Erectile Dysfunction: Signs and Concerns for Young Men - Urology

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I would like to ask if this is erectile dysfunction?


In my second year of junior high school, I masturbated daily.
By the time I reached my third year, I noticed that starting from either my first or second year of high school, I experienced fewer morning erections.
Additionally, during masturbation, my erections weren't very firm, and I would ejaculate in less than two to three minutes.
Even now, my erections become soft in less than a minute.
Recently, the sensation during masturbation feels weak, and I only masturbate three to four times a week.
Does this count as erectile dysfunction?

Mr. Wei, 10~19 year old female. Ask Date: 2020/11/27

Dr. Fu Shizhang reply Urology


It is recommended to reduce the frequency of masturbation and to observe the situation.
However, online consultations cannot replace an in-person examination and physical assessment by a physician.
If there are any health issues, it is still advised to seek medical attention at a healthcare facility.

Reply Date: 2020/11/27

More Info


Erectile dysfunction (ED) is a condition that can affect men of all ages, including young men. It is characterized by the inability to achieve or maintain an erection sufficient for satisfactory sexual performance. Understanding the signs and concerns related to ED is crucial, especially for younger individuals who may feel embarrassed or uncertain about their experiences.

From your description, it seems you have noticed a decline in your ability to achieve and maintain an erection, particularly during masturbation. You mentioned that you used to experience regular morning erections but have since observed a decrease in this occurrence. Additionally, you noted that your erections are not as firm as they used to be, and you are experiencing a quick loss of erection during sexual activity. These symptoms can be concerning and may indicate the presence of erectile dysfunction.

It is important to understand that occasional difficulties with erections are common and can happen to anyone, especially during periods of stress, anxiety, or fatigue. However, if these difficulties become frequent or persistent, it may be indicative of an underlying issue. In young men, potential causes of ED can include psychological factors such as anxiety, depression, or stress, as well as physical factors like hormonal imbalances, vascular issues, or nerve damage.

In your case, the fact that you have experienced a significant change in your sexual function, including reduced firmness and duration of erections, warrants further exploration. It is essential to consider both psychological and physical aspects. For example, if you are experiencing anxiety about sexual performance or have concerns about your body image, these factors can contribute to ED. On the other hand, physical issues such as low testosterone levels or other health conditions could also be at play.

To address your concerns, it is advisable to consult with a healthcare professional, such as a urologist or a primary care physician. They can conduct a thorough evaluation, which may include a physical examination, blood tests to check hormone levels, and a discussion of your medical history and lifestyle factors. This assessment will help determine if there is an underlying condition that needs to be addressed or if your symptoms are more related to psychological factors.

In the meantime, there are several lifestyle changes you can consider to improve your overall sexual health. Regular exercise, a balanced diet, adequate sleep, and stress management techniques can all contribute positively to erectile function. Additionally, reducing alcohol consumption and avoiding smoking can also be beneficial.

In summary, while your symptoms may suggest a form of erectile dysfunction, it is essential to approach this issue holistically. Consulting with a healthcare professional will provide you with the guidance and support needed to understand your condition better and explore potential treatment options. Remember, you are not alone in this, and many young men experience similar concerns. Seeking help is a positive step toward regaining confidence and improving your sexual health.

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


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


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