Struggling with Erectile Dysfunction: When to See a Urologist? - Urology

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Doctor, I have been unable to lift things lately?


Doctor, I don't know what's been going on lately, but I haven't been able to achieve an erection.
I can't get hard even when I'm with a woman, and I haven't had morning erections for several years.
I've been masturbating since I was younger, about 3 to 4 times a month, and I don't know what the problem is.
Is it due to work stress or psychological factors? Should I see a urologist? Do medications like Viagra help? Please help me!

Xiao Feng, 20~29 year old female. Ask Date: 2019/10/06

Dr. Du Shixi reply Urology


Hello: It is advisable to seek medical attention to identify potential causes.
Young individuals typically do not have significant organ issues; it is often psychological.
However, an evaluation is necessary.
If considering Viagra, it should be assessed by a physician first, as it is generally effective.
Wishing you good health.

Reply Date: 2019/10/06

More Info


Erectile dysfunction (ED) is a common issue that can affect men of all ages, and it can stem from a variety of physical and psychological factors. Given your symptoms, it is important to address your concerns and understand when it is appropriate to see a urologist.

Firstly, it’s essential to recognize that ED can be caused by a range of factors, including stress, anxiety, depression, hormonal imbalances, and underlying medical conditions such as diabetes, hypertension, or cardiovascular disease. Since you mentioned experiencing significant work-related stress, it’s possible that this could be contributing to your difficulties. Psychological factors can play a significant role in sexual function, and stress or anxiety can lead to a cycle of performance anxiety, which may exacerbate the problem.

Regarding your question about when to see a urologist, it is generally advisable to consult a healthcare professional if you experience persistent issues with erectile function, especially if these problems last for more than a few weeks. A urologist specializes in male reproductive health and can help identify any underlying medical conditions that may be contributing to your ED. They can also provide guidance on treatment options tailored to your specific situation.

In terms of the medications you mentioned, such as Viagra (sildenafil), these can be effective for many men experiencing ED. However, they are not a cure-all and should be used under the guidance of a healthcare provider. It’s important to have a thorough evaluation before starting any medication, as they may not be suitable for everyone, particularly those with certain health conditions or who are taking specific medications that could interact negatively.

Additionally, lifestyle factors can also play a significant role in erectile function. Regular exercise, a healthy diet, and managing stress through relaxation techniques or counseling can all contribute positively to sexual health. If you have not already, consider discussing these lifestyle changes with your healthcare provider.

Lastly, it’s crucial to address any feelings of shame or embarrassment you may have about discussing ED. This is a common issue, and healthcare professionals are trained to handle these discussions sensitively and confidentially. Seeking help is a proactive step towards improving your sexual health and overall well-being.

In summary, if you are experiencing ongoing difficulties with erectile function, it is advisable to see a urologist. They can help determine the underlying causes and recommend appropriate treatments. In the meantime, consider evaluating your lifestyle and stress levels, as these can significantly impact your sexual health. Remember, you are not alone in this, and help is available.

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