Erectile dysfunction
Hello Doctor: I used to have an erection angle of 45 to 90 degrees.
However, after entering high school, my erections no longer point upwards; they extend forward instead.
Is there a problem with this? Even when I try to exert force, I can only lift it slightly for a few seconds.
I masturbate about once every 1 to 2 days.
Niming, 10~19 year old female. Ask Date: 2018/12/20
Dr. Fu Shizhang reply Urology
In theory, as long as it does not affect sexual intercourse, it is not considered abnormal in terms of erectile dysfunction.
Reply Date: 2018/12/20
More Info
When it comes to changes in the angle of erection, it is important to understand that variations can occur due to a variety of factors, including anatomical changes, hormonal fluctuations, and psychological influences. In your case, you mentioned that previously your erections would range from 45 to 90 degrees, but now they tend to point forward rather than upward. This change can be concerning, but it is essential to consider several aspects before determining if it is a medical issue.
Firstly, the angle of erection can be influenced by the elasticity and health of the erectile tissues, which are composed of spongy tissue that fills with blood during arousal. If there are changes in the blood flow, nerve function, or tissue integrity, this can affect the angle of erection. For instance, conditions such as Peyronie's disease, which involves the development of fibrous scar tissue inside the penis, can cause curvature and changes in erection angle. However, if you do not experience any pain or significant curvature, it may not be a cause for concern.
Secondly, hormonal levels play a crucial role in sexual function. Testosterone, the primary male sex hormone, influences libido and erectile function. If there are fluctuations in your hormone levels, this could potentially affect your erections. It might be worthwhile to discuss this with a healthcare provider who can evaluate your hormone levels if you have concerns about your sexual health.
Additionally, psychological factors such as stress, anxiety, and depression can significantly impact sexual performance and arousal. If you are experiencing any emotional or psychological stressors, it could manifest in changes in your sexual function. It is essential to address any underlying psychological issues, as they can often be managed with therapy or counseling.
Regarding your observation that you can only maintain an erection for a few seconds with effort, this could indicate a potential issue with erectile function. It is not uncommon for young men to experience fluctuations in erectile quality, especially during periods of stress or anxiety. However, if this persists or worsens, it would be advisable to consult a healthcare professional for a thorough evaluation.
In summary, while changes in the angle of erection can be concerning, they are not always indicative of a serious medical issue. Factors such as anatomical changes, hormonal levels, and psychological influences can all play a role. If you are experiencing persistent difficulties with erections or if you have any other symptoms, it is essential to seek medical advice. A healthcare provider can conduct a comprehensive assessment, including a physical examination and possibly blood tests, to determine if there are any underlying conditions that need to be addressed. Remember, open communication with a healthcare professional is key to understanding and managing any concerns related to sexual health.
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