What to do about erectile dysfunction?


Hello doctor, six months ago my libido was perfectly normal, but now I don't know why my sex drive has decreased, and my erections are not firm, only at about 2 to 3 hardness levels.
I find it difficult to achieve an erection.
I went to a large hospital for a check-up, but they couldn't find any issues; the doctor only mentioned that my triglycerides are high and my glomerular filtration rate is low.
What should I do? I seem to be a bit overweight with a BMI of 26.
I don't smoke or drink, and I'm actively training in sports.
How can I restore normal erectile firmness? I'm really anxious and worry that this might be my condition from now on...
Please give me some guidance, doctor.

Sheng You, 20~29 year old female. Ask Date: 2017/11/25

Dr. Lin Wenxu reply Urology


Acute erectile dysfunction is often more psychogenic than organic, meaning it is triggered by emotional factors.
Therefore, it is advised not to worry excessively or feel tense; maintaining a regular routine and engaging in regular exercise can be beneficial.
Nonetheless, it is essential to visit a hospital in person to consult a physician for a comprehensive evaluation, which will provide you with the most complete treatment recommendations.

Reply Date: 2017/11/25

More Info


Erectile dysfunction (ED) can be a distressing condition, especially when it affects your confidence and sexual health. Based on your description, it seems that you are experiencing a combination of low libido and difficulty achieving a firm erection. While you have already consulted a doctor and undergone some tests, it’s important to consider various factors that could contribute to your situation and explore actionable steps to improve your sexual health.


Understanding the Causes
1. Physical Factors: Elevated triglycerides and low glomerular filtration rate (GFR) can indicate underlying health issues that may affect blood flow and hormone levels, both of which are crucial for achieving and maintaining an erection. Being overweight (with a BMI of 26) can also contribute to ED, as excess body weight can lead to hormonal imbalances and reduced blood circulation.

2. Psychological Factors: Stress, anxiety, and depression can significantly impact libido and erectile function. The pressure to perform sexually can create a cycle of anxiety that exacerbates the problem. It’s essential to address any psychological barriers that may be affecting your sexual health.

3. Lifestyle Choices: While you mentioned that you do not smoke or drink, maintaining a healthy lifestyle is crucial. Regular exercise, a balanced diet, and adequate sleep can improve overall health and, in turn, sexual function.


Steps to Restore Sexual Health
1. Consult a Specialist: Since your initial tests did not reveal significant issues, consider consulting a urologist or an endocrinologist who specializes in sexual health. They can conduct more specific tests to evaluate hormone levels, blood flow, and other potential causes of ED.

2. Manage Weight: Since your BMI indicates that you are slightly overweight, working on weight management through a combination of diet and exercise can be beneficial. Aim for a balanced diet rich in fruits, vegetables, whole grains, and lean proteins. Regular cardiovascular exercise can improve blood circulation and overall health.

3. Monitor Triglycerides and GFR: Work with your healthcare provider to monitor and manage your triglyceride levels and kidney function. This may involve dietary changes, medications, or other interventions to improve your metabolic health.

4. Psychological Support: If you suspect that anxiety or stress is contributing to your ED, consider speaking with a mental health professional. Therapy can help you address any underlying issues and develop coping strategies to reduce performance anxiety.

5. Sexual Health Education: Educate yourself about sexual health. Understanding how erections work and what factors influence them can help alleviate anxiety. Sometimes, simply knowing that fluctuations in sexual function are common can reduce stress.

6. Consider Medication: If lifestyle changes and psychological support do not yield improvements, discuss with your doctor the possibility of using medications such as phosphodiesterase type 5 inhibitors (e.g., Viagra, Cialis). These medications can enhance blood flow to the penis and help achieve a firmer erection.

7. Practice Relaxation Techniques: Incorporate relaxation techniques such as deep breathing, meditation, or yoga into your routine. These practices can help reduce stress and improve your overall mental well-being.

8. Communicate with Your Partner: Open communication with your partner about your feelings and concerns can help alleviate pressure and create a supportive environment. This can enhance intimacy and reduce performance anxiety.


Conclusion
Restoring your sexual health is a multifaceted process that involves addressing both physical and psychological factors. By taking proactive steps, such as consulting specialists, managing your weight, and seeking psychological support, you can improve your erectile function and overall sexual health. Remember, it’s essential to be patient with yourself as you navigate this journey, and don’t hesitate to reach out for help when needed.

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