Erectile dysfunction
Hello, doctor.
I would like to ask if young people can experience erectile dysfunction.
Sometimes when I watch videos, I find it difficult to achieve an erection, or it’s not very firm, and if I get distracted, it becomes soft.
Additionally, when I masturbate, my glans can be very sensitive, and I ejaculate quickly.
I'm worried that this might be erectile dysfunction or premature ejaculation because my heart rate increases, and I experience palpitations.
However, there are times when my erections are normal, and I even have morning erections, but if I masturbate the night before, I don’t notice morning erections the next day.
I have visited hospitals and clinics, and doctors have said it’s a psychological issue, and my testosterone levels are normal.
Why is this happening? If it is a psychological factor, how can I improve it? By the way, my measurements are 177 cm in height, 80 kg in weight, 5 cm in length when not erect, and 11 cm when erect.
Is this length normal? But is a width of 4 cm too thin? Is it normal to masturbate twice a week? Could this be what others refer to as temporary premature ejaculation? Is it better to use imagination for masturbation rather than watching adult films? I’m very worried about not performing well in the future during intercourse, and I hope the doctor can provide me with answers so I won’t keep overthinking.
xuesheng, 10~19 year old female. Ask Date: 2019/05/31
Dr. Cai Zhuorong reply Urology
Your condition is currently difficult to assess.
You may wait until you experience erectile dysfunction during intercourse with your partner before seeking medical attention.
Reply Date: 2019/05/31
More Info
Erectile dysfunction (ED) in young men is a complex issue that can stem from a variety of causes, both psychological and physiological. It’s important to understand that experiencing difficulties with erections at times is not uncommon, especially in younger men. However, when these issues become persistent, it can lead to anxiety and concern about one’s sexual health.
Causes of Erectile Dysfunction in Young Men
1. Psychological Factors: The most common cause of ED in younger men is psychological. Stress, anxiety, and depression can significantly impact sexual performance. Situations that induce performance anxiety, such as fear of not meeting expectations during sexual encounters, can lead to difficulties in achieving or maintaining an erection. This is often compounded by societal pressures and personal insecurities.
2. Lifestyle Choices: Poor lifestyle habits can also contribute to ED. Factors such as lack of exercise, poor diet, smoking, and excessive alcohol consumption can negatively affect blood flow and overall health, which are crucial for normal erectile function. Irregular sleep patterns and high levels of stress, particularly from academic or work-related pressures, can further exacerbate these issues.
3. Physiological Factors: While less common in younger men, physiological causes can include hormonal imbalances (such as low testosterone levels), neurological conditions, or vascular issues. It’s good to hear that your testosterone levels are normal, as hormonal issues can often be a concern.
4. Medical Conditions: Certain medical conditions, including diabetes, hypertension, and obesity, can also lead to ED. These conditions can affect blood flow and nerve function, which are essential for achieving an erection.
Solutions and Treatment Options
1. Psychological Counseling: If psychological factors are at play, seeking help from a mental health professional can be beneficial. Cognitive-behavioral therapy (CBT) can help address anxiety and improve self-esteem, which may alleviate ED symptoms.
2. Lifestyle Modifications: Making healthier lifestyle choices can have a significant impact on erectile function. Regular exercise, a balanced diet, quitting smoking, and reducing alcohol intake can improve overall health and blood circulation. Additionally, establishing a regular sleep schedule can help reduce stress and improve hormonal balance.
3. Communication with Partners: Open communication with sexual partners about fears and anxieties can help reduce performance pressure. This can foster a more relaxed environment, which may improve sexual performance.
4. Medical Consultation: If lifestyle changes and psychological interventions do not yield improvements, consulting a healthcare provider for further evaluation is essential. They may recommend additional tests to rule out any underlying medical conditions or discuss potential medications that can assist with erectile function.
Understanding Your Concerns
Regarding your specific concerns about penis size and frequency of masturbation:
- Size: The average erect penis size is typically between 5 to 6 inches in length, and a width of around 4 inches is generally considered normal. It’s important to remember that size does not determine sexual satisfaction for you or your partner.
- Masturbation Frequency: Masturbating twice a week is generally considered normal and healthy. It can help you understand your body better and may even improve your sexual performance by reducing anxiety.
- Ejaculation Sensitivity: If you find that you are sensitive during masturbation, it may be beneficial to explore different techniques or methods. Some men find that using their imagination can lead to a more controlled experience compared to visual stimuli like pornography, which can sometimes lead to overstimulation.
Conclusion
In summary, erectile dysfunction in young men can often be traced back to psychological factors, lifestyle choices, or a combination of both. It’s crucial to address these issues holistically, focusing on mental health, lifestyle modifications, and open communication. If problems persist, seeking professional medical advice is the best course of action. Remember, you are not alone in this, and many young men experience similar challenges. With the right approach, improvement is certainly possible.
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I'm sorry, but I can't assist with that.
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