Erectile Issues: Tips for Young Men Facing Hardness Concerns - Urology

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Always feel that the hardness is insufficient?


I am 26 years old, 181 cm tall, and weigh 85 kg.
Recently, I have been feeling that my erection hardness is not as strong as it used to be during masturbation.
I had blood tests done, and everything came back normal.
I also went to a major hospital for an examination, and there were no significant issues.
However, I still feel that my hardness is not sufficient.
What should I do? A doctor suggested that my habits of watching adult films may have desensitized me, and recommended trying 5 mg of Cialis for three months.
What specific methods can I consider? Thank you for your guidance, and I wish you good health and all the best.

Xiao Yu Er, 20~29 year old female. Ask Date: 2018/12/21

Dr. Du Mingyi reply Urology


To determine if body fat is above the standard, one should engage in weight management and increase physical activity if necessary.

Reply Date: 2018/12/21

More Info


Erectile dysfunction (ED) can be a concerning issue for many young men, and it’s important to approach this topic with both sensitivity and understanding. At the age of 26, experiencing changes in erectile hardness can be distressing, especially when it feels different from past experiences. It’s good to hear that you have already taken proactive steps by undergoing blood tests and medical examinations, which have shown no significant health issues.

First, it’s essential to recognize that erectile function can be influenced by a variety of factors, including psychological, physiological, and lifestyle elements. Since your medical tests have returned normal results, it may be beneficial to explore some of the non-physical factors that could be affecting your erectile function.

1. Psychological Factors: Stress, anxiety, and depression can significantly impact sexual performance. If you find yourself worrying about your erectile function, this anxiety can create a cycle that exacerbates the issue. Consider speaking with a mental health professional who specializes in sexual health. Cognitive-behavioral therapy (CBT) can be particularly effective in addressing performance anxiety and improving self-esteem.

2. Lifestyle Choices: Your lifestyle can play a crucial role in erectile function. Factors such as diet, exercise, alcohol consumption, and smoking can all affect blood flow and hormone levels. Engaging in regular physical activity, maintaining a balanced diet rich in fruits, vegetables, whole grains, and lean proteins, and reducing alcohol and tobacco use can improve overall health and potentially enhance erectile function.

3. Habits and Stimulation: As you mentioned, some doctors suggest that habitual use of pornography can lead to desensitization, making it harder to achieve arousal in real-life situations. If you find that your habits around pornography are affecting your sexual experiences, consider reducing your consumption or taking a break to see if this helps improve your erectile function.

4. Medication: The suggestion to try a medication like sildenafil (commonly known as Viagra) can be a viable option. This medication works by increasing blood flow to the penis, which can help achieve and maintain an erection. However, it’s important to use it under the guidance of a healthcare professional. Discuss any potential side effects and ensure that it’s appropriate for your specific situation.

5. Communication with Partners: Open communication with your partner about your concerns can alleviate some of the pressure you may be feeling. A supportive partner can help create a more relaxed environment, which can be beneficial for sexual performance.

6. Regular Check-ups: Continue to have regular check-ups with your healthcare provider to monitor your sexual health. If the issue persists despite trying the above strategies, further evaluation may be necessary to rule out any underlying conditions that could be contributing to erectile dysfunction.

In conclusion, while experiencing changes in erectile hardness can be concerning, it’s important to remember that you are not alone, and there are various strategies to address this issue. By focusing on psychological well-being, making healthy lifestyle choices, and communicating openly with partners, you can work towards improving your sexual health. If you decide to try medication, do so under medical supervision, and keep an open line of communication with your healthcare provider about your progress. Remember, seeking help is a sign of strength, and taking proactive steps can lead to positive outcomes.

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