Erectile Dysfunction in Young Men: Causes and Solutions

138724 Supplementary Note

Doctor, I am 18 years old, 165 cm tall, and weigh 62 kg.
After my last inquiry, I conducted some tests.
When I stimulate myself manually, the response is very sluggish.
If I use other methods (like looking at something) to stimulate, the erection will gradually fade away if I don't pay attention to it, and it doesn't last long.
I didn't notice this before, but it wasn't like this so quickly.
However, I don't have any issues with masturbation; it's just that the firmness is not what it used to be, and it fades away more quickly.
In the past, after ejaculation, it would maintain for a while, but now it goes away quickly.
I can't rely solely on manual stimulation; I might need to look at something.
There seem to be issues with spontaneous erections in the morning, sudden erections during the day, and erections when holding in urine, as well as trying to achieve an erection just by thinking about it.
I suddenly noticed these changes, and it's really alarming because they are so different from before.
Today, I did not provide any sexual stimulation, either physically or psychologically, and I did not have an erection all day, whereas before, I would often get erections spontaneously, sometimes causing embarrassment.
In the past, even a little urge to urinate would trigger a sensation, and I would have to bend over and be shy when going to the bathroom, but now I don't feel that at all.
I am really worried about what is happening.
I've read many articles; is it due to excessive indulgence (masturbation)? Or is it a problem with blood circulation? Or is it a decline in sexual function? I'm afraid that if this continues, it will get worse, and I don't dare to tell my family.
What should I do to improve this? Would stopping masturbation help? Thank you, doctor.

Mr. Huang, 10~19 year old female. Ask Date: 2018/08/25

Dr. Du Mingyi reply Urology

It's important to manage stress and maintain a balanced lifestyle.
Consider incorporating regular exercise into your routine to help alleviate anxiety and improve overall well-being.

Reply Date: 2018/08/25

More Info

Erectile dysfunction (ED) in young men, particularly those in their late teens and early twenties, can be a distressing experience. Understanding the underlying causes and potential solutions is crucial for addressing this issue effectively. Based on the information provided, several factors may contribute to your situation.

Causes of Erectile Dysfunction in Young Men
1. Psychological Factors: One of the most common causes of ED in younger men is psychological. Anxiety, stress, and depression can significantly impact sexual performance. The pressure to perform, especially in new sexual encounters, can lead to performance anxiety, which may create a cycle of fear and dysfunction. It’s important to recognize that mental health plays a vital role in sexual health.

2. Lifestyle Choices: Factors such as poor diet, lack of exercise, smoking, and excessive alcohol consumption can contribute to ED. Irregular sleep patterns and insufficient rest can also affect hormone levels and overall health, leading to decreased libido and erectile function.
3. Hormonal Issues: Testosterone levels naturally decline with age, but in younger men, low testosterone can be a concern. Hormonal imbalances can affect sexual desire and performance. If you suspect hormonal issues, it’s advisable to consult a healthcare provider for blood tests to check hormone levels.

4. Physical Health: Conditions such as obesity, diabetes, and cardiovascular issues can affect blood flow and nerve function, leading to ED. Although these conditions are more common in older adults, they can occur in younger individuals, especially if lifestyle factors contribute to poor health.

5. Overstimulation and Desensitization: Frequent masturbation or reliance on specific types of sexual stimulation (like pornography) can lead to desensitization. This means that what once excited you may no longer have the same effect, leading to difficulties in achieving or maintaining an erection during sexual encounters.

Solutions and Recommendations
1. Consult a Healthcare Provider: It’s essential to seek professional help. A healthcare provider can perform a thorough evaluation, including physical exams and blood tests, to rule out any underlying medical conditions. They can also provide guidance tailored to your specific situation.

2. Address Psychological Factors: If anxiety or stress is a concern, consider speaking with a mental health professional. Cognitive-behavioral therapy (CBT) can be particularly effective in addressing performance anxiety and other psychological barriers to sexual function.

3. Lifestyle Modifications:
- Diet: Focus on a balanced diet rich in fruits, vegetables, whole grains, and lean proteins. Foods that promote cardiovascular health can improve blood flow, which is crucial for erectile function.

- Exercise: Regular physical activity can enhance overall health, improve mood, and boost testosterone levels. Aim for at least 150 minutes of moderate aerobic activity each week.

- Sleep: Prioritize good sleep hygiene. Aim for 7-9 hours of quality sleep each night to support hormonal balance and overall well-being.

4. Limit Stimulation: If you believe that excessive masturbation or reliance on pornography is affecting your sexual function, consider reducing the frequency of these activities. Allowing time for your body to reset can help restore sensitivity and improve your sexual response.

5. Open Communication: If you are in a relationship, communicate openly with your partner about your concerns. This can alleviate some of the pressure you may feel and foster a supportive environment for addressing your ED.

6. Patience and Understanding: Remember that changes in sexual function can happen for various reasons, and it may take time to identify the root cause and find effective solutions. Be patient with yourself as you navigate this process.

In conclusion, while experiencing erectile dysfunction at a young age can be alarming, it is often manageable with the right approach. By addressing both physical and psychological factors, making lifestyle changes, and seeking professional guidance, you can work towards improving your sexual health and overall well-being.

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I'm sorry, but I can't assist with that.

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